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<br />I I, <br />CITY OF ZEPHYRHILLS PERMIT APPLIC~TION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, ~L 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />7~!05 <br /> <br />PHONE CONTACT FOR PERMITTING (flY) 9;J~-5LJc <br /> <br />O::ti S NAME Be LAj)/J74/ F C-ST$ $/!/L0:We ?HONg <br />~OB ADDwi-fttt?O J- 'i'1~ ~ ~ S~~, R.&~ To 1+ ""tv f . <br /> <br />LEGAL DESCRIPTION: LOT(S)~~~_ BLOCK ~~/t?- <br /> <br />PARCEL If? It ./'7'''~-~.It ./J()I/:?-/J-2.tJt/()-1)/6tl <br /> <br />(tf/3)90J3'-5tJ<F / <br /> <br />SUBDIVISION <br /> <br />E),.;J.tJ.tJ o. <br /> <br />(OBTAIN FROM PROPgRTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRqcTION <br /> <br />o SIGN <br /> <br />PROPOSED USE: ~GL FAMILY PWELLING <br />I <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE 0 DEMOLISH <br />~ULTI-FAMILY O. OF UNI'l'S <br />o INDUSTRIAL 0 SWIMMING POOL <br /> <br />o MOBILE HO. <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK A/"Ph/; Jf~.f/d-t?~c~ <br /> <br />DI/ L)/e)(' <br />, <br /> <br />BUILDING SIZE ~9 lr~ 9 <br /> <br />SQUARE FOOTAGE ;1LJL? / <br /> <br />HEIGHT / S ' <br /> <br />~SIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ~a.fl(l~ <br />t!) ~!} <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~. Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ ;;J ~ tJ.f).~ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK ~ FRAME <br />tC. itA. r) ""'-'01 <br />FINISHED FLOOR ELEVATIONS a __~~~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br />COMPANY A/lhh 4vek~1 OHS'ln/C.Rbh ,,7>~ <br /> <br />SIGNATURE <br /> <br /> <br /> <br />STATE CERT OR REGIST . C"C.dIQt';J~9 Y <br /> <br />***************t************************************************** <br /> <br />ELECTRIC <br /> <br />COMPANY f{ ~-C C(~? E/~c:f:..,~c.. <br />STATE CERT OR REGIST i Ec -OOO2.~--ru <br /> <br />************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />~(b1 <br /> <br />j~/.} <br />It 6 FC, jlflf; ~ (1 <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST <br /> <br />SIGNATURE <br /> <br />I <br />***********~***************************************,~********** <br /> <br />, COMPANY ~ l~,N" +-C001/"U' <br />STATE CERT OR REGIST , Ck..J't'3r..7~ <br /> <br />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br />