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<br />f;20 <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 />DATE RECEIVED <br /> <br />Y--l Y - D(O <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) g10 -18 8S' <br /> <br />1\\4l't"u\ \th} 5" <br />OWNER'S NAME fA S /lomG' UIt/JOfl4f/Orl- LeAij/AIZ- <br />JOB ADDRESS ~~\\t to . MM.i}~~ ,to:- <br /> <br />LEGAL DESCRIPTION: LO~(S) A- BLOCK <br />PARCEL ID # ()3(02iD- 2..l- ~ S 5 S .. ~ - J ~bQ <br /> <br />WORK PROPSED: )1;fNEW CONSTRUCTION <br />OSIGN <br /> <br />PHONE <br /> <br />812> - ?6 9 - 5".;>'7 '7 <br />mCi..L~ \.-n <br /> <br />.{:1 Co <br /> <br />SUBDIVISION GIt..;"'po ~tt'j:. --r;wNHol11~;S <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br />'l'5d '10w,v?! Q,"lIe..s <br />)4-'.{l4.gL'i'I PMlIL'1 <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 w,vltomE! <br />BUILDING SIZE j ~~~' y. lD ~. 3 l <br /> <br />SQUARE FOOTAGE J~ {c.j(p <br /> <br />HEIGHT <br /> <br />Zl ' <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 /> <br />PERMITS REQUESTED <br />$ '3 ~ 7 1 15' I. Cf) 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 />$ 1>?~ 000. - <br />o SPECIALTY <br /> <br />'"fe, 4L ~lc.. (Q) <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: OJ 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 tiS ;lorne a,f....r-LENN/J/L <br />STATE CERT OR REGIST # CBcl::15;;1.C/:J.1o <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN d /7 /J ~ COMPANY ..::TI3C CG~'C-1'~/ c::. Or /rl/'l"lr'" · \, <br />SIGNATU," ~ ~{ STATE CERT OR REGIST * EC /3001B8b <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />/~~~ <br /> <br /> <br />c.- <br /> <br />COMPANY Ilt<ffltl,/{, S'c:fit..E/T7I'J~ <br />STATE CERT OR REGIST # ere Oi/I? ~/ <br /> <br />,/ <br /> <br />PLUMBER <br /> <br />/ <br /> <br />**********~*****.************************************************* <br /> <br /> <br />.~{~:;~ ' :::::N:ERTAORS;:::';AI~ S;~U:OSO</IO <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER 1<0 O{'tNb-.? /. - /~/ <br />~ ?'.?/ - <br />SIGNATURE .. /-y~ ?v., <br />./,,,,;/ <br /> <br />COMPANY C. S-r/?I<LIN6- <br />STATE CERT' OR REGIST # cc c:..o 51Cj9 / <br />