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<br />" <br /> <br />CITY d~ ZEPHYRHILLS PERMIT APPLICATION <br />BUILDIN9DEPARTHENT 5335 am St, Zephyrhills, FL 33542 <br />! 813-780-0020 FAX: 813-780-0021 ~-1-1J6 <br />DATJi~ RECEIVED - - <br /> <br />PHONE CONTACT FOR PERMU'TING <br /> <br />OWNER'S NAME~ '0'~ +-ru......-*' ""'- M\L PHONE f?(2,-??.;) -D?doS <br />J~IinL[.i.s ~ ~~~k ~a-c:A <br />LEGAL DESCRIPTION: LOT {S} J ~ 19 BLOCK mz/60 SUBDIVISION o/6U <br />PARCEL 10 # /'-/ - d- (0 - f/ - 0/0::)- Ci?</cO - t5J <t( (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~ONSTRUqTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br /> o SIGN I o MOVE 0 DEMOLISH <br /> USE~AMILY I DMULTI - FAMIL Y 0# OF o MOBILE <br />PROPOSED dWELLING UNITS HOME <br /> ! <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />i <br />ESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />I~=-~~ ~ $;d~C!...-e-. <br /> <br />SQUARE FOOTAGE .I 7 t/b L~'\~ HEIGHT ~ ". <br /> <br />DESCRIPTION OF WORK <br /> <br />~ILDING <br />~ECTRICAL <br />~MBING <br />~CHANICAL $ <br />o GAS ~FING <br /> <br />$ <br /> <br /> <br />T PLANS & {2} SETS OF BUILDING PLANS & {l} SET ENERGY FORMS. <br />S OF BUILDING PLANS & (l) SET ENERGY FOPMS. <br />TS OF ENGINEERED PLANS REQUIRED. L )'~)[UL u~.nTl~ <br />Y REQUIRED FOR ALL NEW CONSTRUCTION. T <br />-::> ~ CD-7L ~ ~1 LvwN IrJ 6 f Jl! ~I\- <br /> <br />PERMITS REQUESTED '-l(u? ~kA l-rT7I'J"-. <br /> <br />e ~rD c-O VALUATION OF TOTAL CONSTRUCTION f7 ~ A' L p:ll'31 J <br /> <br />AMP SERVICE g-progress Energy [J .R.E.C. <br /> <br />RESIDENTIAL: ATTACH {2} PL <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY (2) S <br />PROPERTY SURV <br /> <br /> <br />TYPE OF <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br /> <br />o OTHE <br /> <br />VALUATION OF <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR REGIST #CO~ {)~c>)t?~ <br /> <br />************************************~*********** <br /> <br /> <br />--. COMPANY ~~ C~ ~ <br />STATE CERT OR REGIST ~ ~ WttjJS ~ I <br /> <br />PLUMBER <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * 'k * ~* * '\* * * * * <br /> <br /> <br />-- COMPAN~_ W,~~ <br />STATE CERT OR REGIST # ~~ /00(.5 to D.;L/ <br /> <br />****** *******************~*~***~* <br />--. COMPANY\.., \So ~ ~ <br /> <br />STATE CERT OR REGIST -#~....- CtBt..f q? <br /> <br />* ***********************~********~******** <br /> <br /> <br />COMPAN~ ~ <br />STATE CERT OR REGIS! #(l ~- /~.5"s;. oS- <br />