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<br />OWNER'S NAME 4:5/1 v;~,,~ ~ <br /> <br />JOB ADDRESS 3lfstt> r CJ1 ~ v'"9- ~LJ'7y( .I/a<;. <br />r / / <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX:813-780-0021 6-30~ <br />DATE PC;Ej,IVED _ <br />dJd/l/J r(rf-/< 5'"96'- <br />PHONE CONTACT F6R-'PEMITTING 7)ij~;; ~ ~ <br /> <br />PHONE <br /> <br />~d1- <br />:38#-//621 <br /> <br />LEGAl, DESCRIPTION: LOT (S) BLOCK <br />PARCEL ID # CJ(J.-~~-i?I- "ell ()-o t1'f/bi:> <br /> <br />SUBDIVISION <br /> <br />o ADDITION <br />D MOVE <br /> <br />-000 <br />(OBTAIN <br />~ERATIOM <br />o DEMOLISH <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />[)REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK , ~tl.. V...dA17~.....d ^.-..L P..J/I~ ,(,:"><.$ <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />~/L <br />.a~h~~~ <br /> <br />/ <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 ~S. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. "If ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 5 c~ _ :?2, """ <br /> <br />~UILDING <br />rLECTRICAL <br /> <br />o PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br />~ s r:1J <br /> <br />PERMITS REQUESTED <br />c..56dOo- CI 0 <br />/ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />1f??f3 <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br /> <br /> <br />. . -',' - .,- ..-.... -, . <br />,C, O,','IW~qT9~a!Hj'1':to <br />., .'" .:.:.' .".....:,;,.".. ,,' ". . <br /> <br />A/fit> <br /> <br />COMPANY <br /> <br />2/- <br />-th"'1 r~ i.J~ t:::- <br />ATE CERT OR REGIST # ;:7~/7S67~O <br /> <br /> <br />SIGNATURE <br /> <br />ELECTRICI <br /> <br />*************************************************"'********* M, ~ \)- <br />~b t"V. /r/,fU v/)Jl,.k/> Y.i; <br />~ COMPAN..,'Ja--;tt ~..-a~'c. <br /> <br />STATE CERT OR REGIST # fC::ott9o;;l'[3'-j :::,.--' <br /> <br />SIGNATUR <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />. ; .. r -' ,~ ~ <br /> <br />STATE CERT OR REGIST # <br />