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<br />DATE RECE lVED <br /> <br />(f) <br /> <br /> <br />, <br /> <br /> <br />~~hy/ <br /> <br />CITY '""\F ZEPHYRHILLS PERMIT A--'LICATION <br />BUILDl DEPARTMENT 5335 8TH St, Zephyrr., ~S, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 0/2- ~ ()1GH-[)L 'P"'-rEL- <br />JOB ADDRESS 6~o; f[;/t-t K,'rJ6 !2.c> <br /> <br />PHONE 7;;l/.-789-c:lC) ,)-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br />03 -;2G~d-I--OOII{) -O'1t,tJo -t'Of(~TAIN FROM PROPF.RTY TAX NMICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: tJNEW CONSTRUCTION <br />Os IGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />$-r:r kk f$oi/d tJFFlCe Eo; ,d,.;J6 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />?Zo <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ~O 1.1 000 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br /> {/JAltl'tA?-rO,L C,,,J17't:-T Ji <br /> VALUATION OF MECHANCIAL (Z;;Z2I!~ 2$ ~ /.~ <br /> , ~ <br />0 OTHER ~~~q <br />0 FRAME 0 STEEL o OTHER <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />COMPANY <br /> <br /> <br />I <br />~tC"'S uAtJ' <br />N Je~ <br />~I <br /> <br /> <br />BUILDER <br /> <br />CQ~Q'JJO:R$ECTIO~ <br />COMPANyePAJS-r.:- 1fl61ft r. <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************Acr1k* <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ~~ DOl3 Cf'i(P <br /> <br />P~R~ <br />SIGNATURE <br /> <br />COMPANY 12OM.~ R U~WC. <br /> <br />STATE CERT OR REGIST # c...FC-' 42.rRS <br /> <br />I <br /> <br />* **************************************************************** <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY ~;14 U:,.~........... ./.://G ~ ~ ~ <br /> <br />~ ~ ,;::::--~ ____ STATE CERT OR REGIST # C4<::::'"/~//Y.1~~ <br /> <br />***************************************************************** ,}O <br /> <br />;>8 ' ~~V- <br /> <br />COMPANY I--b YYtQ..... Pro Se~u (c e S. <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />