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<br />p~ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />L\-l y- 00 <br /> <br />. <br /> <br />S 1 ceat'! <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) g90 -1885" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE <br />&JV (,p . <br />SUBDIVISION Eit..HPP ~/l'j::. "';~"I1IHol11{:j <br /> <br />81~ - ?~9 - 5".;;'7'7 <br /> <br />OWNER'S NAME fA S //ome <br />JOB ADDRESS-I/NI r 2 (r;:} <br /> <br />6 it.tJOfl4 r/ Or/ - Ie 1/# AIL <br /> <br />,;f\(A~0 0) Ihf/~ <br /> <br />PARCEL 10 # (!)~ 'd0-J!-5SS!; --/X)OO()- 07;).0 <br /> <br />(OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />WORK PROPSED: ~'NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERC IAL <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />o MOVE <br />''rlli 'Tcw.v+lo,1\eS <br />Y-'~L'U PMlILY <br /> <br />o DEMOLISH <br /> <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOM <br />[J OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK 10 WlJftoml"! <br />707~ <br />BUILDING SIZE 13(g, S- X 63, 3' <br /> <br />SQUARE FOOTAGE /S;sl./ 0 <br /> <br />HEIGHT cJ (I <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br /> <br />PERMITS REQUESTED <br />~~~ ~~ t)(/VALUATION OF TOTAL CONSTRUCTION <br />t' <br /> <br />$ <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />7dA7..- /ft,L /0 V/f/t7S <br />VALUATION OF 'MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />$ 33/ ~oO <br /> <br />TYPE OF CONSTRUCTION: 01 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY tiS lIom~ C'cH<r-LENN/I(L <br />STATE CERT OR REGI ST # CB C I ::; 5;;J.lj :110 <br /> <br />BUILDER <br /> <br />--, <br /> <br />****************************************************************** <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY .:Ti3C CO~C'1"t'!:.IG (),t: /rlm;a-9 (, <br />STATE CERT OR REGIST # EC /300 I 9 8 b <br /> <br />************************************************** <br /> <br />SIGNATURE <br /> <br />/ <br />.t<'/ <br /> <br />HM. ...~. H....... ......... ...... ............... ""..* ***.* <br /> <br />// ,.. 7.d:/ COMPANY A S-rEr-'/II//6' SrOA/iF <br /> <br /> <br />///~ .~C--~ STATE CERT OR REGIST # CI?COSOt//O <br /> <br />COMPANY 1l~.rl-/iJ/!. S'uLEP7",J <br />STATE CERT OR REGIST # ere 0 l.J / ? ;Z / <br /> <br />/ <br />( <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />,:,-;7'", <br /> <br />***************************************************************** <br /> <br />OTHER I<oor/f~iz,- --f <br />SIGNATURE .</~~-~ <br /> <br />COMPANY C. S-ret<1-/A/6- <br />STATE CERT' OR REGIST # CCC05?99/ <br />