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<br />CITY OF ZEPHYRHILLS .!:'.l!iJ:(MJ.'J; .n.cc.u."".n................ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL, 33542 __ <br />813-780-0020 FAX: 813-780-0021 . (' 0 ~ <br />DATE RECEIVED <br />f' \!' I <br />/, i J 121iP "/ PHONE c:oNTACT FOR PERMITTING 6"7 :}.?/- <br />\>' i/<iJ7-/6l,;L <br /> <br />OWNER'S NAME,-~!{)f\d 1)ou~~ PHONE J/tJ7/8LJt)"t/630 <br /> <br />JOB ADDRESS '7331 boll Hl JJ. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />/ (OBTAIN FROM PROPERTY. TAX NOTICEl <br />g{LTERATION [J REPAIR 0 INSTALL <br /> <br />PARCEL 10 # <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNrrS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-- <br />DESCRIPTION OF WORK J,(/ <br /> <br />I (., 1~ -60. ;::1'. <br />t <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET E~~RMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~..~ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ \ <br /> <br /> <br />o BUILDING PRO:ER~o ::;~ R::U~:~;~T~:~;~~~:~:::::CU\~O L I <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br /> <br />HEIGHT <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />** ************** * <br /> <br />...--\ <br />/~~{ j~~J <br />'--SiGNATURE V >" . -- 0 <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />SIGNATURE <br /> <br />COMPANY ~(O- /;'/1-1. Ae--:' <br />A!?r7<.o ?DC/Tift.! CJIlT I'hti/lQG8l11eNT UC <br />STATE CERT OR REGIST t-_ <br /> <br />*~**********************************~~*~~(7/~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />tfJ t,(E~C . <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMEER_~ <br />(... -;IGNATURE ,/ <br /> <br />* ~ ~ *,:: * * * ~ =*~. * *.... *. *. * * * :::::::r; ~ ~~ ;ffD* k * *p i u ~ it hf <br /> <br /> <br />~}~ ~~ LY~ STATE CERT OR REGIST # <br /> <br />... ..... ....* * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * *-;%,*** * ~.k * ** * * * * * * * * * * <br /> <br />/ ~.~~) . L .' COMPANY . -I--.,t/ ~ e~el.,/e <br />L-SrG"NATURE ,/~~~ a/~ STATE CERT OR REGISTiCJlJ~ oS'~"7r. <br /> <br /> <br />*************************************************************~;r~6 <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />