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<br />O"NER' S Nl\M~a~ ~hl\.l,.CJY'.... <br />JOB ADDRESS ~14.1o V'\cJ\..~~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TA at, Zt;!phyrhillF.l, FL 33542 <br />813-780-0020 FJ\X: 813-780-0021 dJ _ <0-0// <br />D^"F: REC~VF.:D -+v--!Zl.-.-. <br /> <br />PHONE CONTACT FOR PERMITTING ~~.. O;;}-7 () <br /> <br />PHONE 8/3 -78d-- tl-dSg <br /> <br />LEGAL DESCRIPTION: LOT(S) . <br /> <br />BLOCK <br /> <br />PARCEL 10 # Jl"'~u"'d.I.. nm'D.. O'Dt..fOl). 0010 <br /> <br />SUBDIVISION <br /> <br />fOBl'AUI E'ROl..f PBHPERT'{ TAX NO'tll,;EJ_ <br /> <br />WORK PROPSED: ClNEW CONSTRUCTION <br />ClSIGN <br /> <br />ClADDITION <br />o MOVE <br /> <br />DALTERJ\.TION <br />o DEMOJJISII <br /> <br />o REPAIR <br /> <br />Cl INSTATJJJ <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />Cl COMMERC IAL <br /> <br />[]MULT I - F'l\MII,Y <br />o INDUSTRIAL <br /> <br />[]If OF UNITS <br />Cl SWIMMING POOL <br /> <br />[] MOB I LE HOME <br />o OTHER <br /> <br />o RESTAURANT <br />. <br /> <br />& HEALTH DEPARTMENT 1\PPROVAI, <br /> <br />,v...,.j,ol / /1 ~ !kt- ~o~ <br />'I I <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION or WORK <br /> <br />d.O D S.h~ <br /> <br />BUILDING SIZE <br /> <br />R~SIDENT1AL: ATTACH (2) PLOT PLANS & (2)' SETS OF BUILDING PL~NS & (1) SET ENERGY FON1S. <br />COMMERCIAL: ATTACH (3)~ SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN ~ERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D BUILDING ' <br />[] ELECTRICAL <br /> <br />~o <br />$-1L ~qO. <br /> <br />PERMITS REQUESTED <br /> <br />VALU1\TlON OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />..-....-- <br /> <br />Cl PLUMBING <br />o MECHANICAL ' <br /> <br />[] GAS <br /> <br />Cl ROOFING <br /> <br />o SPECIALTY <br /> <br />/// J/ '!J 9 / <br />VALUA'fION OF HECI!l\NCIAL INSTALLATION ~" <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVA'flONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES Cl No <br /> <br /> <br />BUILDER <br /> <br />, , ., -. ""~.'fWifl;~,"",.tlfa!ttft. "....Jii\...., . '" ;:". "-'-'~ \d., \1;;.' i ,,' "''<''.1''1'" ~~_;~' "".'" <br />,r ".:T': ";: ~~~l,~t.~~!.t\lr.~"eM~~.'" ':;'; i;' ,;.., : :.,,;~; '.';'-f\;:';;:'>';:\);'hi~,(;(.t; i~/':r'~'b;'{. <br />- CO MP1\N;-=PatAI 6~ hOVUr 1<00 f;nj.1L <br /> <br />STATE CERT OR REGIST If Ce."c.OS8/3tj <br /> <br />S I GNA'rURE <br /> <br />************************~*********~******~~*******~******~* <br /> <br />ELECTIUCXAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ff <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 />.-'(- ~ ,,~~~;-'- ." '':''->''- . <br />'.. ~ ... . ~ I. :. . '. .; . . . <br />it ****** **'*'*'~'*.*.:*,.:,::i:*:t\~....", * * * * * * * * '" * "'* * * * * * * * * * * * * '" * * * * ** * * * ** "'* ~ * * '" * <br />'",\,- "~. ::;"t... -'I, <br />. "j' <br />-:lO~) -:-~ ~~"<,~~~'~>~.t-.; <br />~ .~'"' , <br /> <br />STATE CERT OR REGIST # <br /> <br />. . <br /> <br />" <br /> <br />OTHER ---..:..-' <br /> <br />"1.. J'," <br /> <br />COMPANY <br /> <br />SIGNATURE: <br /> <br />'~;...-.., <br /> <br />STATE CERT OR REGIST If <br />