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<br />0?-9.
<br />
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021 4- \ tf -OCa
<br />DATE RECEIVED
<br />
<br />PHONE CONTACT FOR PERMITTING (iJ/3) 690 -18 8S'
<br />
<br />~\6~tA K.tt(
<br />OWNER'S NAME fA S J/ome
<br />
<br />JOB ADDRESS UlJ\.r 1S
<br />
<br />UIt//Ofl/lf/Orl- Le"{/A/A~ PHONE 81~ - ?t,9 - 5".;)'7'7
<br />.
<br />
<br />~ I~ (J!! <2S (Yl()....LQ:u; I-n
<br />SUBDIVISION GiLntVO /;tt'J:. -;;''''lItI.n1~.s
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />
<br />PARCEL ID #
<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 />'l'5d "TOW,Vff 0,,,>\,:;-5
<br />)t-"MYL'l'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 />DESCRIPTION OF WORK '10 W,VltomF!
<br />BUILDING SIZE nlo..S I 'l (03. 3 \
<br />
<br />SQUARE FOOTAGE
<br />
<br />\ S"l ~~~
<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 />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />PERMITS REQUESTED
<br />$~~ 71 g f{ .00 VAL?ATION OF TOTAL CONSTRUCTION
<br />AMP SERVICE ~ Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />$ 33 O~
<br />l
<br />o SPECIALTY
<br />
<br />1o~L 4~L- 10
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />o OTHER
<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
<br />
<br />~" "1'~''i'''lli'Tlll t'"., '~",j ''''I~''''' r- ~I~l-.' ~ .....,~,"1 CO'j'l ~r ~" r rr'~~" 'I '"I If 1- ~- -r-~~~~' r__ -- -- ~ - ~ - -- 'j' ,~~ I I~' 1"1 1 j ~ ,,.., 1 " ,'- 'j I -I f'I"" II -.".."rtml"II'''1
<br />11'1 ,," ,',,:' ""',," , ,,' ':', 'I, ,II'" , , ',,' I, , "',', ' , , , I ' , " ",," "", "" ","', I'll 'i" ' " I"" ::1' "'(,q"Jlii;1i,d'fl
<br />:J!i.Ji'~.1J.GiW ~~~/ ~"~_,,".'_~_LJ~!:I~ ,-,1'.._., ".~',:," ,.:.l...'__ _____ _. .".. .'. " .- J.J..~~~L~c -- .:.:.....c'~."' /1, .~'~L"__;l\ ',.s..: 1.,c~~~Jiclfl1~':
<br />
<br />SIGNATURE
<br />
<br />
<br />COMPANY tI S ;I om~ (1H"'--r - LEN/V /1 /Z-
<br />STATE CERT OR REGIST # C.B C I ;; 5:2 '1:10
<br />
<br />BUILDER
<br />
<br />/
<br />
<br />******************************************************************
<br />
<br />ELECTRICI~ ;;;;Jhl / 4_./ COMPANY .:Ti3C CLif'C."'<1 Go 01' ";''''1''-9 ,
<br />SIGNATURE ~~ ~ STATE CERT OR REGIST * E.C /300 I B 8 (,
<br />************ ****************************************************
<br />
<br />PLUMBER
<br />
<br />
<br />COMPANY Ilterf/v/!.. S'c.fi t...E /l'71'J ~
<br />STATE CERT OR REGIST # ere 0 l./ / ? ;< /
<br />
<br />SIGNATURE
<br />
<br />*******;J~********************************************************
<br />MECHANICAL 0.'/ d ~.,.#/ COMPANY A SrEp/'W/f- S-rO"'~
<br />
<br />SIGNATURE. r'" ~ ~ STATE CERT OR REGIST # C 1'1 coSO t.//O
<br />
<br />t>
<br />
<br />*****************************************************************
<br />
<br />OTHER ^'OO:Z2u 4
<br />SIGNATURE 0-/ .. . ,-1/(
<br />,/
<br />
<br />COMPANY C. S-ret<t./N6-
<br />STATE CERT' OR REGIST # C ceo 5199 /
<br />
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