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<br />Lu, (Jar Y-bftlS. Lh16 <br />1~1tf 1CnD ~t <br /> <br />LEGAL DESCRIPTION: LOT(S) J~() BLOCK ~ <br />PARCEL I~ # 3S....as -cJ(- - f5' /300 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 :)/tq/()r <br />DATE RECE lVED <br /> <br />PHONE CONTACT FOR PERMITTING ~, ue.l'i- <br /> <br />PHONE 813 -9f?~d~3CJ <br /> <br />SUBDIVISION W-.l+lILtvJ <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 MOVE <br /> <br />o DEMOLISH <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ 0 S& 'lJtlB'lU~, r:LJ:t-r:: ~r- <br />BUILDING SIZE 59. '-/ X tlO S~UARE FO TAGE cJ.37L{ \ <br /> <br />HEIGHT <br /> <br />'6f+ <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 /> <br />PLECTRICAL <br /> <br />~LUMBING <br /> <br />P MECHANICAL $ <br /> <br />o GAS ~ROOFING 0 SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: if BLOCK <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />I:3/) , S 10 VALUATION OF TOTAL CONSTRUCTION <br />;)00 <br /> <br />W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />(3~06 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />/51. DQ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~O <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 />COMPANY <br /> <br />:5 <br />CAe 01 &&9j <br /> <br />STATE CERT OR REGIST # <br /> <br />*********************************************************** <br /> <br />q(jrIJhi; <br /> <br />;{J COMPANY &/l()t2I1. ''Ore <br />~/J s'rATE eERT OR REGIST # 00/3/3 'I- <br /> <br />****************************************************************** <br /> <br />!/ () COMPANY ~-I- <br />~~ rY )1U.0; I.Vtlftl-b STATE em OR REGIST I CFGO'I J, 91 f <br /> <br />***************:******;***********~~~;~~~*:;tF~*Q~~ij;~j;~j(j~ <br />#fJLttL/ fj fJy;.1f-I:b STATE CERT OR REGIS'!' . Cite .Dsr? "-If 0 <br /> <br />*:/ * * * * * * * * *:. * * ~* * * * * *. * ~* *~:~:::: * c * * &~'Z:;;;* *~ <br />fl! 11LImtf j)J!/.L/hIr STATE CERT OR REGIST # IIe/-I s 0/Y3 <br />