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<br />fJif' <br />N~/rJ(q~ <br /> <br />cI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI.LDING DEPARTMENT 5335 8TH at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />L\ -I LI--Olo <br /> <br />PHONE CONTACT FOR PERMITTING (813) 690 -1885" <br /> <br />OWNER'S NAME fA ~ /10 IJ1 G' <br /> <br /> <br />JOE ADDRE S S . U III (/ 7 <br /> <br />01 te,,/?O /Z4 r/ 0 r/ - LeAI.(/ AIZ.. <br />.' /f>1~4 hT?AlI:./i? <br /> <br />PHONE <br /> <br />81~ - ?~9 - S~r;'7 <br />A Pre.Pr L'i \l (2cl- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION G't.npp /jtti:. ~~"'Vllol11?j <br /> <br />PARCEL 10 # <br /> <br />o 3 ~ 2 fo - 2 {- SS~ 5 ...000" 0 -6/7 6 <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: lid'NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br />''I'5li 'Tow,\I~o.-ne.s <br />)'-"WJL'fI PM1ILY <br /> <br />o DEMOLISH <br /> <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK ./0 w/vftom~! <br />fo r A-v <br />BUItDING SIZE /30,5''')( 63.s <br /> <br />SQUARE FOOTAGE <br /> <br />/~ ~~" <br /> <br />, <br /> <br />HEIGHT <br /> <br />2/ ( <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 />$ 3(0 ~ ~(;/~ 00 VALUATION OF TOTAL CONSTRUCTION <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 />~1'~ ~/, 10 (lA/ITS. <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ 3Sloo0 <br /> <br />TYPE OF CONSTRUCTION: DI 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 AREAO YES 0 NO <br /> <br />~1""j'''7'''Iij"qrl'J'''-''''''''!II'ffI~-''-'I'".rrl''''''''''''~frTl':J'"''T1/11"1"""1 "1' 1--- .--~-" ....-r-~ - --- --- - ~',r"~~1I1N 1,""1"1 "1 lY' ,- "1""-[7""""1 ..".,.t1:Jf.tHl':'r1'1!' <br />III )1,1'1 \11)1 ':1 j:\I/,I: 1':\1/ I 11'111, j, ,'I 'ill' 'I,. II I II ,:,1, j 1 . l I II j "III" 'I'll:~ll' 111'1. ,1i:1. 11:111'11111\ II:;I' I\[I!II,I; ::1 ;,I:'~'j111/J\i~Jlit;1~~;.i <br />l~t:!,_~Jl.:':.1:.~.~1 .d.~~~_LJ': 1.: :"..1. ."__L =~4 ..;.~_ ___ __ _ _ . _.~ .._ _ . _ . - _:4~ "'CJ~~~1~ ~~1...l'i1': IL.'I~.bC...!.L' ~JL'wc~~~kEJ:J.:,J' <br /> <br />SIGNATURE <br /> <br />/// <br />~~/- <br /> <br />COMPANY tt S' 1/ omc Cfr)/~ - Lt: N/V 11 fZ- <br />STATE CERT OR REGIST # CBCI;;;JS;J.<;:Uo <br /> <br />BUILDER <br /> <br />/ <br /> <br />****************************************************************** <br /> <br />COMPANY 171<.'1'1-1(/,1. Set! LE H71'1 A./ <br />STATE CERT OR REGIST # ere 0 <1/ ? ~ J <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY A SIE~/IIVt/- SrOA/1: <br /> <br />STATE CERT OR REGIST # C r; coSo 'I/O <br /> <br />l/ ***************************************************************** <br /> <br /> <br /> <br />:::::TUR:O/~~<# :::::N:ERT~~ :.:::~ I ~ ~ c: 0 5199 / <br /> <br />