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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 d -i3-O~
<br />813-780-0020 FAX: 813-7BO-0021 1- /
<br />DATE RECEIVED It~;/ / pc/-?
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />OWNER' s NAM~R A 'I....
<br />JOB ADDRESS 1 c;+ ~ ...,~
<br />
<br />W r:\.v:l\A
<br />35;).0
<br />
<br />BAs7ARAeH~
<br />--ro v ,;? M. it ) I W'l e
<br />
<br />PHONE S,q'.371J -'51o~7
<br />DR..
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />d-I d-
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID #
<br />WORK PROPSED: ~W CONSTRUCTION
<br />OSIGN
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICEl
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o MOVE
<br />
<br />o DEMOLISH
<br />
<br />OMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOMI
<br />~THER
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
<br />
<br />DESCRIPTION OF WORK L P. tJ ~~ S
<br />
<br />BUILDING SIZE I ~ "'1; '3,J.-"' SQUARE FOOTAGE 38LJ
<br />PJ.-lIS ):J.~/O SC(ipn Yl>N~
<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 />HEIGHT
<br />
<br />I
<br />10
<br />
<br />& (1) SET ENERGY FORMS.
<br />FORMS.
<br />
<br />$
<br />
<br />q,bCV,"..-'"
<br />
<br />.. ~
<br />~eJ'
<br />/25
<br />,
<br />
<br />PERMITS REQUESTED
<br />
<br />ijY1'iUILDING
<br />roI'ELECTRICAL
<br />~LUMBING
<br />
<br />VALMATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />Progress Energy
<br />
<br />o
<br />
<br />W.R.E.C.
<br />
<br />o MECHANICAL
<br />
<br />$
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />
<br />o GAS ~OOFING o SPECIALTY 0 OTHER
<br /> RMe\
<br />TYPE OF CONSTRUCTION: 0 BLOCK ~RAME 0 STEEL o OTHER
<br /> 3 :Vf '/- ~O
<br />FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA 0 YES
<br />
<br />r;r..,.l..-,..""'II"fr;-r......-'....~."'~-,,.~- -~--'~...-.,...,..,...-,..-,...,,-..!-..........~~- t~....,_.-t r~~ --~ -------<>---,--..~-~- - ~ 1-'" ~- i ... ~-'-\ .~-~ . ~1--' -"~--="~~...,r\'j:'~?
<br />~,j:lr ", I 'It I 'II \ I. I r III I I! ! , I. ! I ~tl' 1 ',jl~Ili,.."~^'If:~!(JJI
<br />/'11,1(" I, ,:l, 'I'~' I'. 111", ".,'," , ,', I. , , " " ' , ," ,'JJ'."ll~'"
<br />~~~-'___.____~" il_~.~_ ___.._~_______ .. .,.- -.. "00'- ~__~.__oo__._
<br />
<br />SIGNATURE
<br />
<br />120.~V
<br />~J<,."~,,,1le.
<br />
<br />COMPANY
<br />
<br />~~ .... r-.n..AA...-.
<br />
<br />BUILDER
<br />
<br />STATE CERT OR REGIST #
<br />
<br />ELECTRICIAN
<br />SIGNATURE"
<br />
<br />************************~o*~~**********************************
<br />
<br />
<br />/J /2 j :). cOMPANY~..m.~.~
<br />~ ~ STATE CERT OR REGIST #
<br />
<br />I __. ~ ***********************************************************:**!*** .
<br />
<br />~ ~ .,'._ 'Lrrll.ILlJ1-. J~ ~ (~lI\AnLP---112. }f\$S,Tw<;ll'tHi.:.;v
<br />PLU!ffiER ~~:~~ .,,-,,,,, COMPANY ~
<br />SIGNATURE ~ ~~ STATE CERT OR REGIST #
<br />
<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 />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
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