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<br />#1 :;.1 <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECE lVED to - :2 '7- .of <br />PERMITTING (8/3) roC;o -18 8S' <br /> <br />OWNER'S NAME fA S' /10 me <br /> <br />c,4JoMr,o~- UJ/;:d <br />If 0.'-0. ~ (\. ~ <br />2.-3 t}. BLOCK -' <br />~ r:tX5f'h.. 23LJ D <br /> <br />PHONE 81~ - ?~9 - 5..;;>r;') <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # 03 .1b- ))- <br /> <br />SUBDIVISION GiLi-It</P /j;t'J:. "";<,,-vHorl1~.s <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: '~'j'NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br />'1"ii '\ow,oJiI o,lIE..$ <br />~"#QL'fI PMlILY <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 />DESCRIPTION OF WORK -r 0 WAJ flom'S Mo~r .h n I j~1Pe.. <br />BUILDING SIZE SQUARE FOOTAGE _l1063 HEIGHT J, II <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 />PERMITS REQUESTED <br /> <br />~ BUILDING <br /> <br />$-.-1.9 l1~. ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />II Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ 3 300~ - <br />l <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 />SIGNATUR <br /> <br />n~/ <br /> <br />/ ., <br /> <br />COMPANY tts /IOniC Co,"-{'-LENN/1/L <br />STATE CERT OR REGI ST # CB C I ;; 5::2 c.; :J. 0 <br /> <br />BUILDER <br /> <br />/ ****************************************************************** <br /> <br />ELECTRICIAN~~ <br />SIGNATURE <br /> <br />COMPANY .:Tt3C CLt;;C'''~1 c.. tJ,t= M/I'1,r-';J <br />STATE CERT OR REGIST # EC /300 I B 8 b <br /> <br />****************************************************************** <br />) <br /> <br />SIGNATUR <br /> <br /> <br />COMPANY f!f{1"l/cI.1(. S'cllt..EP7I'J~ <br />STATE CERT OR REGIST # ere 0 l.J / ? ;< / <br /> <br />PLUMBER <br /> <br />MECHANICAL ~ <br />SIGNATURE /. . <br />/ <br /> <br />****************************************************************** <br />COMPANY A S-rEjO/'lIIlt/- SroAliF <br /> <br />STATE CERT OR REGIST # CI'J coSo t..//O <br /> <br />***************************************************************** <br /> <br />OTHER r<O~ <br />S I GNP> TURE / :....-------. <br />.-/ <br /> <br />COMPANY C. S-r-EI<L/A/6- <br />STATE CERT' OR REGIST # C Ce...O 5199 / <br />