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<br />~ <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 /-~l-~~ <br />DATE RECEIVED lp - <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) roC;o -18 8S' <br /> <br />PARCEL ID # <br /> <br />fA S' /10m G' U it,t-70 (l/?"-/ 0 rl - Ie A/AI At2... <br />Ii.~ ~rl1.J lafU.. <br /> <br />232. BLOCK ~ <br />O~.. 2,(p- 21>... -CIY:::X:J)" 2320 <br /> <br />PHONE 81 ~ - ? ~ 9 - 5..;;> r; '7 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION GiLi-It</P /j;t'J:. "";<,,,vtlOrl1~j <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: )ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: DSGL 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 />.~ '\ow,oJilo,lIE..$ <br />P~L'fI FMlIL'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 />10 W;Vf/omFS M.o~ 9-, ero; IC <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />2.1 I <br /> <br />DESCRIPTION OF WORK <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 />PERMITS REQUESTED <br />$ 8' 31f>2..D. ~ 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 />$~~OOJ ./ <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 />BUILDER <br /> <br />COMPANY CIS lIom~ al~-LENIVI1IZ- <br />STATE CERT OR REGI ST # CB C I :; 5::2 </ :2 b <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN d A' ; ~ COMPANY ::T13 C C Ui'C"," I <. a f' ?rim!,," <br />SIGNATURE~~/ STATE CERT OR REGIST i EC /300/98(, <br />**************** ************************************'k************ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY fl~.rH(/,1{. SClit..E/I'7I9A.! <br />STATE CERT OR REGIST # ere 0 l./ / ? ;;Z / <br /> <br />PLUMBER <br /> <br /> <br />*****************************************************k************ <br />~ t COMPANY A SrEf'/IA//f- Srou<c <br /> <br />, STATE CERT OR REGIST # C rJ COSO t../IO <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />:::::TUR:O~k <br /> <br />COMPANY C. S-re,<1-/It/6- <br />STATE CERT'OR REGIST #CCC05199 / <br />