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<br />CITY OF ZEPHYRHILLS PERMIT APPIJICATION ~ 7;)7 - '57 , <br />BUILDING DEPARTMENT 5335 ath S'rREE'f ZEPHYRHILLS, P'L 33540 S!J'hOOe I 77 Y I <br />Phonela13-7ao-~o2o Fa~1813-780-0021 I. ~ 6 <br />DATE RBCEIVBlD 1 lE1lq~_ <br />PLANS RIllVIEW rill , <br />---~---- <br /> <br />OWNER '8 NAME W 0.. t J n.. Go..(' 'I .+ (,-1 ~ "'l~ ,,,-I <br />/ <br />JOB SITE ADDRESS .sa.s~.~_:f~ 5+ <br /> <br />PHONE CONTACT 8i3-~7R.3,,"1 @ f.. \; <br /> <br />LEGAL DESCRIPTION: LOT(S) 17 +.1 0 <br /> <br />BIDCK I e b <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #-.1J-,2t:. -:2.1- OC,iQ '" I~H,cc - Qi90 <br />WORK PROPSED I ONEW CONSTRUCTION [WADDITIdN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTAYJIJ <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE I OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />fJ MOBII,E HOME <br />(9""OTHER <br /> <br />f] cm1MERC IAI, <br /> <br />o INDUSTRIAL <br /> <br />OSWIMMING POOL <br /> <br />o RESTAURANT & HEAI,TH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK .5...."'roC'..... eN <br /> <br />t +, <br />eXIS 'N~ <br />, <br /> <br />"" to t,d <br /> <br />cle..:k <br /> <br />~/e/e.f;fr.'L <br />HElIGH'r 7 / 10 if <br /> <br />BUILDINlJ SIZE j:).. '~'{)( 1'1 I <br /> <br />SQUARE FOOTAGE I '8;z" <br /> <br />RESIDENTIAL I <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUIIJDING PLANS & (1) SElT ENElRGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />tx>C- J <br /> <br />PERMITS REQUESTED <br /> <br />l!(StJILDING <br />M"ELECTRICAL <br />o PLUMBING <br /> <br />$j~33~.cc. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />100 <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.El.C. <br /> <br />o MECHAN I CAT~ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o Sl?ECIAIJrY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEElI~ <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EIJEVATIONS <br /> <br />IS PROL1ElCT IN FLOOr> ZONE AREAO YES 0 NO <br /> <br /> <br />BUILOIR <br />SIGNATURE ~~~ ___'-^~ <br /> <br />COMPANY Bc..., Aree-.... ~e,...oJeh,~ <br />STA'I'E CElRT OR REGIS'l' # _~~ C () 3 <br />CITY PROCESSING # <br /> <br />BlLIICTRICIAN <br /> <br />****************************************************************** <br /> <br />R~cP <br /> <br />COM PAN , ro...i'1/.1. E: J~^ct"'I'L ,.~ <br /> <br />STATE CERT OR REGrST # IE" c. 1'3 Os:..!:L' (. <br />CITY PROCESSING # <br /> <br />-@ <br /> <br />SIGl~ATURE <br /> <br />/~~~ ;?~--- <br /> <br />PLtJMSBlR <br /> <br />**************************b*~**~iJ***************************** <br /> <br /> <br />I ' COMPANY , <br />STATE CElRT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBlCHANICAIJ <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIS'r # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBlR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************** <br /> <br />I.,.... <br />..:..l.t\M\~ j _,\If''''~, <br />f.~) ';t-",A~q VtIIOM 8'- - ."" *J,,~ <br />i, "'. ". ~""~' <br />'."'. ""', ..,.)tu"'''M1~. .1 <br />":\V",,":' lt1<"'fWlVI>(;J'" j <br />'i'~.''''''''''t''-~'t"~~ '~~ <br />' -"... ,q-,,- * <br /> <br /> <br /> <br />",~\ t\\I~~IJ <br />lit'l;1(H :'. lItiI(~ :,...q ..... <br />~,t:~~""3~~ <br />~'tINMIft>O <br />"ItA ~........... <br /> <br />