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<br />~ <br /> <br />r r ,-' c.1e; <br />CIrry OF ZEPHYRHILLS PERMIT APPLICATION '-to\-'4~b--3qq\ <br />BurING DEPARTHIlNT 5335 B~B st, Zephyrhi11S, lI'L 33542 - <br />B13-7BO-0020 FAX:B13-7BO-0021 . I~_IO^"_. <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING :::r;~--r- NY Lori- <br /> <br />\ <br /> <br />JOB ADDRESS. !S fa ( 0 <br /> <br />\< n.t f---1 M <: . <br /> <br />jJ()rz-~6~LL <br /> <br />LEGAL DESCRIPTION: LOT (S) () 0. I ~,., ... ) "'< ,.. ~OCK SUBDIVISION <br />- <br />11 _ d. ~.. ~1 - ~ t> f D - ()~?O '() ~'t) ~ S7~TAIN FROM PROPERTY TAX NOTICE\ <br /> <br />PHONE <br /> <br />101- '~r~ - t/ooo <br /> <br />OWNER'S NAME -::(-A'u. <br /> <br />bLvd. <br /> <br />PARCEL ID .. <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: OSGL FAMILY OilELLING OMULTI-FAMILY 01 OF UNITS 0 MOBILE HOMI <br /> <br />)d COMMERCIAL 0 INDUSTRIAL 0 SWIMMING pOOL 0 OTHER <br /> <br />f-J I A 0 RESTAURANT & HEALTH DEPARTMENT APfROVAL <br /> <br />D..CRIPTION or WORE ~f. '" It/2i'<.., r e. ?l ~ 'It iI 0 ~"" S ::-r;, I/Ii\ e r,ft CC e, S I< 6,1 I T Y eo J e: <br /> <br />BUILDING SIZE LArD 9 ~ y 3 0 SQUARE FOOTAGE ~A .:\ 000 tft HEIGHT 15' <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~~ ONLY (2) SETS OF ENGINEERED PLANS REQUIRED- <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o ADDITION <br />o MOVE <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />'j- BUILDING <br />pi ELECTRICAL <br />)>>' PLUMBING <br />o MECHANICAL <br /> <br />$ d400 <br />(L'7wrs) <br />Cft v rei Il t7 5) <br /> <br />$ <br /> <br />tJ 9.c.. <br />PERMITS REQUESTED ~ -r II . / ,-, <br />~....tl.tJ .....I...~ Atl ,1/ <br />It ,_ "-(...,~ <br />VALUATION OF TOTAL CONSTRUCTION ~ to ,!-~~ <br />,~~. <br />o progress Energy 0 W.R.E.C. / <br />1~1({".e.\\ \Y~~. <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />)/.FRAME <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~NO <br /> <br />o STEEL <br /> <br />. 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />1'/}5~ . ~ <br />lO I} COMPANY . A.-H- <br /> <br />f t-Jc. <br /> <br />BUIWER <br /> <br />STATE CERT OR REGIST t C tJ>c <br /> <br />SIGNATURE <br /> <br />**********~**************.***************** if) <br />.~s '>'.: . <br />ELBUTRICIAN . COHPANy~t<;t{( F lec1/Z.1 I Ne. <br /> <br />SIGNATURE ./-r; ~,......~ ~-.;.:-.;:" ~ .L-L STATE CERT OR ~EGIST- I <br /> <br />, <br /> <br />SIGNATURE <br /> <br />****************************************************************** ~ <br /> <br />~- .'.' ~ <br />/ /J ,,). COMPANY .7)~ U~rbo<-tll {J1"",h' "5 S'"^u,'c,, ,vc <br />ri{ :rR- ,~.---:- STATE CERT OR ~EGIST i <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />/.j I tk <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST I <br /> <br />SIGNATURE <br /> <br />*******************************.************~***~i*************** <br /> <br />~/* <br /> <br />COMPANY <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />