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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />813-7S0-0020 FAX: 813-7S0-0021 <br /> <br />DATE RECEIVED <br /> <br />1'-/c2-c)o- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />tlC.t-lA f/) <br /> <br />(p/O-r <br /> <br />~. DB6bf2..A~( (1, SI(ceS <br />51 L V,t:;f2.- 0 I\fCS 1'> f2- <br /> <br />PHONE <br /> <br />o J 2;,) ~ R 2-- - q <Ai- )..... <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) I~S- BLOCK <br />PARCEL ID # 03--d(p- .;2/- O[~D~ DOOCO-/~ <br /> <br />SUBDIVISION Sf L--VDL O'A~ <br /> <br />[OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION r;tADDITION DALTERATION . o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:p1SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 8x.le:rJ510J,:) D~ -,-LDQ U{bl(U(; 1i3t1>e.oDrLS <br />BUILDING SIZE I DIy.. :2.1 ~/p;t SQUARE FOOTAGE ;.<.--, '" HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />FORMS. <br /> <br />TYPE OF CONSTRUCTION:pG BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />tl FRAME <br /> <br />IJL) <br /> <br />~ <br />o STEEL 0 OTHER <br />IS PROJECT IN FLOOD ZONE AREA y~~~ <br /> <br />11.~ ))ll~~. <br />~~~/hHJ S.~~,J(;. <br />)1i-~<; 16J <br />TRUCTION (4 Jli ~ui- Gu;1I}- <br />~~~~-.l '2~N/rJ~ <br />ne~.'I- ".R.E.C. 0.)T<1 "!: <br /> <br />I A ~LA(i\) <br /> <br /> <br />padme4s ~o pa4uT~d !padA4 ameN <br /> <br />':lUI "0;) llulPuog :lfWIII1V IUlll papuog <br />""PIe I dI:Uo:~~ <br />UOlS <br />pneualI '1 .ipor <br />tneo ue a)[e4 40U ~~'U .i03i:ltO>I1W1AA~N <br />(UOT4e~TJ14uaPT JO adA4) <br />pa~npo~d seq oqMD <br /> <br /> <br /> <br /> <br />18 <br /> <br />~O 'am o~ UMOU)[ ATTeuos~ad ST oq~ <br />(pa6paTMOU)[~e uos~ad JO ameu) ~- <br /> <br />...L J.f'~~ ~J~~~ Aq <br />Tn KDn _.. CTTT, ~l1T QTOT;;:::JoO <br /> <br />vonro'U .:10 lLVlS-JDifll AlfV10N <br />.tneo U12 a)[e4 40U P1PD PTP DoqM pue <br />(U014e~1JT4UaPT JO adh4) . <br />pa~npo~d seq OqM 0 <br /> <br />~o 'am 04 UMOU)[ ATTeuos~ad s1 OqM~ <br />(pa6paTMOU)[~e uos~ad JO ameu)~ <br /> <br />.,.,,~~ ;'II .-"7"~(l."Aq <br />1.. -.r TO APD ~STU:l aur a~OIaQ <br /> <br />.......... '7 ' <br /> <br />......- n ~ I <br />