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<br />Lu, (Jar fb/'ils, LM6 <br />~e\\O ~-l. <br />LEGAL DESCRIPTION: LOT (S) Ii(lIJl1~ BLOCK 0 SUBDIVISION W..l+vLtvJ <br />PARCEL I~ # ~~5-d5-2J(-~I'J.O - rp - 1.aiQJ~ro /OBTAIN FROM PROPERTY TAX NOTICE) <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 ~//9;1~ <br />DATE RECE IYED", ,-~- <br /> <br />PHONE CONTACT FOR PERMITTING -Juhn UlJel,-/ <br /> <br />PHONE <br /> <br />8'3 -9ft- P$3'1 <br /> <br />1~3'~ <br /> <br />WORK PROPSED: IllNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />PROPOSED USE: riilSGL 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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />lSIn s& <br />59. L/ x LJ() <br /> <br />U{Jb1U ~~ ~ /2S- <br /> <br />SQUARE Fa TAGE 8~tY . <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <6t\. <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 />~UILDING <br />PPELECTRICAL <br />~PLUMBING <br />;e: MECHANICAL $t~ VALUATION OF MECHANCIAL <br />o GAS jekOOFING t r==;;;'Fi 0 OTHER <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS ILlCl.tJ[) <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />PERMITS REQUESTED <br /> <br />$ 130\570 <br />dOO AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />SERVICE 0 Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />rf /0 <br /> <br />INSTALLATION L{; <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES f'l]NO <br /> <br />COMPANY <br /> <br />:5 <br />Cl3e D1&&9j <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************* <br /> <br />~(( <br /> <br />COMPANY &l1()~~ <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />JJ~ <br /> <br />****************************************************************** <br /> <br />~~ <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGOL/d 99 >? <br /> <br />;!Ja. u jCft; <br /> <br />* **** ** * *** **** *** ** * * * * ** *** * ** ***** * * * *** * 71'.* * * * *.*f ** * * * ** * * * *.* * <br /> <br />j J COMPANY --1!.- Lq~2tAl J'O~. <br />'-1')(~ AO~ STATE CERT OR REGIS1' * CI't(~o4/o <br /> <br />* * **; ;*** *** * ;1****'* *.* ** * ** ***::~:::: * Z**~*Z;;;* *~ <br /> <br />1f!.{R JJJa~ STATE CERT OR REGIST t flc./I5:" 0/3 <br />