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<br />L,lb.\ ~ o~ 4{V'--1 <br />OWNER'S NAME ~\ Ih~ ~...JJ9 Z~~ <br />JOB ADDRESS 31) l.f ~ AJ~u k(Jf)l thNL. <br />LEGAL DESCRIPTION: LOT(S) ~La BLOCK <br />PARCEL ID # 3'1-JS-.}.1-00QO - Oc9{){)O"O?:>0D <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~!1.. 0 I () '2 <br />DATE RECEIVED I .~ <br />PLANS REVIEW FE - <br /> <br />PHONE 813 -5'1&-53 Y9 <br /> <br />SUB D I V I S ION G:::l\fCAlI\cO +t'Y' \ 4f\'1, hI 1- <br />. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS W MOBILE HOME <br />~1-~J~ o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />N..W <br />.3 8. 1(. lc.8 <br /> <br />3d-- "X ~ t3 1M 0 lo I \..e.. hUl\- ~ ~y::) <br />SQUARE FOOTAGE tA08S <br /> <br />HEIGHT <br /> <br />I Lt' <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />IB- BUILDING $ c'J-d--OOCV VALUATION OF TOTAL CONSTRUCTION <br />~ELECTRICAL Mo AMP SERVICE rti FLORIDA POWER 0 W.R.E.C. <br />1& PLUMBING <br />EPMECHANICAL $ iOCO~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />fll FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />cM-~~ <br /> <br />COMPANY Je.vtV'1 r1c...r> vn \t- ~ <br />STATE CERT OR REGIST # J- ftD()()0/-::L./ <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />********************************************************~~********* <br /> <br />SIGNATURE <br /> <br />~a~~ <br /> <br />COMPANY t-.l Llt-~ <br />STATE CERT OR RE 1ST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />********************************************************,.********* <br /> <br />SIGNATURE <br /> <br />-~t~ <br /> <br />COJvJ PAN Y J-e..V\ v-: \ 1'\tfJ rn \-t-. ~p <br />STATE CERT OR REGIST # ~ t+o 000 {J.J <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />*******************************************~************** <br />COMPANY . <br />~ STATE CERT OR REGIST # <br />~ CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />