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<br />. f:-Sh;f9J'1 <br />OWNER'S NAME )(tJ/$ 1'1ft)/3~ -T/~ ,LA.. c.. <br />JOB ADDRESS ?~/j ?.4LI- d/..V.b rt!O~/i' ~',II/ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />lmTT.nTIIC nRV_ 5335 am Str ZepbymU1ar !'L 33542 I ~ <br />813-780-0020 PAX:813-780-0021 <br />DATE RECEIVED f d- & () 5 <br />I . <br />PRam CC1ftAC'r !'OR PBRIrrfDfG 1"27. 5 Lit - 5"51 s <br /> <br />(3V0 <br /> <br />PHONE <br /> <br />9,y/- ~;:-y- t:J;l'?C <br /> <br />~4-"'0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 it ~?"-~-~/- ()/S"O - tJtJt)()O -~O/tI(oRT1I.TN mOM PROPERTY TAX NOTTCE\ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTER1\TION o REPAIR o INSTALL <br /> )(s IGN o MOVE 0 DEMOLISH <br />PROPOSED USE I OSGL FAMILY DWELLING OMULTI-FAMILY D. OF UNITS o MOBILE HOME <br /> OCOHMERCIAL o INDlJSTRIAL OSWIMMING POOL o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL w (hC. /~, fIIpt/i) <br />.I"'."'~ ~~.I.".I# _,.....,..*,o 0."_11" #-l!!"'''~ _" "-",,,,,,,'e..'" ~,,~~c.l'''' "Yt!J~#~ <br />DBSClUP".rZOII' OP _'S":" 'I.'IS' 12.. :prcf-.. .t ~'.,".1J ~ 11t.&1.'.r~J;c ~ :~I%. liL.":'-;.,,,,.u: //Y. 6711 <br /> <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT ;t b <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (ll SET ENERGY FORMS <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />I )~t1 [DS <br />rd?J <br />5:7 j)J )5LDt:... <br /> <br />~ BUILDING <br />m ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <; <br /> <br />$/J&1O g.g.. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANClAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS P!<OJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />":{')-."~ JLL.cL <br />COMPANY ,wr~;~:;~;:~~;;=[;[~[;;:Z:~:~ <br /> <br />W , A.4 '........ ,.,. ($4't..., "'r~ ;IV <br />STATE CERT OR REGIST J E S t9tPO()O () :1 <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />COMPANY I'~~""'/'N/H. 'i ItPItI J. vR"fJiIf/&R/ <br />eNfA..4-'........ ,.,. ~"r/"," <br />STATE CERT OR REGIST J E S' t9tP410c; t? 3' <br /> <br />****************************************************************** <br /> <br />PLmIBBR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />****************************************************************** <br /> <br />IIZCBlIRl:CAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />***************************************************************** <br /> <br />OTBBR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />