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<br />OWNER'S NAME <br /> <br />~\+rus )..fvn~ <br /> <br />CITY OF ZEPBYRHILLS PERMIT "APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 Q/~v)o~ <br />DATE RECEIVED / . _ <br />PLAN~/~EP-iU.-..~__ <br /> <br />//---CtJ.11 J(.th'rltL (9 <br />~SYI(-S3l{9_ <br /> <br /> <br />SUBDIVISION 6~ ~,~ .pitt- <br /> <br />1--0 ( -e li~ <br /> <br />'Za.,ohy (~ll Ls <br />A-K, <br /> <br />JOB ADDRESS 37&; D q <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />it S- <br />PARCEL I D # 3lJ -~';;).I .. [;.cliO - 000{){)- lL S-O <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />jtf)MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Nu..J Q~i8{(x t&;'8d mDblle j,".(J'yy~ /t1~l-af1(i._Jiuz-..J <br />BUILDING SIZE 9&/(3 II y. I...{l.c' 8 I( SQUARE FOOTAGE !;).Lll./ HEIGHT l<t ( <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING $ f)LfOO~ <br />~LECTRICAL BOD <br />~LUMBING <br />~CHANICAL CP. <br />$ I ~(){) ./ <br />o GAS o ROOFING o SPECIALTY <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET EN Ji.:RGY'F'ORMS';, <br /> <br />FORMS. /'. ~ : <br /> <br />(!~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~""_"__'__'" <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />Qti FRAME <br /> <br />o STEEL <br /> <br />,0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES @"No <br /> <br /> <br /> <br />ELECTRICIAN ~ <br />SIGNATURE - ~ <br /> <br />BUILDER COMPANY :S::OVd'\;Y\.~ JY\ \-t ~ <br />1\ ~ ^ ~ STATE CERT OR REGIST # .: ~ HO()()O/C)../ <br />SIGNATURE ~~ CITY PROCESSING i ~ <br /> <br />**************************************************************~16Z0 <br /> <br />COMPANY ~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br /># Ere 0010 S?2J/ <br />V <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />COMPANY ':l.e.lAlI\ l ~Gyl m}+- ~ <br />STATE CERT OR REGIST # '"J:1+tJOOO/J-1 <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />********************************************~************ <br />COMPANY <br />~~ STATE CERT OR REGIST # c,r::t-GOJf3 9&/7 <br />J[r'=- CITY PROCESSING * ~ <br /> <br />************************************************************ GI j' 0 I~ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />.~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />