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<br />cI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
<br />,
<br />I 813-780-0020 FAX: 813-780-0021
<br />i DATE RECEIVED 4-14-00
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<br />! PHONE CONTACT FOR PERMITTING (813) g90 -1885"
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<br />OWNER'S NAME
<br />
<br />fA ~ /I01J1G'
<br />/./1tJ11 10
<br />
<br />C1/tPOlZ4 r/ Or! - 1eJ/'(/ A1Z-
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<br />L~) ~~ J4TJ{i;tNUl?
<br />
<br />PHONE
<br />
<br />81 ~ - ?~ 9 - 5',;)'7'7
<br />AA\2AL'in (4.-l
<br />
<br />JOE ADDRESS
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION GIf../1,fo ~tt'j:.. '-r;.'JNi-IDI1f~.s
<br />
<br />PARCEL 10 # ().3 -) (p -;)( - SSS5 -00000 - 0200 (OBTAIN FROM PROPERTY. TAX NOTICE\
<br />
<br />WORK PROPSED: }d'NEW CONSTRUCTION
<br />OSIGN
<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 />.~ '10""";l0;'l\.:=-5
<br />P#YL'i'i FMHL't
<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,v/tom€!
<br />foTA--L f / t'
<br />BUILDING SIZE /'3, CO ,.5 r)( &3,3
<br />
<br />SQUARE FOOTAGE
<br />
<br />/ s-; bL/&
<br />.
<br />
<br />HEIGHT
<br />
<br />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 />Iii1 BUILDING
<br />
<br />PERMITS REQUESTED
<br />$ 307/ 851,00 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 />76( //r1- /ft./..--- (0 {/ i'V ( ~
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />$ 33;000
<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 AREAO YES 0 NO
<br />
<br />~r'71"'"'i"'r""""'~'"""'"" r 10-'.'-"1' i"'"..""'"..... .", ,-,. -"- -'-.- " --'- ,. _'_j"_''''I'.,,,,o'''''''''''I_1 ','.,'1,"1'1", '1"''', 1['1 ""''''''I-rl.'l'
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<br />EUILDER
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<br />COMPANY Ct s II omc GH"-r - LE I\IN /J /L
<br />STATE CERT OR REGIST # CBCI::lS;l<;:Uo
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<br />ELECTRICIAN ~ ,'7 I d . COMPANY .::Tt3C CC-G:C'1'tf!:./ ~ 01= M""'1:7t1',:
<br />
<br />SIGNATURE ~/ /-&"1 STATE CERT OR REGIST # EC /300 I B 8 (,
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<br />******************************************************************
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<br />******************************************************************
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<br />SIGNATURE ~, ~
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<br />l'LtiMBER
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<br />COMPANY Ilt<fllv/l.. SC#t...EP7"'~
<br />STATE CERT OR REGIST # ere Oljl? :<./
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<br />*****************************************************************
<br />
<br />OTHER I<OOf'IN~>~'~
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<br />SIGNATURE /: L~ ~ ,n
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<br />COMPANY C. S,-er<LIA./?-
<br />STATE CERT. OR REGIST # C Ce..O 5199 /
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