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<br />ILn (Jar I-brvs. LA1~ <br />~:CN.~) ~ \- <br />LEGAL DESCRIPTION: LOT(S) \()() <br />PARCEL 10 # ~~c95-611- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-7S0-0021 ~IJQJDr <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING John U Ve ~ <br />~13-9,~2.~~ <br />~; ~j6/:J113 <br /> <br />BLOCK <br /> <br />PHONE 8.-9 <br />~'f- \. ~\~ q')..O/ 4<>'~ <br />SUBDIVISION t'V'L/ ~'~) Cre:')rulew <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />7(,41 <br /> <br />(I) <br />rt ~ (liD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: CiDSGL FAMILY DWELLING <br />o COMMERCIAL <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 APPROVAL <br />DESCRIPTION OF WORK .. lS/o S& <br />BUILDING SIZE Inx <-fo <br /> <br />UtlbXI/~~ 0/ J;r T <br /> <br />SQUARE FO TAGE ~ t/ <br /> <br />HEIGHT ~ <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />:\ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />'Q MECHANICAL <br />o GAS D~OOFING <br /> <br />$ I?f/J gIJu <br />dm <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: if BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />l'7j, So <br /> <br />o STEEL <br /> <br />,'J111-lil-R" <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />ClJc o1bJ& 9j- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />I(k~ <br /> <br />COMPANY Ed I{)Ofl Y;.J1<..--- <br />STATE CERT OR REGIST # 00/3/3 f- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />AUtqL~l <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGoL/~ 9q f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />********************************************Jr_******f************* <br /> <br />, COMPANY .1I.. Q ~1ZfJI2( AI J(J~. . <br />kif){ ^* ~ STATE CERT OR REGIST # CItCDs/J 4/0 <br /> <br />* * * * * *:; * * * * * * * * * * * * * * * * * * * * * * * * *~:~::~: * (i * * *;g;;;;b;* H~~ <br /> <br />;tL~ lO!l~75t- STATE CERT OR REGIST # 'I/<::./! i:,-O /3 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br />