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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
<br />
<br />DATE RECEIVED
<br />
<br />Y-IL.\-o<.o
<br />
<br />PHONE CONTACT FOR PERMITTING (813) g90 -1885"
<br />
<br />~fAh~ IQut$
<br />OWNER'S NAME fA ~ /I01J1G-
<br />
<br />JOE ADDRESS~t.\\"1 t\.
<br />
<br />u;ep;fl4f/orl- LeA/AlAr2..
<br />
<br />. MJrilbJrAcN. -JjJ
<br />
<br />LEGAL DESCRIPTION: LOT(S)~L\ BLOCK ~
<br />PARCEL 10 # ()~.. 2.\0.. 2\" ., ~ ') S .. OOOCf) - ~'1~ 0
<br />
<br />PHONE
<br />
<br />81~-?~9- 5.;;>'7']
<br />
<br />J:;\:~
<br />
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<br />
<br />SUBDIVISION Git.H,vd ~I'l'j:. ~~,wHon1?j
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICE)
<br />
<br />WORK PROPSED: ~'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 />. 'I"'iZl' 'low.vil O('l\E"s
<br />PMUL'fI PMlIb'f
<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 "0 WAJ/tom€S
<br />BUILDING SIZE \3~..5' '(. b,.. 3
<br />
<br />SQUARE FOOTAGE
<br />
<br />\.< !VIo
<br />,
<br />
<br />HEIGHT
<br />
<br />2 \ I
<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 />~ BUILDING
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />$ 3101 \ 1}f(' -
<br />
<br />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 />o SPECIALTY
<br />
<br />T()~ 11it.L- l~ () ~hl~
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />$ ~~\~~
<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 />EUILDER/< . {j/
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<br />SIGNA;URE ~ . .
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<br />COMPANY tiS lIom~ al~-LEN/V/1/l-
<br />STATE CERT OR REGIST # CB C I :; 5;;' i./ :Uo
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<br />******************~***********************************************
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<br />ELECTRICIAN ~jd' /Z _./ . COM~ANY ;Tl3c CU"'C"""" <. 0,<' ?rim!,,,,
<br />SIGNATURE~ . STATE CERT OR REGIST * [C /300/B8b
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<br />SIGNATURE
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<br />COMPANY Il ~:rll v/t. Sell L€ H71'/ ,J
<br />STATE CERT OR REGIST # ere 0 lj I? ::l.. /
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<br />PLUMBER
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<br />SIGNATURE
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<br />/ ~/, . L-- COMPANY A SrEf'I"IM'" Sro,vg-
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<br />~ vt4 STATE CERT OR REGIST # CI"J coSo '-//0
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<br />MECHANICAL
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<br />*****************************************************************
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<br />OTHER ;eooF~~~f
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<br />SIGNATURE ~.~ ... ...-;f.
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<br />COMPANY C. S-re-t<I-IAI&-
<br />STATE CERT. OR REGIST # C Ceo .5199 /
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