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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />EUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />DATE RECE IVED 4 - I y- 0<0
<br />
<br />PHONE CONTACT FOR PERMITTING (&/3) gC;o -18 8S'
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<br />OWNER'S NAME
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<br />fA S' )j 0 IJ1 e Co tt~(l4-r/ Or! - Le -//,.(/ A/2...
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<br />fV1JIJ~~AJ'X
<br />
<br />LEGAL DESCRIPTION: LO~(S)~ BLOCK &.
<br />PARCEL 10 # 03~lk:.2J- ~S~~,. GOaxl- d~70
<br />
<br />JOE ADDRESS (),hT 1
<br />
<br />PHONE
<br />I) 11 .i:f
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<br />
<br />81~ - ?t.9 - S.:??')
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<br />
<br />SUBDIVISION GILHtVO ~tt'k. "";;.uNHMI?,S
<br />
<br />IOBTAIN FROM PROPERTY,TAX NOTICEl
<br />
<br />WORK PROPSED: }id'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 />. t'5d' 'Tow,'J~ 0.1\0:=-5
<br />l"-"#l:1L'l'I FMlIL'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 />
<br />DESCRIPTION OF WORK 10 WiV/tom€S
<br />
<br />BUILDING SIZE .l~o-.~ r 't fo,.3 ( SQUARE FOOTAGE ~
<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 />HEIGHT
<br />
<br />2l (
<br />
<br />~ BUILDING
<br />
<br />PERMITS REQUESTED
<br />$ "3(07, ir{ .(J) VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o ELECTRICAL
<br />o PLUMBING
<br />o ~lECHANICAL
<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 />Tn"t'A-L 4LL (D
<br />VAioA~foN OF'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />$ ". GOO i"
<br />
<br />TYPE OF CONSTRUCTION: DI 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
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<br />
<br />SIGNATURE
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<br />COMPANY tiS ;Iom'E art.r-LENN/I/'Z-
<br />STATE CERT OR REGIST # CB C I ;; 5;;1. 'I:lle
<br />
<br />EUILDER
<br />
<br />/ ******************************************************************
<br />
<br />
<br />ELECTRICIANb ~ COMPANY .:Ti3C CO:?C"-"I'- of' 7;."'1"'9
<br />SIGNATURE ---' STATE CERT OR REGIST # EC /300/98 b
<br />******************************************************************
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<br />..Y/ <2 ~ STATE CERT OR REGIST #
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<br />PLUMBER
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<br />SIGNATURE
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<br />*****************************************************************
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<br />OTHER 1<0 Or-1Mb- @ ~'
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<br />SIGNATURE .~. ~ ./
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<br />COMPANY C. S-reI<LIN6-
<br />STATE CERT' OR REGIST # C C c... 0 .5199 /
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