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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 BD St, Zephyrhills, FL 33542 <br />B13-7BO-0020 FAX:B13-7BO-002l <br />DATE RECEIVED 9'-/3-0(;:, <br /> <br />PHONE CONTACT FOR PERMITTINc{'?/3 )927-93// <br />.' '^.. I , , ()(...l)ou& ~ <br />/ le\"t:? 6 ~~",.dy)..,-p p,. 33(,)47 <br />OWNER' S ~AME MR,PII7R/CG II, MIIRSELLJll If- N~5~ Mllf!)€ P.,r;"ERAf?/) - PHONE (~/3) 173-/0/0 <br />;' /1 I M/lRSettA <br />JOB ADD SS S.~ CoRHER.. a-f B AVE: f Jt}th.5(;<EET 2 DUPl&XE~ 4- L./}/IT.5 <br />I <br />LEGAL DE CRIPTION: LOT (S) /5 f /6 BLOCK ZS <br />, <br /> <br />PARCEL I # Id-2h-Z/-OO/O-02500-o/S0 <br /> <br />SUBDIVISION MOORE. '5 FIREr j) DDJ//oA/ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PRO*SED: (JNEW CONSTRUCTION <br /> <br />(J ADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br /> (J SIGN (J MOVE (J DEMOLISH <br />PROPOSEq USE: (JSGL FAMILY DWELLING pq'MULT I - FAMIL Y ~# OF UNITS 4 (J MOBILE HOME <br />i <br />i (J COMMERCIAL (J INDUSTRIAL (J SWIMMING POOL (J OTHER <br />I <br /> <br />~ BUILDING <br /> <br />I c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPT~ON OF WORK NEW CoJ/STRt/C7/t!J/Y 7WLJ DUPL.cXEc;.; ,FcJu~ LJ/V/75 <br /> <br />BUILDING ISIZE 3?~ 5r7' EIYI/ELt),PE SQUARE FOOTAGE 24005, r=, !:Act! HEIGHT /5 ~ c:; " <br />, &~~ <br />RESIDENTI~: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCI : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S. <br />IE' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. Hm lot>t..c -Ci(t''3./ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />pOC- <br />-,' We. (ke& / <br />~..ULl\CO~ -/ <br />PERMITS REQUESTED ~~ ""t Ir~ ~ v <br /> <br />VALUATION OF TOTAL CONSTRUCTION 50-\::)"5 ~~b,6D. <br />m~ <br /> <br />$ 2a~tX>o, e>v <br /> <br />~J ELECTRIC)U, <br /> <br />~ PLUMBING I <br />r;il ME CHAN I ch <br />I <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />(J GAS <br /> <br />o OOFING <br /> <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />(J OTHER <br /> <br />TYPE OF C NSTRUCTION:~ BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />(J OTHER <br /> <br />FINISHED LOOR ELEVATIONS 8" 4BovE c..."ROwN IS PROJECT IN FLOOD ZONE AREA(J YES (J NO <br />OF l!.oAf) <br /> <br />c <br /> <br />CON'.rRA.CTO:RSECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br /> <br />SIGNATURE <br />f\1 .. p~ 7/fIC.F 1-l..MI1R5etL..,14 YICe=- ~~..s <br />****************************************************************** <br /> <br /> <br />STATE CERT OR REGIST # CBC027tJ.so <br /> <br />Jlc. Di) <br /> <br />SIGN1\TURE <br /> <br /> <br />C'" <br /> <br />COMPANY <br /> <br /> <br /> <br />ELECTRICI~ <br /> <br />STATE CERT OR REGIST <br /> <br /># EL-150Dr:1~;J <br /> <br />****************************************************************** <br /> <br />SIGNJ~TURE <br /> <br />~ <br /> <br /> <br />COMPANY <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGN1\TURE <br /> <br />****************************** <br /> <br />MECHANI <br /> <br />STATE CERT <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />