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<br />
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI1'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021 / - --1a_ IL,.
<br />..1 DATE RECEIVED (0 ex. L Or-
<br />
<br />! PHONE CONTACT FOR PERMITTING (8/3) <390 -18 8.J'
<br />
<br />OWNER'S NAME US' /Iome
<br />
<br />C.~400r/- !e::d.1l.
<br />~Q l~f\ ~
<br />;23 f. BLOCK 0
<br />
<br />,
<br />
<br />-(X;:(X'y).. 1-3RO
<br />
<br />PHONE 81~ - ?~9 - S~'7'7
<br />
<br />JOB ADDRE S S
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />PARCEL 10 # 03 "'2b~ 2J ..
<br />
<br />SUBDIVISION GIt.i"Ir/o ~/l'j:. ~wlllrlMll;"j
<br />
<br />(OBTAIN FROM PROPERTY,TAX NOTICE)
<br />
<br />WORK PROPSED: JONEW CONSTRUCTION
<br />OSIGN
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o MOVE
<br />'t'5li '10 w ,oJlI 0....... e-S
<br />y...>M{JL'fI FMlILY
<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 AP~ROVAL
<br />DESCRIPTION OF WORK '10 w,Vlfoml'S aJoQe"l S les~ ~
<br />BUILDING SIZE SQUARE FOOTAGE \ lob3 HEIGHT:l \ 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 />Ii1 BUILDING
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />PERMITS REQUESTED
<br />$~ VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />~ Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />$ 3t 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: 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 AREAD YES 0 NO
<br />
<br />~ml~"I''''''''1f'-lr'T'''~'''"'''1 t"'1~~' ~~ r IN""~ --"l ~~I'l'r!, '" r't1~." ~I '-1 If 1--- -r-~"- ~r- ~,..._- - v ---~ -~ 'll'~rl' If t'1 II r r~' I ~I 'r,' .' "Il~ ~I'~ enn't '~II r---rr~l'~Wf;1flll
<br />j!'tJi""""~,,,: \,':':i':',',":", '1",1'1' ",'" I'i,' ' ,,' ",', ' ',: I ' ' ' I, " 1'1111 ': ,", ","~" ,", ';:-':":1',,11::1':,11,: :',',!I";i:,::,~~,,, '!'ili'i;:k:i"I"i
<br />
<br />~1!j~~~l~I~.~~L:"jL~~s.J~J~~L dL!...I._~.I~.I_.l._~,,-I~L___ _~ __ __ __ __ _ I _ i'l-~~ ~J.,~L~~ L~..L:-.:~!..!.~ 11Lr:~..LL~.ll,I~_D.Jj~~~~~cljj:;u:J,
<br />
<br />BUILDER
<br />
<br />
<br />COMPANY CIS' lIom'1: a/~-LEN/V/I/L
<br />STATE CERT OR REGIST # CB C I ;;; 5;), </:J. to
<br />
<br />******************************************************************
<br />
<br />ESLIEGCNATRTUICREIAN d /l h7 ~_ COMPANY .:Tt3C C~~C~"I G at' /;,"'1"'1
<br />~~~ STATE CERT OR REGIST # E.C 1300/98(,
<br />
<br />******************************************************************
<br />
<br />PLUMBER
<br />
<br />
<br />COMPANY 1li<,rH fI/l. SC.# LE P71'J ~
<br />STATE CERT OR REGIST # ere 0 l.//? :<.. /
<br />
<br />SIGNATURE
<br />
<br />******************************************************************
<br />COMPANY A SrE;O/IIV~ SroA/F
<br />
<br />STATE CERT OR REGIST # C rJ CoSo 1.//0
<br />
<br />MECHANICAL
<br />
<br />*****************************************************************
<br />
<br />:::::TUR:O;~/
<br />
<br />COMPANY C. S-rE;t.L/AJ6-
<br />STATE CERT' OR REGIST # C cc. 05199 /
<br />
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