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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~B St, Zephyrhil1s, FL 33542 <br />813-7BO-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED d-Iojt;s- <br />FOR PERMITTING t'i/3J9;;.3'-SLJ8"1 <br /> <br />OWNER'S NAMELldC/#/fJ 1';ft7.P8~QES TAlC. PHONE: ctF/.J)9U-j):Jr/ <br />JOB ADDREsS!i'13f/t 4131-: 7ft.S T/fJEGr <br />LEGAL DESCRIPTION: LOT (S) to BLOCK ?q' SUBDIVISIONd!t1t7A'& ~~J'r APKJ. <br />PARCEL 10 # /'1'-~~ -~/-lJtJ If) -tJ.J'I't?~ -tJj)~..o (OBTAIN FROM PROPERTY TAX NOTICE\ <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL OSWIMMING POOL <br /> <br />o MOBILE HO <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK /)//fJ/eK <br />BUILDING SIZE ;;29 x(; 9 <br /> <br />SQUARE FOOTAGE ~ 00 J <br /> <br />HEIGHT <br /> <br />/s \ <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 CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$~5.0~~ <br />30() <br /> <br />CI1}).CK. f-~'^- <br />f"::L ~~,) fi-L'K-V14T,~01 <br />PERMITS REQUESTED. e.j1,L-r) FI (~} 7i....~ fYW "-fl <br />VALUATION OF TOTAL CONSTRUCTION '7U C I <br />AMP SERVICE p( FLORIDA POWER 0 W.R.E.C. 10 <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />.5' ~~ t) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br />~FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />~ J ~ <br />~~. IS PROJECT IN FLOOD ZONE AREA~ YES <3==0 <br /><(~ ()?f~,.,.".,..", ,.f?j~.I_III~k <br />PQ~qwp,.~t~E9'JJ.;t9N ' <br />COMPANyAJI/:J/IB4-CfIirl- C~ . TAlL. <br /> <br />BUILDER <br /> <br /> <br /> <br />STATE CERT OR REGIST # C ~~ /J(;'/);;2 9 'f <br /> <br />ELECTRI <br /> <br />****************************************************************** <br /> <br />.- d< ,/ ~_/r <br />COMPANY /7<..4 Lf~9.? c- T/cc....- <br />STATE CERT OR REGIST # ~~~O~~~9~O <br /> <br />********** <br /> <br />PLUMBER <br /> <br />~ M ~ COMPANY &;!by Ja/fJt'5 P!v.mb,:, DIC- <br />****** ** * ** *L**** * ****** ** *** ** *::~:~ * ~~~: * ~~ *~:~:::.~:*:*~~~: ~311 <br />COMPANY ~rr,.IJ. 'r 1iTl;.+- CDcIN'>s <br />STATE CERT OR REGIST # C.klJ'/3'1"(2 <br /> <br />SIGNATURE <br /> <br />MECHANICAL tfJ ~___ <br />SIGNATURE ~ <br />;r ***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />