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<br />CITY OF ZEPHYRHILLS PERMIT, APPLICATION C~{Z~'Ji 1(- j?frS <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED 1/- 1/- -OS- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME )-Q..NU y \~OV\ <br />JOB ADDRESS 38033 ~UY1 d ,-(j.L) U--, <br />LEGAL DESCRI PT ION: LOT (S) 5 L{ BLOCK <br />PARCEL 10 # \"-\-;)'lQ'~I-OI~O-Ol.:>OOO- D $''i t) <br /> <br />PHONE 3$").. )062 -'50 (~ <br /> <br />SUBDIVISION LUCurL,UUv-cY Wt v~c!J <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />')1 'I.J" y: LID I <br />DESCRIPTION OF WORK ~~ I 7 <br /> <br />BUILDING SIZE CilP'\(')( 'i D' <br /> <br />f))o&d..t (~ ~ <br />SQUARE FOOTAGE IOS 3> <br /> <br />HEIGHT <br /> <br />13' <br /> <br />RES I DENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. , "l _ r'238 <br />"7 -7') ':J) <br />'<6'&&/ / <br />J/ ~be;J <br /> <br />/" <br /> <br />---==r,.., <br /> <br />/ <br /> <br />crBUILDING <br />Q/ELECTRICAL <br /> <br />$ <br /> <br />00 <br />d-.400 ,,- <br />,d-Oo <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[YOTHER <br /> <br /> <br />W. R. ~~ {{i l.tl,,~ <br />(jJ 8/ ~ --&rY .~;JO J <br />~ <br />fJ-Ol/u(l~ ~5 <br /> <br />[]...pLUMBING <br />~CHANICAL <br /> <br />$ <br /> <br />lODe) <br /> <br />VALUATION OF MECHANCIAL INSTALLA ION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />------,.. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br /> <br />SIGNATURE <br /> <br />r- ---6 <br /> <br /> <br />****************************************************************** <br /> <br /> <br /> <br />~y <br /> <br />COMPANY C9a/--u-r TvaV'~ ~ p urf-u.- -h'UV\.. <br />STATE CERT OR REGIST # Xt+QOOO \.fro / <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />'-- <br /> <br />COMPANY JA.+{~ c $QvtJ/ W <br />STATE CERT OR REGIST # ECOOOJ733 <br />CITY PROCESSING # <br /> <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />-~g <br /> <br />COMPANY (.')ul--uv- TkA.~tSf)(.j~'c.Ih-, <br />STATE CERT OR REGIST # J::f+oODQ 'f l4 7 <br /> <br /> <br />PLUMBER <br /> <br />CITY FF.OCESSING # <br /> <br />SIGNATURE <br /> <br />***********~**~********************~~~;~~~***~U~~~L**~YiJI:~ <br /> <br />STATE CERT OR REGIST # C/4{l.[JS1 SS9 <br />~ CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />