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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 B.... St, Zephyrhills, FL 33542 <br />B13-7BO-0020 FAX:B13-7BO-0021 <br />DATE RECEIVED 9'-/3-0(0 <br /> <br />PHONE CONTACT FOR PERMITTINc{ "'8)927- 9'3// <br /> <br />I ~l?S Mom~r~tli~i <br />OWNER'S ~MR, Pl17RlCli fI, MARSELLI1 f NJ!~. Mile/I: R, rreRf.l1!/) - PHONE ('3"/3) "l73-/0/0 <br />" ,I / M/lIlSe'-iA <br />JOB ADDRESS p,~ CoRNER. ",of B AvE: ,f" J9thSf/lEE,7 2 DUPLEXEC; 4- LlNITS <br />I <br />LEGAL DESCRI~TION: LOT(S) 15 f /6 BLOCK z,s <br />, <br />PARCEL ID # .l/d-Z~rZ/-Dt?/O-OZ500-o/S0 <br /> <br />SUBDIVISION MooRE. '5 FIRSt ADD/7/oA/ <br />(ORT~TN FROM PROPF.RTY T~X No~~r.~l <br /> <br />WORK PROPSED~ DNEW CONSTRUCTION <br />DSIGN <br /> <br />D ADDITION <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />PROPOSED US*: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />JE(MULTI-FAMILY <br />D INDUSTRIAL <br /> <br />A:1# OF UNITS 4 <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION QF WORK NEW l.oJ/STRt./C7/Cl/ll 7wI'? DUPLeXE<:;) t:t:7uR LlN/.75 <br /> <br />BUILDING SIZ~ 3tJ~~7'EIY'Vel,ap.E SQUARE FOOTAGE 24oCJ~,r:, !:Act! HEIGHT 15'-(:;" <br />,&/)6 _ <br />RESIDENTIAL:~i ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO <br />IF SIGN PE IT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />'-( -q(l"3./ <br />~,1f .. " ~.I <br />PERMITS REQUESTED ~~ ~......;7 <br />VALUATION OF TOTAL CONSTRUCTION SL.L\9'5 ~.Qb,6D. <br />m~ <br /> <br /> <br />)3:1 BUILDING <br />lZf ELECTRICAL <br /> <br />$ ZOC?OJO ~ &Ie> <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />l% PLUMBING <br />~ MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS D ROOFfNG D SPECIALTY D OTHER <br />TYPE OF' CONST~UCTION:,Rf BLOCK D FRAME D STEEL D OTHER <br />FINISHED FLOO~ ELEVATIONS 8" ,()8?t/E C.POwN IS PROJECT IN FLOOD ZONE AREAD YES D NO <br />OF l!.oAf) <br /> <br />~~~"w CavqR<lC~&i lAIC," <br />STATE CERT OR REGIST # CBC0270S0 ~I <br /> <br />BUILDER <br /> <br />PIitlMBER' <br /> <br /> <br />SIGNATURE <br /> <br />, ~ <br />COMPANY -1n~ ~eekn~ <br />STATE CERT OR REGIST # &::-/SOD/yq-;J <br /> <br />SIGNATUF:E <br /> <br />'MECHANICAL, <br /> <br />SIGNATURE <br /> <br />* *************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />