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<br />Lutnar yj;ft.I~, LM6 <br />7"15 t"<'\c.r-e.rfif\t\J' \ \ ~ e\n.\~ <br />LID BLOCK cp <br />PARCEL II.? # 3Cj -d5-d\-~- cp - D-tC1.: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 <br /> <br />DATE RECE IVED <br />)dv\ ~\Ve\'i <br />PHONE CONTACT FOR PERMITTING ~ \ ~-~ Ii'- d56' <br /> <br />PHONE <br /> <br />813 ~ gg2 - q&63j13 <br /> <br />SUBDIVISION ws.fVUv.) <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 />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL 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 ~ [1 S&- l JO#1U ~ -, (,,!); ) -tU!t ~ <br />BUILDING SIZE 1o6 x4a SQUARE FO TAGE d54~ 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 />~ILDING PERMITS REQUESTED <br />$ l~q ,~D VALUATION OF TOTAL CONSTRUCTION <br />~ECTRICAL am AMP SERVICE 0 Progress Energy ~ W.R.E,C. <br />~MBING <br />~CHANICAL $ ~) VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~FING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br />FINISHED FLOOR ELEVATIONS \"-\l). en <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 />qr(~ <br /> <br />COMPANY <br /> <br />5 <br />CI3C oi}u;&9j <br /> <br />,.j)~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />~~~ /Jwpif; <br /> <br />COMPANY &! ty)()Jl '01<-- <br />STATE CERT OR REGIST # 00/3/.3 .V- <br /> <br />****************************************************************** <br /> <br />~A~ <br /> <br />COMPANY ~+ , <br />STATE CERT OR REGIST # CFGoL/J. 99? <br /> <br />* * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ~~~;:~: *:.IF ~ * L~P ;)5;:;' *Sok <br /> <br />4~ A~ STATE CERT OR REGIST * CI'tCDSo 4/ lJ <br /> <br /> <br />ii;:;....;o~;;;;.:::::;:~R~::!!:::~~i~~ <br />