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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMBNT 5335 .'" St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~ 1~.3/uv <br /> <br />I ' I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME L;;)J ~)"A sllv~y' 5 <br />JOB ADDRESS '7;;1/ I <br /> <br />~c.. PHONE (407) 8S~--4dgl f=-yt ;;;;;., <br />(-;7: /"' & <br />- /MoOL ( ,{ y.z:> . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PAR.CEL ID # c3J/-,~,I,--(9J-{)C}/ 'O"OO'':]iJO-t)Oi/U (OBTATN FROM PROPERTY TAX NOTTe!':l <br />.- <br /> <br />WORK PROPSED: ~NEWCONSTRUCTION <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 />PROPOSSD <br /> <br />USE: DSGL FAMILY <br />~OMMERCIAL <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE <br />o OTHER <br /> <br />HOME \~ 1..( '1 <br />1>~~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF 110M n e..\J./ Bu.,' /,Ji''':j <br />BUILDING SIZE /3)( '3 '1 SQUARE FOOTAGE ;;}'11 ';} <br /> <br />HEIGHT <br /> <br />;;'0' <br /> <br />! <br /> <br />~ . // I'.kDJ <br />--',-.-- '1-'; <br />o Progress Energy 0 {1k'c, . A~ "'f& ~,IJyd; <br />o PLUMBING (jJff V , _ ..p /;' <br />o MECHANICAL $ 4i. S 00, tit) VALUATION OF MECHANCIAL INSTALLAT1 0 r 1/10 & - <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER 11 J-.- <br />TYPE OF CONSTRUCTION: bl BLOCK 0 FRAME 0 STEEL 0 OTHER I . P \,,01.{.- <br />1 ,L 1'')- <br />" PROOEC' '" nOOD 'DNE "'1" 0 'D ~ <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />s S- 4;J, ~ 0"... I/D VALUATION OF TOTAL CONSTRUCTION <br />, <br />goo <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENl~RGY <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) 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 />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />/~ <br />~ <br /> <br />* ** '* '* ** * **...... ** ** * ** ~~ * *,* ... '* **... **...... ** '* **...... **...... *,*"'''' * **......... *,'" *... **... ** *... ",,~j <br /> <br />COMPANY :kLu'l~ )/;/1k!, l <br />5hL (J , .' V 'O\l... V <br />I . F STATE CERT OR REGIST, # <br /> <br />STATE CERT OR <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLtlMBER <br /> <br />*************~***~*********~***************************0~***~****~" ~ ~ <br /> <br />COMPANY Sic.k ~6JI7~tf)<... P/4.t1lbj <br />.5 t?J.. f) ~ % ~ STATE CERT 0/ REGIST # <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br /> <br />MECHAHICAL <br /> <br />********************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />S i2..(, - f ~ t)' STATE CERT OR REGIST # <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />. UP Z7(';) .aJl <br />c6 it!;;;-; '1' 'J, f ~iI <br />cp~ I, <br />