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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIUN <br />BUIWING DEPARTMENT 5335 STH at, Zephyrhills, FL 33542 - / <br />813-780-0020 FAX:S13-7S0-0021 ~/2f~C)S- <br />DATE RECE lVED / - <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME AC ~ I< ~ ~ IS/PHONE ;p 1:3 oJ 733 - J Yo ~ <br />JOB ADDRESS . 3J> 3::33 /t'edN ~dO /) p~" ZC:P/fV,i(' 1-/(ct,S 4. 3"3Sl/ 2 <br />LEGAL DESCRIPTION: LOT(S) flA/lt" f BLOCK 8~?j:: SUBDIVISION /J~rr-{~/J!/J (};;AfJo,S' <br />PARCEL 10 # 02 - 2 t" - 21 - () 2/ fI-lJt) K Od - tJ 0 IO() (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK Rypi.~c...-& Cf W/Il/~()WS $"-/ Zc ,c::::"o"c :r- /Z-J:5" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />t- IE~Dq~ <br />C)\L)/ ~b" <br />1,Q <br />'1]; <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ -:1218'. "g <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />011 W.R.E.C. <br />01 ( ;'"0 ;J.-Lj)G.. <br />VALUATION OF MECHANCIAL INSTALLATION <br />~OTHER <br /> <br />o Progress Energy <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: rn/'BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />rr ''''''~rT!~:;tr:;''~'77'---I-7'7'--'''"7''7~ !Tf~"'~~-"'~.~'~ -. r--- ~-~-- -.,-.. - - ~ - -~ .-- - - - ---~i' ~ ... ~ ~; ~ -- _~____"M .,,;-'~... -~ ~~ -~~ 'j~;-~1Ij'[:0Jli;11i~~~~AVti'flI~ii <br />~~~kt;tJ~!illj,:"'~~j'~~J1~Lr;~I~:_~i;;~1J~~-~------- __ _____ __ ___ _____L~~,H~t~:.;:'~;~~ <br /> <br />BUIWER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER W//l/4 V'/(/ ~Ft?L"IffH c:,v/ <br />SIGNATURE ~ C~N.~ <br /> <br />COMPANY RA() ~d.srl'e()'C7'"/ UN L . L .e- <br />STATE CERT OR REGIST # RB 7-1olJ::iI1 3/ <br />