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<br />{)?-~ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECE IVED 4 - I Y -OG <br />FOR PERMITTING (8/3) '310 -18 8S' <br /> <br />~\ ., ((1.0 \'1- <br /> <br />OWNER'S NAME fA S I/o me. <br />JOB ADDRESS \) i> \'r q <br />LEGAL DESCRIPTION: LO~ (S) ~ ~ <br />-2.\- ~ <br /> <br />U ;etfJO fl/lf/ 0 r/ - Ie A/AI AI2.. <br />. <br /> <br />~ <br /> <br />PHONE 812> - ? ~ 9 - 5',,;)'7 '7 <br />{Ill ~ q (r;:) ~w kn <br /> <br />PARCEL 10 # <br /> <br /> <br /> <br />SUBDIVISION G"..i'ir/p ~t!'j:. ~,,,,vHDt7Tt:j <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 />'1'5d' 'low,oJiI 0,..,,,;,,5 <br />)'-'#9L'1'I PMlIL'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 W,VltomE! <br />I"'JL f"*( I \ <br />BUILDING SIZE ~. S '(. lP3. 3 SQUARE FOOTAGE <br /> <br />L~' ~l.f~ <br /> <br />" <br /> <br />HEIGHT <br /> <br />2/1 <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 /> <br />$~ VAL~ATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E,C. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ 33 ()(j) { .... <br />I <br />o SPECIALTY 0 <br /> <br />\o'rA-L ,4LL- to <br />VALUATION OF .MECHANCIAL INSTALLATION <br /> <br />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 CIS ;/omc Cbrc'r-LENN/J/l- <br />STATE CERT OR REGIST # CB C 1::( 5;). (j :U,o <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICI~ 4 <br />SIGNATURE <br /> <br />COMPANY .:Tt3C C("'lFc-"'~1 G tJr MI'J-}I".7"9 <br />STATE CERT OR REGIST # [C /300 I B 8 b <br /> <br />SIGNATURE <br /> <br />~..**)*:-."""""""""""""". ************************** <br /> <br /> <br />~//~/ // - / COMPANY 1l~""II(/.t1.. S'cIILEP7I1,J <br />.//~ ~--, STATE CERT OR REGIST if CrCOl.J/?;Z/ <br />/' <br />/. <br />i/ <br /> <br />{' ! <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />~~~ :::::N:ERTAORS;:::,;4'; S;~U:OSo<//O' <br /> <br />MECHANICAL <br /> <br />~. <br /> <br />***************************************************************** <br /> <br />OTHER r< 0 0 f' 'f!Ji!i:;; -, - L / <br />SIGNATURE ~~ ~ <br />// <br /> <br />COMPANY C, S-rEt<1-.IN6- <br />STATE CERT OR REGIST if . C ceo 5199 / <br />