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<br />5oi/rt <br /> <br />, ( <br />'AI/) <br />." L \ . <br />~'~\ <br /> <br />CITY OF ZEPBYRBILLS PERKIT APPLICATION <br />BUILDING DEPAIlTMI:NT 5335 81l'11 lit, Zephyrhills, :&'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />/f ->?~O 'I <br /> <br />DATI: RECEIVED <br /> <br />PHONE CONTACT i'OR P&RMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />.. <br />Zetdlt /l.HIL.(! FL. $3.> 2.. <br /> <br />PHONE <br /> <br />-;)'0 <br /> <br />Ll!;GAL DESCRIPTIO~..L"OT(~ 30 .-J BLOCK SUBDIVISION ~::::~ ::~: '~~~ <br />PARCEL ID # I ~I 0 I 00 ~tJDOf) D300 (OBTAIN FROM_~__ T____T; 11,- <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br /> <br />o MOVE <br /> <br />. <br />o ALTERATION <br />o DEMOLISH <br /> <br />[J INSTALL <br /> <br />o ADDITION' <br /> <br />o REPAIR <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-c:: ~(LJ <br />/3..z.s J.,V' <br /> <br />DESCRIPTION OJ!' ~ .3 Re J)/l. tJ tJ Y\I'-. H 0 Yl1 <br />BUILDING SIZE r, 'j. J ,. 4 SQUARE FOOTAGE <br /> <br />'7 il~S6. IMhJy tl/(Iw., <br /> <br />HEIGHT / ~ r7.. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />--) <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br /> <br />17 S ~ () .,. CI VALUATION OF TOTAL CONSTRUCTION <br /> <br />:2 () (;) AMP SERVICE 0 Progress Energy 0 <br /> <br />~1q 1',/51} <br />/~ <br />"31 <br /> <br />e'"BUILDING <br />19"'El:ECTRICAL <br />[Y'PLUMBING <br />kr~ECHANICAL $ ;z S()().o (;> <br />o GAS ~OFING 0 SPECIALTY <br /> <br />o FRAME <br /> <br />o OTHER <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTROCTION:~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o STEEL <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br />~OMPANY L. N~-t'h1"-.J <br /> <br />do/( v' <br /> <br />J/ohf ~ g os ,:r I\i c, <br /> <br /> <br />/J.J) A~ <br /> <br />SIGNATURE <br /> <br />~~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />eft. <br /> <br />C (J $ ?~ 60 ,If. SCIllJ ~Je 661{1(J' 0 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE t <br /> <br />Jr;-0/~ <br /> <br />COMPANY fI26Ft!'s.>16 ,..~t. J:lt~ ~ Ei.cl'. . <br />AlTlJ>1 <br />STATE CERT OR REGIST * ER 00/2.37 I . <br /> <br />-n:.J!i&/fr <br />or-t/ <br /> <br />****************************************************************** <br /> <br />PLUMBER J) <br />SIGNATURE ~ AAvYJ~)f ad.r~ <br /> <br />COMPANY D-eIVIoJ:.t ~. <br /> <br />WIL 1.'4 _r /?,no illlt. 6 <br />/?;20/- <br /> <br />STATE CERT OR REGIST # <br /> <br />.- , <br />***********************************************************v****** __ <br />MECHANICAL COMPANY ?","'~.rs;",^,.'" /I." ~ Ee.-c.r' ~ JJErIJ, TO ~I}I, <br />SIGNATURE I. G~ STATE CERT OR REGIST * CA-c.. aSH;}." l> _ &/2- V <br />***************************************************************** <br /> <br />OTHER ~Oi.:> F t rV I> - <br /> <br />SIGNATU~~/Y"'-- <br /> <br />COMPANY Jielt."4c.J1i> {(.Cl> ;:-,....t:' ,v!7"tc/J1 TO <br />STATE CERT OR REGIST # C-c. C. () r IS .5'50 <br /> <br />12.t6/j7; <br /> <br />ef- <br /> <br />8 'd t109'oN <br /> <br />SllIH~AHdjZ jO AllO <br /> <br />~dZt:Z tOoz '6 'Je~ <br />