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<br />'. <br /> <br />CITY OF ZEPRYRBILLS PE~T APPL~CATION <br />WILDING O!PARTMENT 5335 8"" n. Zephyrhills, FL 33542 <br />813-780-0020 BAX:813-780-0021 <br /> <br />DATE lU:CElVED <br /> <br />1'H0Nlil CON'rACT FOIl. PERMUTING <br /> <br />PMCEL Ie II <br /> <br />~~ Ca.r;:t <br />:s X t 2-- I L-,tJOAA-IM_ c{ Av <- <br />*-fZ- <br />~~..-, 2-\- 2-1 - ~t'o ~ c>-t-a<JD -t'<)W IOB":~n; <br /> <br />PHONE <br /> <br />'1l r- l" <<-1-1 <br /> <br />OtiNER' S WU-lE <br /> <br />JOB ADDRESS <br /> <br />LLGAL D~SCRIPTION: LOT{Sl <br /> <br />BLOCK <br /> <br />SUBDIVIS:;:ON <br /> <br />,4/, ~_ v'rtl,-(<<- e~~ IL'fe- I <br />I <br /> <br />WO~K ~ROPSED: []NEW CONSTRUCTIO~ <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />FROM PROPERTY TAX Nor,CFl <br />t'REPAIR 0 INSTALL <br /> <br />[] SIGN [] ~IOVE 0 DEMOLISH <br />PROPOS:=:D USE: ~GL F~nLY DWELLING O~roLTI-FANILY Dit OF UNITS <br />b :OMMERCIAL 0 INDUSTRIAL 051HHMING POOL <br /> <br />[] MOllI LE HOME <br />[] OTHER <br /> <br />Bt1ILOIHG SIZE <br /> <br />CJ RESIJWRANT & HjALTa pEPMTMEN! APPROVAL <br />/f >9 rN,'- r<-- o.f <br />. ( f <br />SQUAJl2 FOOTAGE / <br /> <br />HEIGH! <br /> <br />DlISCR:tPT:tON OJ' WORK <br /> <br />RESICEKTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING ?~~NS & (1) SET Eh~RGY FORMS. <br />~OW4ERC~L: ATTACH (3i SEts OF BUILDING P~~S & (1) SET iNERGY FORMS. <br />IF SIG~ PE~IIT ONLY (2) SETS OF ENGINEERED PLANS ~EQUIRED. <br />PROPER~Y SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO~. <br /> <br />o 3Ur;'DING <br /> <br />o ELiC7RICAL <br /> <br /> <br />[] P;:'(;'MBING <br /> <br /> <br />o MECHAN~~ $ <br /> <br />[] GAS ~OOFING 0 SPEC~ALTY <br /> <br />TYPE OF CONSTRUCTION: CJ BLOCK <br /> <br />$ <br /> <br />s- ~~O <br />, <br /> <br />PEm4ITS RBQUIlSTED <br /> <br />V~UATION OF TOTAL CONS!ROCTIO~ <br /> <br />AMP SER'lICE <br /> <br />D fro9re~~ Energy [] <br /> <br />\iT.R.E.C:. <br /> <br />VAWATION OF' MECHANCIAL INSTALlJ'.TION <br /> <br />o OTHER <br /> <br />o FPJUoIE <br /> <br />[] STEE:L <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELevATIONS <br /> <br />IS PROJECT IN !'LOOD ZONE AI\EA[j X'ES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPAKY <br /> <br />SIGNJtTURi <br /> <br />STATE CERT OR !\EGIST * <br /> <br />**w**...***w.*+********+*.+***~**.*****~~~~.+***.************~**~* <br /> <br />ELJ:CTRICIAN <br /> <br />CONPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***~**~***w**************.**~*.*~****~**.*~~*.***x***.****_****W** <br /> <br />PI.UMI!III:R <br /> <br />COMPANY <br /> <br />SIGNATl'TRE <br /> <br />STATE CERT OR REGIS! # <br /> <br />~*******.**+.***********~*~w*******.****_***w******~**..~***~.~**.. <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />S I GN;tTlJRE <br /> <br />STATE CERT OR REGIST # <br /> <br />G *** * ***7 ****.*.**~*..... ..*** ***** **** *..****;;** *****1* *"***" <br /> <br />OTHER ~;~d Z--. COMPAN f~, 14rc...0- <br />",.,,"'"' c- c<~ "m eRET OR REG"" ~Au-of-f-:l <br /> <br /> <br />, d <br /> <br />~SO';'ON <br /> <br />Sll)H~AHd3Z 3C Alj0 <br /> <br />V\~lt:OI t002 ''E'"y, <br />