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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />-.2-.-;..- D5" <br />DEP~~~:O:;;;O 8T~~~ '81~:"~~~~~;~s, FL 33542__.L_ / _ :::,. <br />DATE RECEIVEJ::}:"' ~')I'.z-J'~rt.2..._.. <br /> <br />BUILDING <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM~_ ~-(..f:1::~"lx :JJ1~ PHONE g(3--7.f'.)..~?~s <br /> <br />JOB ADDRESS t-{~37 r;~(~(t1 dt:: ~/4' <br />,COW- D3~ $!. '0 <br />LEGAL DESCRIPTION: LOT (S) ~ BLOCKBi~~~ SUBDIVISION CCUJ/e.- \\. ~<Lit.. <br />l<-t -.:2.b ,-";)-1-0 I ~ -- eE> 3VJ ""'" - eocfo 0 <br />/'-f -;H> ,- ">-{.o/ -....:U- ~~--+__OO ~I <br />PARCEL ID # let ;;16 --.;r#-=>/c...u -OV ~5<=> 0000 <br /> <br />WORK PROPSED: ~ONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~AMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK n ~ .s;/ntlY:!:- ~-:.., /1 rz=.s: ilt'en.~'€-_ <br />BUILDING SIZE ,.oS3.i X. ~'g 9' SQUARE FOOTAGE /7'1D roTjji_ <br /> <br />HEIGHT <br /> <br />P/ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <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 />PROPERTY ?7~:'RO: AL~I ~N:R~ i '1 t/{) <br /> <br />PERMITS REQUESTED <br />L <9'7> <br />cn3UILDING $ ::to, (()[) 0 VALUATION OF TOTAL CONSTRUCTION <br />. <br /> <br />rz"ELECTRICAL ~a) AMP SERVICE ~gress Energy 0 W.R.E.C. <br />g'PLUMBING <br />~MECHANICAL <br />o GAS ~OFING <br /> <br />$ <br /> <br />:;< ~ {;)O~ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~OCK <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 /> <br />BUILDER ./ i / " <br />SIGNATURE.:7:>~~~ STATE CERT OR REGIST i c.k-O;3!;/:?f <br /> <br />ELECTRICIAN ~'~':;:HWH'HH':::::::~:;\S:=:;:~{~ <br /> <br />SIGNATURE ~~ STATE CERT OR REGIST i J;J? - 'lfOt4s 91 <br />****************************************************************** <br />PLUMBER ~ _ COMPANY D~-~ Lsd(~ Ffu-.l.~ <br /> <br />SIGNATURE, ~,;L/ STATE CERT OR REGIST i i!-re j<f~S-6~ <br /> <br />*********** ****,...........................jP...)1..i...~..~. - - () <br />MECHANICAL ~ ~~ COMPANY,~r-lC ~"2-~~ <br /> <br /> <br />SIGNA1'URE, H~HH.~HHS.T.:~:.~:~~.~~.~:'.:~.iH~~ 0tB-& <br /> <br />OTHER - COMPANY~I'--~~-'^^-~--- <br />STATE CERT OR REGIST #~~ - 13rX55f:5'" <br /> <br />