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<br />17~'1 \ ('Ie, <br /> <br />" <br /> <br />\. <br />~ <br /> <br />OWNER'S Nl\MEjl'!)(~; ~~:~r;\i<'l LlQ.. . PHONE ((V~ \\ L\~-() 00 <br />JOB ADDRESS'7&;tq \\ 'O~\r~d\~l ~ o'ObLkJ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />! 1-<7~ 0 <I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # \~4- :L~-to\ LJ h \-m - tJ()Q(~ <br /> <br />SUBDIVISION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: RQNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />.3COMMERCIAL <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK "Tn\O{"\O( (}'\(Y\PO:tl( f\C <br /> <br />BUILDING SIZE ~~ i 311 x l.a()' SQUARE FOOTAGE ~ HEIGHT f (31 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~J ()jO <br />JCJC) <br /> <br />PERMITS REQUESTED <br /> <br />III BUILDING <br />I:x) ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~ PLUMBING <br />:XJ MECHANICAL <br />:J GAS rszl ROOFING <br /> <br />$ <br /> <br />~. SD(~ <br /> <br />I <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />q <br />t"7~~ <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: Cif BLOCK 0 FRAME <br />, I <br />FINISHED FLOOR ELEVATIONS _15S <br /> <br />IX! STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />COMPANY' <br /> <br />STATE CERT OR REGIST # [~ O\h9 7.5 <br />**************************************** <br />COMP~Ch;\d t\CH{~)r(\ f JO(11r\r. <br /> <br />STATE CERT OR REGIST # f~ t:ttJ l7S1C) <br /> <br /> <br />uc- <br />J <br /> <br />BUILDER <br /> <br /> <br />~()~c::!Ip;R,.~f'~SECTION <br /> <br />ELECTRIC <br /> <br />*********************************************** <br /> <br />PWHBER <br /> <br />COMPAN~(?\)I\"~ \ k)\ \\\.OjYl~ \\lfY)\~~ <br />STATE CERT OR REGIST # [r:J[\ \4101 oD L <br /> <br />SIGNATURE <br /> <br />******************************* <br /> <br />SIGNATURE <br /> <br />7t4.M j (~M'__ <br /> <br />COMPANY <br /> <br /> <br />r ~~lvL <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />/ <br />