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<br />
<br />LEGAL ~ESCRIPTION: LOT(S) ~~~ BLOCK ~
<br />PARCEL iI D # 63... 2.10 .2..1 - - fXXX1) . 7'121)
<br />
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
<br />I 813-780-0020 FAX: 813-780-0021 6 - :l9-d?
<br />,.I DATE RECE IVED - - ,-
<br />
<br />! PHONE CONTACT FOR PERMITTING (8/3) 6'90 -188...)'
<br />
<br />PHONE 81 ~ - ?' 9 - 5",;;>'7'7
<br />
<br />SUBDIVISION GiLH,vP ~It'j:. %,ulvHM1~J
<br />
<br />(OBTAIN FROM PROPERTY,TAX NOTICE)
<br />
<br />WORK PRlOPSED: )d'NEW CONSTRUCTION
<br />OSIGN
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />PROPOS~D USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o MOVE
<br />'l'5d 'Tow,v~ o,-nE,s
<br />Jo'-"MYL'ff FMlILY
<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 />SQUARE FOOTAGE
<br />
<br />DEPARTMENT AP~ROVAL
<br />
<br />r!JocLeJ- . s+. frDi y-
<br />13q1-
<br />
<br />HEIGHT
<br />
<br />21'
<br />
<br />I
<br />DESCRI~TION OF WORK
<br />BUILDIN~ SIZE
<br />
<br />c:J RESTAURANT & HEALTH
<br />'10 w;VitomES
<br />
<br />RESIDENITIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />COMMER~IAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
<br />IF SI~N PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />~ BUILD lING
<br />
<br />PERMITS REQUESTED
<br />sA g-=3J S2D. ~ VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o ELECTRIICAL
<br />o PLUMBING
<br />o MECHANIrCAL
<br />o GAS PROOFING
<br />
<br />AMP SERVICE
<br />
<br />00 Progress Energy 0
<br />
<br />W,R.E.C.
<br />
<br />$ ~ \. ?> 00 . /"
<br />
<br />o SPECIALTY
<br />
<br />VALUATION OF 'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />TYPE OFi CONSTRUCTION: QI BLOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />,
<br />
<br />FINISHEb FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
<br />
<br />~uil'.tl'"I'"'lrr'rlr t..I....',I'"".~-n - 1-'~1~1"'''' -~1-~I'~'tJ' '~'111~''''~1 ~I 'I ,-- _.-.~ ,-.-- ~- ~ - - ~ - - II"~II N r'~~II'*11 ' 11,- '-, "I'r'-I" In'....', ~11'-~"!l"1"I!"!{~!P.l'll'
<br />pi I I, I } / 'I: I', I I " II', I I I 11,)1 l ' I I' II I I I I I I I, I ' " I I \ I I, I ' I II I, rI f' t, I, I I I' III I, I I I III I III' I i~ "1 '"lIt 1 i'l! ,1~'11
<br />Ili!lll 'I,I;,~I \' ,11'11 i>V I Jill i,l" I I ' : I' i I I j II I ,II II , ,I I , ., I' , , I I: ') I'I I' :' I 'II II' ii' I; I Ii I,' / I,' II 11'/,' 'f I I~ 'd1'i1jiwl,'jJ,
<br />_..l:...,;....J~_~..._ _:;JUl.' ..i.l~llol~....-,....o;...J._J...::JL .11~_...1 _~_ _ ......._.....l-'"--"'-..:_ _____ _0..________ __ _.. __ _ _ _ __...._ L...l-J....~~ _:L.! l......-L...ll..........__~/.L... __I-~_I....L: ~L _.J.-.......j.:..u_;:..oJ.....w:...:..:.....~J; I,
<br />
<br />SIGNATURE
<br />
<br />Ed.
<br />~//~
<br />
<br />-- '
<br />
<br />COMPANY tiS lI()m~ al~-LEIV/l/IIIL
<br />STATE CERT OR REGIST # CB C I:; 5;). i.j:J. to
<br />
<br />BUILDER!
<br />
<br />******************************************************************
<br />
<br />ELECTRI~I~ ~ COMPANY .:T13 C C U!?C-r '" I G 0 I' /;;"'1""
<br />
<br />S IGNATUh . ,,*.:::tr. .~** H ** "* ** "* "*. :::::. ::::.~:. ::~~::.:.:'~ ~~~: I B 8 (,
<br />
<br />%
<br />PLUMBER '.// ,
<br />
<br />SIGNATU~E . ~~
<br />1;/
<br />4-
<br />MECHANI AL
<br />
<br />COMPANY lli<fHrJ/l. S'c.#LEP7I1-J
<br />STATE CERT OR REGIST # ere 0 i./ J ? ,;;:( /
<br />
<br />OTHER
<br />
<br />
<br />*******************************************
<br />COMPANY A S-rE;O/'ltVC-- SrOA/tF
<br />
<br />SIGNATU E
<br />
<br />STATE CERT OR REGIST #
<br />
<br />ct?COSoi.//O
<br />
<br />*****************************************************************
<br />
<br />COMPANY C. S-r(3t<I-IN6-
<br />STATE CERT' OR REGIST # CCc. 0 5199 /
<br />
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