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<br />OWNER I S NAME 516&11/ 6IU 4.J A V)./6 .f /E::J <br />JOB ADDRESS 35/? 13 e IJ y ~ ? IV ;;2 g,p#/,.f y;.U.-7 , ,F.t-- <br />/ <br />LEGAL DESCRIPTION: LOT(S) 611 BLOCK SUBDIVISION6"H&tlJ4l.-f?J)I.v~ <br />~Ei~ 1-f-2t:J- :J.../-(?tJ.2/J-(J()/J~O-(j~ftJ(oBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR O,-INSTALL <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATlliN CI.J.t~>(;fJ II->/({- Os <br />BUILDING DEPARTMENT 5335 8TH St I Zephyrhills I FL ~542 I\/Of J: 1 5'e~r LI J ( ~. <br />813-780-0020 FAX: 813-780-0021 ~ JJ-6'-O~. <br />DATE RECEI D LL Z- ? <br /> <br />FOR PERMITTING <br />~'lgQ.- 5<Yll <br />PHONE B )-:!J-~ 1 2-... [;tJ ? / <br /> <br />3 3~,l-l)c <br /> <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK I () X q :3 Tt;~/? 5P" .7.#}7dJ tVpdJ r,f4/1?p /1-(.,~ / ~ S/~A/-$ <br /> <br />BUILDING SIZE 10 X 9 SQUARE FOOTAGE9 tJ1F1 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 & (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 />~UILDING <br />o ELECTRICAL <br /> <br />$ 10/fr <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />COMPANY~t<lAV <br /> <br />STATE C OR REr.IST # <br />/..rJ ~ <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 />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />