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<br />(?)a-r? <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 />PHONE CONTACT FOR <br /> <br />DATE RECE IVED 4 - I L\ - 0<0 <br />PERMITTING (813) 690 -1885" <br /> <br />t\) ~l t\\ l~ (f <br /> <br />OWNER'S NAME fA ~ /I01J1G' Utt~(l4-r/Or/- U"'!.,(/AI2... <br />,~~ <br /> <br />LEGAL DESCRIPTION: LO;(S) ~'(~. BLOCK ~ <br /> <br />PARCEL ID # ('J~"'l{p- 2..\- 'S~$~...60000~ ~\ffO <br /> <br />WORK PROPSED: )lj'NEW CONSTRUCTION <br /> <br />PHONE <br /> <br />81~-?~9- 5'';;?') <br />rn~~ l-n <br /> <br />JOE ADDRESS'Jtlll'" S'"' <br /> <br />5 <br /> <br />SUBDIVISION Gu.i-u'/o ~/tj:. "';.,,/VHomc-,S <br /> <br />{OBTAIN FROM PROPERTY.TAX NQTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br />''r5d 'To w,oJlI 0."1\ e.5 <br />p#lJL'l'! PMlIbY <br /> <br />o DEMOLISH <br /> <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK '10 WlJltom€S <br />BUILDING SIZE J}~{ I "- (03.. '3 \ <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />( <br />2/ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />lii:1 BUILDING <br /> <br />PERMITS REQUESTED <br />$~lo ~,<t~/.c() VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ s3000(- <br />\. <br />o SPECIALTY <br /> <br />~1"4L~L \0 V~I.~ <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: III 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 />BUILDER ~2 ~' ~ <br /> <br />SIGNATURE ' ~~~/./ , <br />/ <br /> <br />, ****************************************************************** <br /> <br /> <br />ELECTRICIAN L,/ ~ d. COMPANY .;T/3C CU~C""" (. at" "1;,,,,,/,,'1C <br />SIGNATURE~ STATE CERT OR REGIST # EC /300/B8b <br /> <br />COMPANY ClSllomc C!DI-c..r-LENN/I/Z- <br /> <br />STATE CERT OR REGIST # CB C I ::t 5;;;' t.j :)(0 <br /> <br />****************************************************************** <br />----? <br />PLUMBER ~~~-A~/' COMPANY lli<fHrJ/l. Sc#t..EH7"~ <br />SIGNATURE . /6:~{A~ .. ~. STATE CERT OR REGIST # ere 0 l./ / ? :<. J <br />~****************************************************************** <br />MECHANICAL '. ~ ........- -~.::> /-, ..'. COMPANY A SI'E~/ltVrf- SroJ/iF <br />SIGNATURE,'~#~--- STATE CERT OR REGIST # CrlcoSo'l/O <br />,/",,,,- <br />//" <br /> <br />***************************************************************** <br /> <br />OTHER {<:O ~. .- <br />SIGNATURE ~.. 24 ~ <br />/ <br /> <br />COMPANY C. S-re-;t.t..IAJt- <br />STATE CERT'OR REGIST # CC c:.. 0 5199 / <br />