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<br />OWNER'S NAM~~ A~~/ TOft/' (/;o/k <br />JOB ADDRESs$. E. OUAc! /)/' 7c-J, -.SrK~~t' q. <br />LEGAL DESCRI PTION: LOT (S) / I BLOCK Z {~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />~ ,813-780-0020 FAX:813-780-0021 <br /> <br />-5/ /e ;><>eP'7J C/S(' _ ~=s~~~:D FEE <br /> <br />&M~ P"ONE G'/.s" - } R. \ - //t, 9 <br />/%{?...e/ /, #I/~, 59 3 J' 7;Ur 5T. <br /> <br />, ' <br /> <br />PARCEL ID # 1/ 2.l4 z / 0/')/ D <br />WORK PROPSED: ~ CONSTRUCTION <br />DSIGN <br /> <br />SUBDIVISION 2. / <br /> <br />(JOXOO 005-0 <br /> <br />(~IN FROM PROPERTY-TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERA'I'IOtl <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o l'10VE <br /> <br />o DE~10LISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o <br />COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF Ul.Jl'l'S <br />o SWIMMING POOL <br /> <br />o ~10BI LE HOME <br /> <br />~HER <br />f-3>/e ;;?,e'A1/~ <br /> <br />D <br /> <br />DESCRIPTION OF WORK ~~ ~~//~~~ <br />I r <br />BUILDING SIZE .50 X /4.<;"" <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />;:;2 <br /> <br />~cy)) 6~JJ <br />FOOTAGE 7 ~ 50 <br /> <br />SQUARE <br /> <br />I <br />HEIGHT~ <br /> <br />RESIDENTIAL: <br />COMl'1ERC IAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FDRMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED F'OR ALL NEW CotlSTRUC'I'ION , <br /> <br />c:/a;~ Y09-1432 <br /> <br />PERMITS REQUESTED C~// 7b~-03 7:X./ <br />7A(}.5- 6.3 ~,--:s-4~~~J~ <br />$. ~ T / 2:70. '_ VALUATION OF TOTAL CONSTRUCTION ../' <br /> <br />/..2.0~CJ8 ~y;'I'-A'P SERVICE ~LORIDA POWER 0 W.R.E.C. <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />00 <br />$ P?OCJ. ,- <br />o <br /> <br />VALUATIOH OF MECHANCIAL INS,},ALLATlOt~ <br /> <br />o SPECIALTY <br /> <br />OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAt1E <br />FINISHE~D FLOOR ELEVATIONS' (/ /. _::::-D <br /> <br />o STEEL <br /> <br />~HERS)l~ ~-e"'n?/ I <br /> <br />I S PROJECT I tl FLOOn ZOHE AREA 0 YES <br /> <br />[T1m <br /> <br /> <br />SIGNA'}'flRE- <br /> <br /> <br />COMPAN~K() /(;.//~ -0 /. ~( j <br /> <br />STATE CERT OR REGIST # 'Ct-C O.3ro / " -.5 <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />**************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COt'1PA1JY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*************k**************************************************** <br /> <br />PLUMBER <br /> <br />COI'1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />Cm-1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************-k*************************A**k***~**** <br /> <br />OTHER <br /> <br />COHPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNIHURE <br /> <br />*************************************************k********~**.~** <br />