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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUHDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~; -,~y- tl~ <br /> <br />.... <br /> <br />Pi~ <br /> <br />PHONE CONTACT FOR PERMITTING (813) e90 -18 8S" <br /> <br />JOB ADDRE S S <br /> <br />~ -<po"" r, 0"/- Ie J;;12.- <br />A(.\({) I~ r\.. r<n d <br />;;J..}'. BLOCK ~ <br />-OCJ::lX)'" 01.%0 <br /> <br />PHONE 81 ~ - ? ~ 9 - 5',,;)'7 '7 <br /> <br /> <br />n . <br />b\c\S 3 - 0n-,\- <6 <br />SUBDIVISION GILi<9tV'O ~/t'k. ~."NHot1lt;.s <br /> <br />OWNER'S NAME fA S' /10 mE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # 634 Z-b-Zl- <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: )l;fNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />o REPAIR <br /> <br />[J INSTALL <br /> <br />o MOVE <br />'l"5li 'Tow,v+lo,.....e-S <br />)4-".w01 PI PM n L 'f <br /> <br />o DEMOLISH <br /> <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOM <br />[J OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APpROVAL, <br /> <br />DESCRIPTION OF WORK -roWA/HomES mOOed Sles.kk'~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE --1..!.a.l.o.3- HEIGHT;; I ' <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 />6(1 BUILDING <br /> <br />PERMITS REQUESTED <br />1t.. q Q,1r;o, e52- VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ g 300./ <br />\ <br />[J SPECIALTY <br /> <br />VALUATION OF 'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: II BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY CIS /lome a'''r-LENN/I/!- <br />STATE CERT OR REGIST # ell C I :; 5;2 t! :2 ~ <br /> <br />****************************************************************** <br /> <br /> <br />PLUMBER <br /> <br />COMPANY /lttfHv/!.. SC.llLEP7I'J~ <br />STATE CERT OR REGIST # ere 0 i./ / ? ;( / <br /> <br />~....... .. ................................................... <br />MECHANICAL ~ , ~ COMPANY A S-rE,:J/'IIIItf- S-rOA/& <br /> <br />SIGNATURE A to: / ---... STATE CERT OR REGIST # C I'j coSo 'I/O <br /> <br />v . <br /> <br />***************************************************************** <br /> <br /> <br />OTHER r<~ COMPANY C. S~e'<'-IA/6- <br />SIGNATUR2/_~_nT- STATE CERT' OR REGIST # CCc:..05199/ <br />