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<br />--"-- <br /> <br />C!T"I"V L")I;" "ZJI;l'DUVDUTI T C QIITII\TIIIt':!. nJl;l'DIlD.....IR'....... <br /> <br />~ <br /> <br />~ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIILDING DEPARTMENT 533.5 80rB St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED \d.-~-05 <br />(SO'-~ ~ <br />PERMITTING 1j17~, 'f -/ $", 7 <br /> <br />OWNER'S NAME <br /> <br />Ce-/i'Jt?-1./ <br />J ~Jt7 J <br /> <br />Lf Ihps, ~/t r~L..r( /.t},/JI:7f. LLL PHONE <br />. , <br /> <br />//I ,.If. rf-l II- ~ ~2 tq:' /Iy /( /Iz Li.- S ;: L <br /> <br />ft/, -~ ~ 1 -I ~ V' ~ <br />J3S't P' . <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 1J;l-;1 ,,- ~J- tJ" 'to - (It' A- (l F e;t7 1 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION ~ALTERATION [JREPAIR [J INSTALL <br /> o SIGN [JMOVE 0 DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HOMI <br /> ~MERCIAL [J INDUSTRIAL [J SWIMMING POOL [JOTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTIO~ OF WORK !),N;r7H-t- rt=7'Vc.-~ +- ;)... /3/t"TH ,r~p ~j{Pe~~~ <br />, I <br />BUILDING SIZE f5 ~ ?' SQUARE FOOTAGE 4~O(; HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDING <br />o ELECTRICAL <br />~LUMBING <br />[] MECHANICAL <br /> <br />(;)4501. CCJ <br /> <br />PERMiTS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />7icJ?~- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />[] GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION:~BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONEAREA[J YES J3ilNO <br /> <br /> <br />(ce-il 35.3 - a.Dw - 4~ q-g- . Q ti:S r/ <br />BUILDER ~ COMPANY::.ffi" sSe.-, ~.. ""'" <br />l< SIGNA;URE, '~~.L . STATE CERT OR REGIST t CklYr?~~:1 <br />. ****************t***********************************************~~~z,r- <br />~... <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />************************************************.***********~~<?~~ <br />PLllHBER // ~ COMPANY ::2/'1f1I4J1""TI6~.tJFl;;;J/ttij <br />rI.... SIGNATURE /~ . . STATE CERT OR REGIST # ef'CIY2~~ 9 <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 />SIGl'lATURE <br /> <br />STATE CERT OR REGIST * <br />