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<br />.~~\~ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 a!H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED t,.,t2 j?, ~~ <br />FOR PERMITTING (8/3) 690 -18 8S" <br /> <br />JOB ADDRESS <br /> <br />c.t.~ _ PHONE 81?J - ?'9 - S-.:1?'1 <br />_ __ 6\6.5 3- bn-,\- q ~~;\ <br />~'1 BLOCK e5 SUBDIVISION GiLn,v.o ~tt'j:. --r;~"NrlO,.,,/;"j <br />. <br /> <br />. c:J.Xf1)- 02,90 <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />OWNER'S NAME fA S' /10 m ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # 03'2b.:2J- <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 /> <br />'l"Ri 'To w ,v,;! a,'l\ e-S <br />)'-'MUL'ff PMlIb'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 />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />-'0 W,V ita (Y1 €! ill Dd eJ S+-, Cro i '/- <br /> <br />SQUARE FOOTAGE J 3'12... HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />21 ' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~bC ----- <br /> <br />~ BUILDING <br /> <br />PERMITS REQUESTED <br />, ~.3 ,52.0 I ~ 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 />$ 3,300./ <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: QI 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 AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY tiS /lome C1fC.-p-LENN/I/'L <br />STATE CERT OR REGIST # CBCI:;S;).</:l./o <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~. ,~~ <br /> <br /> <br />SIGNATURE ~~ <br /> <br /> <br />* * * * * * * /-@/fL--//.~:;; * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />COMPANY flt<fllv/1. S'cfiLEH7I'l~ <br />J{ t!t. . <br />STATE CERT OR REGIST # ere 0 l.) / ? ~ / <br /> <br />COMPANY .:TI3C CLt::C'1'~1 G at: Mm~tIf <br />STATE CERT OR REGIST # f,C /300 I B 8 b <br /> <br />PLUMBER <br /> <br /> <br />SIGNATURE <br /> <br />***************************************************** <br />COMPANY A S-rEjO/ll//C:- SrOA/iF <br /> <br />STATE CERT OR REGIST # Ct? c 0501.//0 <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />I<OOF/~?- . <br /> <br />SIGNATURE ~ / //j <br /> <br />COMPANV C. S-r(?;(1-/N6- <br />STATE CERT' OR REGIST # CC C. 0 5199 / <br />