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<br />, , <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI;LDING DEPARTMENT 53~5 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />'(6~~ <br /> <br />DATE RECEIVED \ d. - <6 - OS <br />->r &0.."'1 ~'3&~ <br />PHONE CONTACT FOR PERMITTING '8l1-r~lf-/)P' 7 <br /> <br />JOB ADDRESS <br /> <br />c.e-/?Jt?-l/ <br />I <br />J ?'J ~ J <br /> <br />L, /hp s R' 1.,-/" f/;7:,., Lt Jyp~7l. LLL. PHONE <br />. , <br /> <br />/11 'If. r /..J /f r ~ 2q IIy /flit LL. <j ;: L <br /> <br />~/,-'t '-1-1 5 V' ~ <br />J35"'t P' <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # P ~-7"- ;lJ- (/Qj-O -gi7,fQF Qt7 'r 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION ~ALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOMI <br /> ~MERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />DESCRIPTION OF WORK /V7F7H-'- r1:=?V-c-e-- +- ;).. /3A-1"H Ie~t?' ~ j (Pe("l~Cd <br />, <br />BUILDING SIZE f$ ~ <; {., I SQUARE FOOTAGE 4~o V HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY <br />FORMS. <br />r u -- &rf1t <br /> <br />FORMS. <br /> <br />~BUILDING <br />o ELECTRICAL <br />~LUMBING <br />o MECHANICAL <br /> <br />G}15d1, CO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />litl? .- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION:~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 ~O <br /> <br /> <br />(ce.tl 350. - a.o~.. 4~ q~ N\ "5 ( K~A -::s "" <br />BUILDER t2 COMPANY-L:-~ ~ ~ e . I U'<\ \0 <br /> <br />0( SIGNA;URE . ~~y STATE CERT OR REGIST i Ckr;r?.,3t') ~ ii> <br />I 4/ d-r/",,-J>'" ~ <br />****************************************************************~~~~~ <br /> <br />,., IJ';'O< <br />ELECTRICIAN COMPANY ~~ <br /> <br />d<~ <br /> <br />************************************************************ * (.-~ <br /> <br /> <br />PLUMBER / / ~ COMPANY ':2..'1f::1I/'4-.flL"7J~>JJ. F ,<u/;,s,'1 <br />rJ... SIGNATURE /~ ~ . STATE CERT OR REGIST # epClr2SZt9 <br /> <br /> <br />~ ****************************************************************** <br /> <br />SIGNATURE <br /> <br />- <br />STATE CERT OR REGIST # <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 />