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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'l'.LU~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED . 5//7/0 > <br />PERMITTING ffJ'b-L-b7- 3rJb~ <br /> <br />OWNER'S NAME <br /> <br />U f"'NeOn, <br />JOB ADDRESS . ~ 92-1' 11f-r1J <br /> <br />CI>rIu- P J /}y~ MI;1! <br />>f. <br /> <br />PHONE <br /> <br />~)~-7ro g.. 1061 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />11- u- ZI- 00/0- 6'f660;--O/70 <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />P(i:NSTALL <br /> <br />o SIGN <br />PROPOSED USE:~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />rzI J!- -IE-/V-rllJ! [)60fl- <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 />~~) SET ENERGY <br /> <br />~ S. <br />~,- ? ~..::J <br />~) L. <br /> <br />FORMS. <br /> <br />~ BUILDING <br />- <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />9(ffi. ~3 <br /> <br />PERMITS REQUESTED <br /> <br />,- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />padme~s JO pa4uTJd 'padh4 ameN <br /> <br />padme4S JO pa4UTJd 'padX~ ameN <br /> <br />~uam6pa1Mou~ae 6uT~e4 uosJad 10 aJn~eu6TS <br /> <br />~uama6paTMou~ae 6uT~e~ uosJad 10 aJn4eu61S <br /> <br />t.{4eo ue a~e~ ~ou PHO PTPD Ot.{M pue <br />(uOT4eaT1T~uapT JO adh4) <br />pa::mpoJd set.{ Ot.{M 0 <br /> <br />.t.{~eo ue a~e4 40U PTPD PTP DOl'(M pue <br />(UOT~EaTJ1~uapT 10 adX4) <br />paanpoJd SEt.{ Ot.{M 0 <br /> <br />~nTU^rr~ 3A ~THT~ <br /> <br />JO 'am 04 UMOU~ ^T1EUOSJad S1 Ot.{MD <br />(paDpaTMou~ae uosJad JO ameu) <br />^q <br />-oZ ' JO Aep - 514+ am a':[Q;):ea <br />paDpa1Mou~ae seM +uamnJ+su1 DU10DaJoJ et.{~ <br />30 X~NOO;) <br />VaI~0~3 30 3XVXS <br /> <br />JO 'am 0+ UMOU~ ^lleUOsJad s1 ot.{~ <br />(paDpalMou~aE uosJad JO ameu) <br />Xq <br />OZ ' ;):0 Aep- 514+ em eJo;):ea <br />paDpalMou~oe seM :j.uawnJ+su1 DU10DaJOJ a4~ <br />30 XXNOO;) <br />