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<br />l\t~~~ <br />~. X\~ <br />A ~ <br />\ <br /> <br />I <br />, <br />,. <br /> <br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION Cwtli{e <br />~UIWDlQ DEI?ARTMIilNT 5335 8YH St, Zephyrhi.lls; FL 33542 <br />813-780-0020 FAX: 813-780-0021' (:) -- Jj-- f)~ <br />DA~ RECEIVED 25 I .. U.:..> <br /> <br />li'HONE CONTAO'I Ji'OR. PIi::RNI'l''l'ING . c; 6/1- t!)OOO ~ ~ <br /> <br />?~@'2?}J- ~ <br /> <br />JOEl ADDR!lSS <br /> <br />(\\\~f\.J ~ M\~ <br />,,7,qo(1 lSru'L- JA{ ~u~ <br /> <br />'=1 .::~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />.., , _/'\ C)l)fYJ .-tUZ. 7 0 <br />PARCEL ID t I ~ '- 2k ~ '-f - 01 ~ ~ o. .' IOBTilrN FROM PROPERTY TAX NOTICF.) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION ~DDrTION DALTERATION. 0 REPAIR 0 INSTALL <br /> <br />DSIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMIL'l DWELLING <br />o COMMERCIAL <br /> <br />o MOLTI ~ FAMIL'l <br />o INDUSTR:J:AL <br /> <br />01 'OF UNITS <br />~IMMING ~OOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D!l!iCRIPTION OF woRlt <br /> <br /> <br /> <br />o RESTAUF,A~T .. <br />~I~ <br /> <br />c ,. -\. ""\ <br /> <br />. BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL.: ATTACH (2) PLOT PLANS" (2) SETS OF BUILDING PLANS" (1) SET ENERGY <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 />PE1U4ITS REQUESTJm. <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUM6!NG <br />o MECAANICAL <br /> <br />$ <br /> <br />2g~ <br />/ <br /> <br />i:J pioqres; Energy.' 0 <br /> <br />__ VALUATION OF TOTAL CONSTRUCTION <br /> <br />~P SERVICE <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />VALU~TION OF MECRANCIAL !NSTALLATION <br />o SPECIALTY. 0 OTHER <br /> <br />$ <br /> <br />liUIUJER <br /> <br />[J4~ ~ ~~.. PNJ~ <br />'2-L:":) · <br /> <br />50 .) p/r <br />ATE CE~T' OR. REGIST 1 eft?- /'1!>'~S't /. ------ <br /> <br />****************************************************~****~******** ~r ~~~~ <br /> <br />:7 COMPANY ~u>t'NS e.(U <br />STATE C;ERT OR REGIST 1 , .E3C'600 2.1 "2..' <br /> <br />TYPE OF CONSTRUCTION;' 0 BLOC!< <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLpOR ELEVATIONS <br /> <br />IS PROJECT IN FLOoD ~ONE AREACl YES <br /> <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />/1JSLC) <br />~~5'~ <br />~ ~ ~t) <br />Joo' ~ <br /> <br />"... -.>~ <br />~.:> · Jt?L~~ <br /> <br />SIGNATURE <br /> <br /> <br />COM~AN~~ 5 ~ Tf e.y Joe is <br /> <br />STATE CERT OR ~GIST . <br /> <br />-*****~*******************.*****************.****.*~****.**** <br /> <br />PLUMIn1R <br /> <br />~ <br /> <br />/ <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />*****~*.*.******.******~************.***************************** <br />. COMP2I.N'l <br /> <br />sIGNATURE <br /> <br />STATE CERT 'OR REGIST t <br /> <br />*****..********************************************************** <br /> <br />o~aJil:a . <br /> <br />COM!?ANV <br />STATE CERT OR REGIS'r t <br /> <br />SJ;GNATURE' <br /> <br />~ <br />