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<br />cI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021 L\ ,I /_-
<br />DATE RECE IVED -I .., -o,+,
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<br />PHONE CONTACT FOR PERMITTING (813) gC;o -1885"
<br />
<br />~?
<br />
<br />'~ 1. tJlot(
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<br />OWNER'S NAME {,(~ /lomG 6"'f"tl4:t'/-1<N~ PHONE
<br />JOE ADDRESS vN/7 1 L~) ~~6-C( '8/"J()t!T
<br />
<br />81 ~ - ?~ 9 - 5.;;>'7']
<br />A~A,\n I2d
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<br />LEGAL DESCRIPTION: LOT(S) BLOCK
<br />
<br />PARCEL ID # 03 - d (p-d.-/ -SSS5 -6ocX=>o - O/qo
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<br />SUBDIVISION Git.rl"/P ~,'l'j:. ~~"NHon1?j
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICE)
<br />
<br />WORK PROPSED: ~'NEW CONSTRUCTION
<br />OSIGN
<br />
<br />o ADDITION
<br />o MOVE
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o DEMOLISH
<br />
<br />. 'rllI '10w,v+! o."l\ ",oS
<br />PROPOSED USE: OSGL FAMILY DWELLING p#9L'fI FMHL'f
<br />
<br />o COMMERCIAL 0 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 APrROVAL
<br />
<br />DESCRIPTION OF WORK 10 w;vftomE!
<br />fotlf& /3//, ~r ,"/ 6 ?3'
<br />BUILDiNG SIZE )(:::>.
<br />
<br />SQUARE FOOTAGE
<br />
<br />/5: ~Lf0
<br />
<br />HEIGHT :21 (
<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 />PERMITS REQUESTED
<br />
<br />fl(f BUILDING
<br />
<br />$ 3h~ %57, 00
<br />
<br />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 />f&1kV Avf.,,- 10 (J/11/75
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />
<br />o OTHER
<br />
<br />$ 3~ 000
<br />
<br />TYPE OF CONSTRUCTION: QI 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 />
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<br />
<br />SIGNATURE
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<br />COMPANY uS lIom"E al-c..r-LEN/V/I{L
<br />STATE CERT OR REGIST # CBcl:;S;).C/:J.to
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<br />EUILDER
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<br />p ******************************************************************
<br />
<br />ELECTRICIAN d;/ d _~, /
<br />
<br />SIGNATURE ~~
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<br />d*****~*~:::;***~*~*************************************************
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<br />PLUMBER .//' "ff COMPANY IlltfHi/1t. SUit...€" P71'/,J
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<br />SIGNATURE ?~. r'-- -~ STATE CERT OR REGIST # ere 0 VI? ;Z /
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<br />MECHANICAL ./;::/-' /~ COMPANY A SrEr"r'/"'". S70u?
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<br />SIGNATURE ./ /..:?"_/~ c::tt/~ _ STATE CERT OR REGIST # Ci? coSo t..//O
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<br />COMPANY .:T{3C CU~:C'1'~1 (. or: 7rim~,If
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<br />STATE CERT OR REGIST # EC /300/ B B b
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<br />*****************************************************************
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<br />OTHER f<oor,<, ~~
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<br />SIGNATURE //5: ~
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<br />COMPANY C" S-ret<LIN6-
<br />STATE CERT' OR REGIST # CCc:..05199/
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