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<br />cI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8TH at, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />DATE RECEIVED
<br />
<br />4 -IY -O(p
<br />
<br />S \ f~ '\1\ r:.tIi
<br />OWNER'S NAME fA ~ /10m [ Ult,;/O,fl/ff/or/ - Ie A/AlAI2.. PHONE 81 ~ - ?~ 9 - S-.;?~ '7
<br />JOE ADDRESS "lH' ~ . ~0'l R.~. t\: '3 rro ~ c:>. Q Ln
<br />LEGAL DESCRIPTION: LOT (S) :243 BLOCK 'Q. SUBDIVISION E,,_l'9tVP /j/lj:, %.,,,VffOr1fI;.5
<br />PARCEL 10 # O~... Uo - '2 (- j $ ~ -S - GC>()OQ ~ ?l(30 (OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />PHONE CONTACT FOR PERMITTING (813) g90 -1885"
<br />
<br />WORK PROPSED: ~'NEW CONSTRUCTION
<br />OSIGN
<br />PROPOSED USE: DSGL 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 />'nd' '\ow...,;lo......E,s
<br />>,-,MUL'i'I PMlILY
<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 />
<br />DESCRIPTION OF WORK "0 w,vl!om€S
<br />-rG'tt\-L ,.." t ~ t I
<br />BUILDING SIZE ..lIW5 (~,~ ~
<br />
<br />SQUARE FOOTAGE ~
<br />
<br />HEIGHT
<br />
<br />2,1
<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(~ l\<6Sl. 00 VALUATION OF TOTAL CONSTRUCTION
<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 />--
<br />
<br />$ 33\~OCW
<br />o SPECIALTY
<br />
<br />,er,"- L A-L.\... ( Q ItS Ai ( ~
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />
<br />o OTHER
<br />
<br />TYPE OF CONSTRUCTION: II 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 />~"(I"'-'rr.'1,r"r""-'"I'" -. r"j'"'-' '-"-"-r""'o' ..""',..,, ., I" ,---- -,-..,-. . ...-- - - - - -.]"'''''''11 ,,,,,[,,.- "'I,"..",.r'] '"'' ""'r'''' -11'--""v'"'"rj'II'
<br />I'1II 11111 ( )11 I:,: ,,' \ f I '; I : I'I' I I , I I 11, II J 1,1 j I: I : I' III I" ,II III I I , : t ! ! III I j '11 I 111.r~ II ;:11 '11 +1 I II! I / \ : 'I I, I I ' II, :'1111 Ji )1,'1 : (II \ I \I;'!h ll; 1111, l ~~ ~'11Iil\I"lllrii;!.111!
<br />(~II ~ I, I' 111)1, II r 1111 I I, 'I" 'I I II ',I III '.1,1 I I 'f ' ' I I II I,ll, I II 1 'I, I I I , I j It 'I ,I I, I" I, /.'))1 '1111 I
<br />_1.:....l.CL~....._:..L_~ ~L..I.i.L. ~.:l~,..__~_1_...L.. ~1~~.",J.,~...._J._...l _ ...u.~............... ___~____ ______ __ _ __ ___ __ _ - - ------' ~...LL......................L,,~ l.......~''--__LL.:... _~~.l.l.....L~_~L.~~~l..:..J_L;.;.;.,!...~iJl;"w!
<br />
<br />SIGNATURE
<br />
<br />~~
<br />V //~'.
<br />
<br />COMPANY CIS #om'l: (j,,~-LENIV/1/L
<br />STATE CERT OR REGIST # CBCI::?S;;J.tj:Uo
<br />
<br />EUILDER
<br />
<br />******************************************************************
<br />
<br />SIGNATURE
<br />
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<br />COMPANY .:TI.3C ca:c-"'~/ c:::. 01= M/VljO'9 .... ..
<br />.
<br />
<br />STATE CERT OR REGIST # EC /300 I 9 B b
<br />
<br />ELECTRICIAN
<br />
<br />PLUMBER .... ~y:;.~~ ;". * * * * * *..... ...:::::: ..~;;~:~ .~::~::...
<br />
<br />SIGNATURE ~~ STATE CERT OR REGIST # ere Ol//?;Z/
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<br />******************************************************************
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<br />:::::: /<i?5ffz:{/C :::::":E"T,1O"";:::':4'; S;~u:oso </10
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<br />OTHER f<?o o~/~_
<br />SIGNATURE .~ ./"
<br />./
<br />
<br />COMPANY C. S-re~'-/A.J6-
<br />STATE CERT' OR REGIST # ccc:..05199/
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