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<br />(69-0 <br /> <br />cI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />EUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED Y-IL\-00 <br />FOR PERMITTING (813) g90 -1885" <br /> <br />.... <br /> <br />s\: c.flotX <br /> <br />OWNER'S NAME fA ~ /I01J1G' Ut!tiJOll4f/Or/- LeA/IfIAI2.. <br />iN't.A 'tk ~'i ,---f/JJ:- !t ,~ Lr-') <br /> <br />LEGAL DESCRIPTION: LOT (S) J ~ 2- BLOCK ~ <br />PARCEL ID # ()~~ tlo-~\'" -S~S~ .. ~ro- ~ttzO <br /> <br />PHONE <br /> <br />81 ~ - ?~ 9 - S';;'7'7 <br /> <br />JOE ADDRESS~f,)\\ a <br /> <br />mO-:.N~ L Yl <br /> <br />SUBDIVISION Gu,rlPP ~/l'k. "';wNHol11~j <br /> <br />(OBTAIN FROM PROPERTY , TAX ~OTICEl <br /> <br />WORK PROPSED: )aNEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br />'t'5d "To w,oJ+l 0'"'1\;:;,5 <br />,.....#l:lLTI Fi>>rlHL yo <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 APpROVAL <br />DESCRIPTION OF WORK 10 WiVftomES <br />BUILDING SIZE r~ ~..S"' 1- [,,3..?> I <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />d.1 ( <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 />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ 3 ill. ~ ~L.:- VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ 33l~OO<'" <br /> <br />o SPECIALTY <br /> <br />T.'n\- L 0 t= ,q..u.. L 9 <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY tiS I/omc C!I!H-c..r-LENN/I/L <br />STATE CERT OR REGIST # CBcl ;;;J5~</:J.1a <br /> <br />r/ <br /> <br />****************************************************************** <br /> <br />ELECTRICI~~~ <br />SIGNATURE ~ <br /> <br />COMPANY .::TI3C CLc:C''''~/ c.. ar: ;;""Y'~~ \~ <br />STATE CERT OR REGIST # EC /300 I B 8 b <br /> <br />****************************************************************** <br /> <br />/?~- <br />,;;.:iLA:IC :::::N:ER~~~H::G:'c; ~~: 0 ~ L 2:< / <br /> <br />// /":/ <br />/ ** ** * *~jr* ** * * *** ** **** * * * *** ** ** ******** **** * *** ******* ***** * *** ,,- <br />MECHANICAL. ~ ~ /...-, /L COMPANY A S'IEjO/llV(f- S70A/? J <br /> <br />SIGNATURE {/~~~ ~ C - STATE CERT OR REGIST # Cti CoSO t.I/O <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />:::::TUR:O O~;J?d4-r <br />//' <br />,,/ <br /> <br />COMPANY C. S)-rE~'-IAj6- <br />STATE CERT. OR REGIST # CC c:.. 0 5199 / <br /> <br />,.../ <br />