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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 --UJ I ~ <br />, _ DAT~ RECEIVED t 10 0'7 <br />i 'Pu^-jL.f~ Co..uJ.. ,,('+leA tE. <br />i PHONE CONTACT FOR PERMITTING 13) 7 (8 - 87~3 <br /> <br />OWNER'S NAME '-:5 \ r<\ ~ SS05 <br />JOB ADDRESS ,]RqSS- C AtE- 'i- 3g/~7 <br /> <br />PHONE (81?') 7).7- If; 7 <br />c f(\L ~~l~ FI- 3J.s?/z- <br /> <br />;;J.S' SUBDIVISION~ Ll~,'h <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT (S).{ ~ tJ 7 BLOCK <br />PARCEL ID * ----1i-~lo~J\- (X)\()--OJS'{X)- CV70 <br /> <br />WORK PROPSED: L,NEW CONSTRUCTION <br /> <br />g-ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />[Z}fNSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~TI-FAMILY ~* OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />QX/S \ r'\J (')r \VL iAJc..y'S <br />SQUARE FOOTAGE 1(11 ~/okl <br /> <br />HEIGHT <br /> <br />/(J I <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: 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 REQUI~D FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br /> <br />t' PERMITS REQUESTED <br />$~ 7:;-0 . tlO VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~THER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~THER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES r.;( NO <br /> <br /> <br />SIGNATURE <br /> <br />.~~v, <br /> <br />COMPAN;Du(\.-t<,t-<... Cz,Y\.CfA..- -L ~c.... <br />STATE CERT OR REGIST * C-Re. - ) 30t 8.;2 1 Y <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNA URE'::" <br /> <br /> <br />COMPANY <br /> <br />,.,. ---........ . .. ........... <br /> <br />, ",' <br /> <br />ST TE q~~. Oa, ,~GJST # .'.'~' <br />'~'~0~~'~~""~ <br /> <br />,;,,'J"'N' \~, \' 1A. '. ; <br />" :;"~:';f't <br /> <br />tll~i ~;'~;. " ....4 <br /> <br />;';r: '''. 't~H~'.': <br /> <br />" :'-. <br /> <br />,....1' <br /> <br />t,' .;;.\; <br /> <br />. i"i;j""'l,' <br />