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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUliLDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:S13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />6~,29' 0 (f <br /> <br />0);~ ~ <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) g90 -18 8.J' <br /> <br />JOB ADDRE 8 S <br /> <br />U It po 1ft" r/ 0 r/ - te A/ /f/ AI2... <br /> <br />A().~IY\ /,rmJ. <br /> <br />~~ BLOCK ~ <br /> <br />, <br /> <br />- CJr:li).. 0 ZSO <br /> <br />PHONE 81 ~ - ?t. 9 - S";>'J~ <br />- r:,\d.S3- 0(")-.\-5 <br />SUBDIVISION GIt-i-9"vp ~/t'k.. -r;.UIVI-IoI11(;C.5 <br /> <br />OWNER'S NAME fA S //omG" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # 03.2.(0"1.1.. <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: )d'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"lZi '10w,oJilo......e.s <br />~"W:ilL'i'I PMlIL'i <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 />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />'/0 w;Vltom€! (YlorLeJ. ' (Yla(+,"n ,'lb fAe, <br /> <br />SQUARE FOOTAGE ~ HEIGHT 2{ f <br /> <br />DESCRIPTION OF WORK <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 />fqqf1ro,~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ 3\~~())L""'" <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <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 />BUILDER <br /> <br />COMPANY tiS' Home C!or'r-LENIV/I/Z- <br />STATE CERT OR REGIST # C.B C I ~ 5;2 t.j :2 0 <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY .:TI3C ca:?c""~/ c.. tJr Mm.~'1 <br />STATE CERT OR REGIST # EC /300 I B 8 b <br /> <br />ELECTRICIAN <br /> <br />PLUMBER .~~~***.*****.**.*****:::::::**;;::~:~*:;~:::~~*~*** <br />SIGNATURE~ ~4' STATE CERT OR REGIST # ere Ol.//?~/ <br />/'" <br /> <br />****************************************************************** <br /> <br />MESI GCNHANATUIRCALE . /;..~ // /?----- COMPANY A S"'Eto~llV~ SrOA/? <br />~~;?- STATE CERT OR REGIST # C 1"/ COSO t.//O <br />/ . <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY C. S-ret<I-/A1t- <br />STATE CERT' OR REGIST # C Ce..O 5199 / <br /> <br />OTHER <br /> <br />1<.00f"tN{,-- <br />