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<br />LEGAL DESCRIPTION: LOT(S) <br /> <br />OWNER'S NAME ~ e t1 e.)rf J1/()J~!r <br />JOB ADDRESS . /O!J. / C~e~foJ<. Sf <br />3':<- <br />n '< .;)~ . ;./" O()/O # <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 a!!H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 . / .' <br />. ,1 DATE RECEIVED ~ -,2 /}-o~ <br /> <br />PHONE CONTACT FOR PERMITTING '7{12 - If, 1/2.. <br /> <br />O~~:!:- <br />PHONE $/ ~ . j~";-bl/ d.. '. <br /> <br />'-.. ) <br />~,.._~" ../ <br />.- - . . . <br />~-~- ~-.... . -.. -~~ -~ <br /> <br />;/0 J4A- e' <br /> <br />A-yJ <br /> <br />. ( <br />'- <br /> <br />PARCEL ID ." <br /> <br />BLOCK oeo 00 <br />O{)OOO . 0 ?~tJ <br /> <br />SUBDIVISION <br /> <br />tJ ;.. / C) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> DSIGN YMOVE 0 DEMOLISH <br />PROPOSED USE:)5(SGL FAMILY DWELLING []MULTI-FAMILY 00. OF UNITS pif"MOBILE HOMI <br /> [] COMMERCIAL [] INDUSTRIAL [] SWIMMING POOL []OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURA~T & HEALTH DEPARTMENT APpROVAL <br /> <br />C)U of ~ oK c!?P~J<.h(1 . <br /> <br />I /) <br />BUILDING SI~E ~o <br />I C( 1 fI" ('Z <1(,j,t e.,r- <br />RESIDENTIAL: /ATTACH (2) PLO (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />7t9t1 <br /> <br />HEIGHT <br /> <br />j) <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />R ELECTRICAL <br />o PLUMBING <br />~ MECHANICAL <br />o GAS [] ROOFING <br /> <br />J.s-o <br /> <br />AMP SERVICE <br /> <br />o Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />/.t(v . () D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />[] SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK [] FRAMj <br />FINISHED FLOOR ELEVATIONS 1(1"'~()Clc. cJ ~"'" e- <br /> <br />[] STEEL <br /> <br />. [] OTHER MQ},t ffi/;d e.. <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />JZNO <br /> <br /> <br />c" BUIIDER . .' COMPANY G- '" "ol 0:'- 5 ~ 0 rt .~ ~ ~~t .ur <br />SIGNATURE i~-@ m STATE CERT OR REGIST .:[1]. 060<:> 'f II @ <br />~ .. <br />~(f/ ****************************************************************** ~ <br />",II ELECTRICIAN COMPANY . !NVlaO..MUlTALCOllTaACl'OaS <br />SIGNATURE fttJtL/1 ~ ~~~~R STATE CERT OR REGIST ." F: t- 60 I 3 S.3f <br /> <br />j /". COMPANY G-~<!< ~ \"'~,~";\- ~~ ~ Sd'.t> \' <br />~ f-Ir STATE CERT OR REGIST i .ttI.'oc'l6 7 f!) <br /> <br />,~***********************************************.*********.******** ~ <br />;S.HECHANICALfi COMPANY !NV.'IONM8NTAlOI"'lD_L ~ <br /> <br />SIGNATURE ~ k, ~~-)P STATE CERT OR kGIST i 0 It (! / r IIf l/ 7 :2--- <br /> <br />************************************************~***************** <br /> <br />r\V PLUMBER <br /> <br />SIGNATURE <br /> <br />********************************************~**.***************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br />