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<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 RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />I...LtJ (Jar r-bftlS, LA16 <br />7~3q IAJef_hawJc.en {) rl~-<- <br /><6& <br />35"',.,l5"' ....;2./ "0120 -00000 "'6Ft:; 0 <br /> <br />PHONE 8/3 r ;?g2 - 1-063 fl3 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />- <br /> <br />SUBDIVISION 6u..l-fl!~ <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <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 />BUILDING SIZE <br /> <br />o <br />Uif) set <br />3f. '7 I X -S-D I <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />UOblU~ rW~rl7J- <br /> <br />SQUARE FO TAGE d 301 <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />/dJ7,{;()D.~ VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />'Ii tJ(){). ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />gOO?; 'Ot Jeqwa1da. S saJ!dx:! J'.~""O~ <br />Z~99Z000 UO!iSIWWO:) ^w ~ . <br />~neo Ae)l AIJ8Qw!)l '\t A:"',t <br />pedme~s JO pe~u1Jd 'pedA~ emeN <br /> <br /> <br />emeN <br /> <br /> <br />;TP~pue <br /> <br /> <br />~ou P1"P 0 pue <br />edA~) <br />pe::mpoJd selj OljM 0 <br /> <br />lj~eo ue e~e ~ou P1"~ <br />(uo1~e~1J1"~uep1 JO edA~) <br />pe~npoJd selj OljMD <br /> <br />'lj:j.eo ue v <br />(u01~e~1J1~ueP1 <br /> <br />JO 'em o~ UMOU~ A11eUOsJed s1 <br />(p~e1MOu~~e uosJed JO emeli) <br />cP'l7 S"" ( nlO.t- .... <br />~-. JO Aep~ s1lj~ em <br /> <br />O~ <br /> <br />Aq <br />eJoJes <br /> <br />JO 'em o~ UMOU~ A11eUOsJed s1 OljMi9 <br />(pab~MOli'oe lios>ad '0 ameli) / <br />~ :r~ ~ 1I t{(/I ~ Aq <br />r 0 ep ~ ST4:j. em eJoJeg <br /> <br />- ~-_.._- --. ....,........... kTT-,-......./;~"T^ T ~TT T <br /> <br />"ffl OZ ' <br /> <br />~(fbZ ' <br />