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<br />DATE RECEIVED
<br />
<br />crvf{!~ q -JP-~ r
<br />q 123ft) (./
<br />
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />OWNER'S NAME uJ .4-/<./) ~ buR JV€; I'd -.e I F'R r4.N e,01},/I;>,;;/L PHONE f6/'3- f.o':JCj'- 4 t) 1./ I
<br />JOB ADDRESS sssq q T"- ST ;Z ep k..u ~ hIlls FL. 3 3~-L/ ~
<br />LEGAL DESCRIPTION: LOT (S) is'+-' 0 BLOCK g? SUBDIVISION G iff ~2~f l'1I"~1 lis
<br />PARCEL ID # JJ- d..l~ ---0./- 0016 ....Off7()O'-Oj6~O (OBTAIN FROM PROPERTY TAX NOTICEl
<br />
<br />WORK PROPSED: []NEW CONSTRUCTION
<br />
<br />o ADDITION
<br />
<br />OALTERATION
<br />
<br />.e( REPAIR
<br />
<br />o INSTALL
<br />
<br />o SIGN
<br />PROPOSED USE: ~SGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o MOVE
<br />
<br />o DEMOLISH
<br />
<br />[]MULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOME
<br />o OTHER
<br />
<br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />DESCRIPTION OF WORK .)e e ,I} tf I'frJ ~ e J)
<br />... 0 ( J ..., 2-1
<br />BUILDING SIZE ~ ~ ~ SQUARE FOOTAGE
<br />
<br />t.hO
<br />
<br />HEIGHT
<br />
<br />JLfI
<br />
<br />o ELECTRICAL
<br />~ PLUMBING
<br />9! MECHANICAL
<br />
<br />.200
<br />
<br />AMP SERVICE
<br />
<br />o Progress Ener
<br />
<br />
<br />l.../'
<br />
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
<br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO
<br />
<br />/?;u)f.) - /1 S-. ~ ~
<br />P4Ab. <OL ~D
<br />YVl>k.:H: SII';-~
<br />~ BUILDING $
<br />
<br />PERMITS REQUESTED
<br />r e9..-
<br />D, 0 00. ~
<br />,
<br />
<br />VALUATION OF TOTAL CONSTR
<br />
<br />$
<br />
<br />'),- r:;; () () -
<br />
<br />VALUATION OF MECHANCIAL
<br />
<br />D GAS
<br />
<br />D ROOFING
<br />
<br />D SPECIALTY
<br />
<br />D OTHER
<br />
<br />TYPE OF CONSTRUCTION: 0 BLOCK
<br />
<br />Pi FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO
<br />
<br />1~1'~'-"""~~~~---'~--'~'-"'"''m!7":---~'' ,---.--- . -----...- -. .... ...--.------.,.....-~-:JlF-=""""~"""'=
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<br />.tr-ti'j, ',",,,,. ,'" 1 "U;l ,t;, I ,J <, , '" w ,.' . >r[", ~T_" '""" gjE: -~,b '" -J. ,~ -
<br />"I~ "."~",,, -', ':""Ct' ,', ".,c', ~r;k' "'i:;' _ , I" ,~lt/'t~'2:!;;f;'~'R' ~1""1~,l'<;)':~""1~.'il''';, ;,4"11,;~,,,,*.',1l'?;'!l,' "iJi!i',.
<br />... ~~^~""~~....~,~~~~ -.;.L_~....:..l.w.k~_"""'~_ ____~~__ _~___~~ _ ______ ~_ ~_L~~~~~~~~=~~:to;,._
<br />
<br />;J - \
<br />BUILDER COMPANY CJ uJ t;. I< S
<br />SIGNA;URE r~ A/'04I'.JS. 'PA.,J).gfA d liJlJ."'tYt9-13Uf!..).JSI~e.- STATE CERT OR REGIST #
<br />
<br />******************************************************************
<br />
<br />ELECTRICIAN
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
<br />******************************************************************
<br />
<br />PLUMBER
<br />\
<br />SIGNATURE
<br />
<br />
<br />COMPANY DeNdlS' L. u) 't /11I,.,!3 711,/,., hJ~f
<br />STATE CERT OR REGIST # ~_\=-'- \ Cf'4 Sf,()-:.
<br />
<br />SIGNATURE
<br />
<br />'*******************************************~************~
<br />' COMPANY l . E~ tJ' t!/
<br />
<br />(lVu,A t. 7~~e
<br />i
<br />
<br />STATE CERT OR REGIST # ~ 1- q 3 ~ ~
<br />-
<br />
<br />MECHANICAL
<br />
<br />*****************************************************************
<br />
<br />OTHER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
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