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<br />0~vG ;)Yj <br /> <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 <br /> <br />~\. c.Q~(f <br />OWNER'S NAME fA S I/o m G" <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECE lVED Y -I y. - 0 "0 <br />PERMITTING (8/3) e90 -18 8S' <br /> <br />, <br /> <br /> <br />PHONE <br /> <br />812> - ?~ 9 - S.;?r; '7 <br /> <br />JOB ADDRESS \>\\ \ <br />LEGAL DESCRIPTION: LOT(S) d~\ BLOCK SUBDIVISION Gil..if#'o~tt'k. "';<"NHMT~;S <br />PARCEL 10 # D~- L(Q- -Z 1- 1~1J"j- C!tt:l:f:J...2~(G (OBTAIN FROM PROPERTYTAX NOTICEl <br /> <br />WORK PROPSED: }(;fNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />.. t'ld 'To w'J~ o,-n E..s <br />PROPOSED USE: OSGL FAMILY DWELLING )4-"MUL'f-r PMlILY <br /> <br />OCOMMERCIAL 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 APpROVAL <br /> <br />DESCRIPTION OF WORK '10 w,vitomE! <br />1 e'O\-L 310 ,.. ( ~ 2.. 'l.. t <br />BUILDING SIZE 1 ,.S 'I- -)....) <br /> <br />v~~ t<fill <br />SQUARE FOOTAGE .J ~ \ ~ "1 [) <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />( <br />HEIGHT --21 <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~ BUILDING <br /> <br />PERMITS REQUESTED <br />$ 3 ~ l( ~\\ .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 />i"'e'rAL \ ALL 10 '\)~ l l' S <br />VALUATION OF 'MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />$ 83,900..... <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 /> <br /> <br />SIGNATURE <br /> <br />COMPANY CI,s lIom'E CbI'<-f'-LEN/V/1/Z- l ,~", <br /> <br />\.--.. - <br /> <br />STATE CERT OR REGIST # CBCI;;;JS:;;J.<;:Uo <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICI~~. ~ <br />SIGNATURE ~ <br />*****~~******************************************************** <br /> <br />:::::RE ..fif/~ <br /> <br />COMPANY .:TI3C CGtFc--r~/~ a!= (;c,mr/11;"" <br />STATE CERT OR REGIST # EC /300 I B 8 b <br /> <br />COMPANY l!({fHv,/{, SCfiLEH7",.,J <br />,- <br />STATE CERT OR REGIST # ere 0 l./ / ? ;< / <br /> <br />i/ <br /> <br />*****~*~********************************************************** / <br />/, ,'~" /____ . <~ I <br />/'/4 /;;;~ ~ COMPANY A SrEf'J/IIV{f- SrOA/lF .' ; \ <br />.f~L~'I~ STATE CERT OR REGIST # Ct1 coSo t.f/O <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />./ <br /> <br />***************************************************************** <br /> <br />f <br /> <br />COMPANY C. S-r!?;{L/It/6- r <br />STATE CERT' OR REGIST # CCc.05?99/ <br /> <br />SIGNATURE <br /> <br />(<00 ("/ Nt.?' <br />c!-' "C,~ /./ / . It------ <br />..) ~. <br /> <br />OTHER <br />