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<br />Lu, (leur ~ff/S. LM6 <br />'71(J{) rnrrchanfvi ( Ie u'JLCJ.j <br /> <br />LEGAL DESCRIPTION: LOT(S) 13~ BLOCK t;5 <br /> <br />PARCEL 10 # ~-~5-dl- rfJ - /...~O <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 DATE RECEIVED~{~I/D~ <br /> <br />PHONE CONTACT FOR PERMITTING ~f\ t'j ue{",{ <br /> <br />PHONE 8/3'''16 'cZ3. Cf <br /> <br />"" .. <br /> <br />SUBDIVISION Ou..l.fvUiJ <br /> <br />(OBTAIN FROM PROPERTY'TAX NOTICE) <br />, <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />PROPOSED USE: rilSGL 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 />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />\l )atUl /4.~ wJ / --? -t LLt ~J <br />SQUARE FO~AGE ,q 7/). <br /> <br />D <br />ujos& <br />40 <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />tf}. If; x. <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 /> <br /> <br />~LECTRICAL <br /> <br />~LUMBING <br /> <br /> <br />~MECHANICAL $ ~~ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME <br /> <br /> <br />FINISHED FLOOR ELEVATIONS J~~.~ <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 />~ ~3q l <br /> <br />LlU~(o(j <br /> <br />AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Progress Energy ~ <br /> <br />W,R.E,C. <br /> <br />SERVICE <br /> <br />o <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br />COMPANY <br /> <br />s <br />CAe o;jItP&9j <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />1<!rx <br /> <br />COMPANY &I tyJOll ~ <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />i OIUd7f6 <br /> <br />****************************************************************** <br /> <br />~ <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGoL/~ 99 >? <br /> <br />,(O&;db <br /> <br />******************************************~*****~************ <br /> <br />~ COMPANY . ~ '; '4JlJtdJ tJ~ <br />.1 I\O(J/~ STATE CERT OR REGIST # c.lt~o-'lLO <br /> <br />.,.., ';;..'.........".'...:' .~~~:::;. C" &; 'Z;;~' H~ <br /> <br />:11Ln<.- ~~ STATE CERT OR REGIST # 11~..l-/~-()/.Y3 <br />