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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION 414 <br />Btn:LDIlfG DBPAR'l'MBNT 5335 85 St, Zephyrhills, I'L 33542 <br />813-780-0020 FAX: 813-780-0021 ~~ <br />DATB RECEIVED <br /> <br />C"''trt \J Ie ~ If; 1/5 <br /> <br />OWNER'S NAME S/~ .L/~ 6 "t..,j c_ <br /> <br />JOB ADDRESS Pit e... f fI, #3 0 J2 \) .. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 if :35- d s:. c7 /- t!> /.;< 0 -tt:>OODO ...{}:?~R'T'ATN PROM PROPRR'T'Y 'fAX NO'T'TC:Rl <br /> <br />PHOHE CONTACT FOR PB1UIITTING <br /> <br />PHONE <br /> <br />'11$ <br /> <br />1 PI- 0001 <br /> <br />BLOCK <br /> <br />, <br />SUBDIVISION Cle'fll/le.w <br /> <br />J-I /1/ <br /> <br />WORK PROPSED:,aJNEW CONSTRUCTION <br />~GN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[Jif OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOME <br />..KOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION' OF 1f01U( ,E~T(t1 .5'~~ F'R~~e. 'Ii- NI#// <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />" BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ ;;()J~O <br />, <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />cf) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />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:~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br />BUILDBR <br /> <br />- <br /> <br />COMPANY 1< +1- <br /> <br />flu. J/M~ <br /> <br />?"~5-h <br /> <br />I <br />.:r~ <br /> <br />SIGNATURE <br /> <br />t:U p~ <br /> <br />STATE CERT OR REGIST if C Itc..... D S"f? .:z. 0 $"" <br /> <br />7:27 <br />167-7~// <br />195:~O <br /> <br />*****************************************************************~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if <br /> <br />****************************************************************** <br /> <br />PLUIIBBR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if <br /> <br />****************************************************************** <br /> <br />MBCBAlfICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if <br /> <br />***************************************************************** <br /> <br />O'l'HER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if <br />