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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />1~.1J/
<br />
<br />PHONE CONTACT FOR
<br />
<br />~ - ...., Q-~
<br />DATE RECEIVED ~ / ~
<br />PERMITTING (8/3) roC;o -18 8S'
<br />
<br />U 1t-,t-lJ (l;f 1'/ 0 rl - Ie AlAI At2...
<br />
<br />k,(llcf"- ~.
<br />~ 3S BLOCK (J
<br />.rrrPJ- 'Z35D
<br />
<br />PHONE 81~ - ?~9 - 5..;;>r;')
<br />
<br />OWNER'S NAME fA S' /10 m e
<br />
<br />JOB ADDRESS
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<br />LEGAL DESCRIPTION: LOT(S)
<br />PARCEL 10 # {f3 .l~# )(..
<br />
<br />SUBDIVISION GiLi-ItVP /j;t'J:. "";<,,-vtlOrl1~j
<br />
<br />(OBTAIN FROM PROPERTY,TAX NOTICE)
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<br />WORK PROPSED: JONEW 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 />''t';d '\ow,oJilO,lIE..$
<br />~'~L'fI 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 />Q1add (1}ari1" () i~'A~
<br />II _I _;;Z :1\ I
<br />FOOTAGE ~ HEIGHT ~
<br />
<br />DESCRIPTION OF WORK
<br />
<br />'/0 W,Vf/omFS
<br />
<br />BUILDING SIZE
<br />
<br />SQUARE
<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 />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br /> AMP SERVICE II Progress Energy 0 W.R.E.C.
<br />$ 3(300" - VALUATION OF 'MECHANCIAL INSTALLATION
<br /> o SPECIALTY 0 OTHER
<br />
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<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 />~~"-(,7,IIT'lr "," '":',1'"1'" . -,-' -'1' 'I"'r '" [,,,,,,, , "I' 1- ,--.... - ,,- " -' ')""' 'f' ""'" [I' ,n , I" '''', ,"," 'I' ", 'I"~ ':i'!?,"I"rll'
<br />~III I ,,' >"'1 ,', 'I 'I, ',', II, ,I,"! , , ',' [',' ;' [ 'l ' I , I ' " , " ,:', ,', I' " : ' ',' ':", ,I:' I :" I,' I I.': I ; I, : :(/11:11:,"1' :',jl,1
<br />~~~~L~~.."I.~~ ~ul _j:~._'~~_hJ~ ',L "...:..~ __" ~~~~,':'l __ ___ __ _.~_ _ '_ _ ,~-- ,"&..:J'__j~ '---~'~,':."" c!Jli_lc__'. L _d...',~h_"~lc~01'L
<br />
<br />SIGNATURE
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<br />
<br />'-
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<br />COMPANY CIS ;/omc ("'o,~-LEN/V/J/Z-
<br />STATE CERT OR REGIST # CO C I ;; 5;)" </:J.1c
<br />
<br />BUILDER
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<br />//" * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 'I< * * * * * * * * * * * *
<br />
<br />ELECT;;:'CIAN 4// A COMPANY .:Tee CtEC'1'.c1 (. 0'-: -;;"""1"'1
<br />SIGNATURE /AL.--/ ~4~/ STATE CERT OR REGIST # f,C /300 I B 8 b
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<br />
<br />~***,* ******* *************************************************
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<br />
<br />PLUMBER COMPANY 1lt1-'1'Hv.tt. S'c.#t..ER7t9~
<br />"
<br />SIGNATURE STATE CERT OR REGIST # ere 0 l.//? :<. /
<br />
<br />MECHANICAL
<br />
<br />
<br />****************************************************
<br />COMPANY A SrEjC7lhll/~ SrOAl&
<br />
<br />STATE CERT OR REGIST # CI'/ coSo t.//O
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<br />*****************************************************************
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<br />:::::TUR:O~~
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<br />
<br />COMPANY C. S ""&';(/...I AI t-
<br />STATE CERT' ORREGIST # C CC 0 51'19 /
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