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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIt9,ING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 / ,I <br />_l\:&-~"'n 813-780-0020 FAX: 813-780-0021 /( /7/05' <br />~))Yl,.r'i'Jiw DATE RECEIVED ( , <br /> <br />~ ~~ PHONE CONTACT FOR PERMITTING rg 8 _tJ'lcJ.. -oJ?~S <br /> <br /> <br />OWNER'S NAME <~ ~___ PHONE ~13-1'i?l.-O'i?:J..~ <br />I 90/ J-~'1tJ5 ~1" -:1 . ~ <br />V JOB ADDRESS l-.se-I- ~ ~-e~cJL (//~ ^~ <br /> <br />LEGAL DESCRIPTION: LOT(S) e-o.:sO BLOCK~ SUBDIVISION ():;{TO <br /> <br />PARCEL 10 # D:l. -.%" -:.2tt - O,;l?O-oaxt::>AD0,30 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~ <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />IdCOMMERCIAL <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 />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />BUILDING SIZE b'?y.../DD <br /> <br /> <br />HEIGHT <br /> <br />/0/ <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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />?/~~~ <br />PERMITS REQUESTED <br />.. 0;::' <br />$ 0 () 0.000 VALUATION OF TOTAL CONSTRUCTION <br />. <br /> <br />~ILDING <br />~ECTRICAL <br />cv(UMBING <br />~CHANICAL <br />o GAS ~FING <br /> <br />~CJO <br /> <br />, AMP SERVICE <br /> <br />~rogress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO~. t}lq1 <br /> <br />o OTHER ~ 0 ~ <br />t tI) <br /> <br />~ <br /> <br />o STEEL 0 OTHER / <br />IS PROJECT IN FLOOD ZONE AREA~E~ <br /> <br />$ /01 <90 Q. l::>c::> <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />~, <br />STATE CERT OR REGIST # ~(!.. J.2..~ {) C) 11- <br /> <br />t_J <br />***************************************************** <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY ~~~~~ <br />STATE CERT OR REGIST # EC 13m J 3 ~ <br /> <br /><> <br />**************************************************** <br /> <br />SIGNATURE <br />( <br /> <br /> <br />COMPANY~ LJ~,~ <br />STATE CERT OR REGIST #c..2rC- 14-~ l.t>O.:L. <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />~' . <br />*********************************;A**********t** <br />COMPANY ~~, ' {.s <br /> <br />STATE CERT OR REGIST #-Rtv\ O()(),;:}.,zl <br /> <br /> <br />MECHANICAL <br /> <br />OT~R~ <br />SIGNATURE, ,'- \ .' . , <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY~oo-...f ~~( <br />~, <br /> <br />STATE CERT OR REGIST #~ ~ <br />