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<br />Lu, fiar I-hftlS. LA1~ <br />1811 fY\ D flehlln-luJle ~lJLCJe' <br />~O BLOCK r? <br />PARCEL I~ # .3S--dS-C) 1- tp - u~22::{J <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~I \qf~, <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING ~mf) U\ld"f- <br /> <br />PHONE 813 -4f~;tiCft <br /> <br />SUBDIVISION W..l-fvLtLJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />PROPOSED USE: tiSGL 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 /> <br />DESCRIPTION OF WORK IS- n Sft UOB?U ~ 0,f) / i-t:-: 11- <br /> <br />BUILDING SIZE ~ SQUARE FO TAGE .:975 IY_ HEIGHT %t'-i <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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 />j/J BUILDING <br />pi.. ELECTRICAL <br /> <br />~LUMBING F2....V<J r . <br />~MECHANICAL $ ~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~OFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: g'BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS I~~. LX) <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />PERMITS REQUESTED <br />$J~,::'l() <br /> <br />a.t) AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />)(NO <br /> <br />COMPANY <br /> <br />:5 <br />CiJc o1~&9j <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />=J{([ <br /> <br />COMPANY &l1YIt1fA.. ~~ <br />STATE CERT OR REGIST # 00/3/3 'f- <br /> <br />, ^ <br /> <br />tJ)1UL~ <br /> <br />****************************************************************** <br /> <br />~f)( <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGoL/~ 99 f <br /> <br />AfJaa / rL? <br />{j <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *It * * * * *.*f * * * * * * * * * * * * * <br /> <br />_1/' COMPANY .1(. Q ~17/1J-'Al J(J~ <br />7[1 fK tJ~:a STATE CERT OR REGIST * Cli~r; -'I/O <br /> <br />>>>*:~>>> >>** * >* ****** * >* ****** >*::~::;: * (i** ~*~;* *~~ <br /> <br />70 (j{ /l{)J.tL~ STATE CERT OR REGIS'r * I1c/1 $,-.0 I~ <br />