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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />DATE RECEIVED
<br />
<br />IR - j. O-IJ(;
<br />
<br />PHONE CONTACT FOR PERMITTING (8/3) gC;o -1885"
<br />
<br />OWNER'S NAME fA S IIOIJ1G
<br />JOB ADqRESS
<br />LEGAL ~ESCRIPTION: LOT(S)
<br />PARCEL 10 # 03"'210'2-1_-
<br />WORK PROPSED: ~'NEW CONSTRUCTION
<br />o SIGN
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />
<br />
<br />PHONE 81 ~ - ?~ 9 - 5".;;>'7 '7
<br />
<br />(/J
<br />- Cf'1li) 4 2..2-1 0
<br />
<br />SUBDIVISION Git-H,vP !9t/t"J:. --r;.,wHon1~j
<br />
<br />(OBTAIN FROM PROPERTY,TAX NOTICE)
<br />
<br />o ADDITION
<br />
<br />OALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o MOVE
<br />''r5l1 'Tow,'J+lo.-nE,s
<br />~#HL'U FJldHLY-
<br />
<br />o DEMOLISH
<br />
<br />o COMMERCIAL
<br />
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOM
<br />o OTHER
<br />
<br />BUILDIt'jIG SIZE
<br />
<br />SQUARE FOOTAGE
<br />
<br />DEPARTMENT APPROVAL
<br />
<br />madeJ, Sf.. UO'J 'I-
<br />13Q2-,
<br />
<br />HEIGHT
<br />
<br />~
<br />
<br />DESCRI~TION OF WORK
<br />
<br />c:J RESTAURANT & HEALTH
<br />"0 w,vftom€S
<br />
<br />RESIDEtj!TIAL: 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 />~ BUILD!NG
<br />
<br />PERMITS REQUESTED
<br />f)5'3 )520.~ VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br /> AMP SERVICE iii Progress Energy 0 W.R.E,C.
<br />$ ; 30~, ./ VALUATION OF 'MECHANCIAL INSTALLATION
<br />\
<br /> o SPECIALTY 0 OTHER
<br />
<br />o ELECT!1UCAL
<br />o PLUMBiNG
<br />o MECHMII CAL
<br />
<br />TYPE ot CONSTRUCTION: OJ BLOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />FINISHtD FLOOR ELEVATIONS
<br />
<br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
<br />
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<br />BUILDElIt //"//: /'
<br />SIGNA;~RE.~~ .
<br />
<br />COMPANY uS ;lame (hfc-r-LENNI1/'-
<br />STATE CERT OR REGIST # CB C I ::( 5;;J. <! :Uo
<br />
<br />******************************************************************
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<br />
<br />ELECTRicIAN t/ld <~ COMPANY .:TI3C CO;;U"/<:' 01' -;;,,,,1"'1
<br />S IGNAT6RE ~ 7//~ ,/ - STATE CERT OR REGIST * EC /300 I B 8 b
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<br />COMPANY 1lt<.'f"lIr//{. Sell LE /T7,-J,J
<br />STATE CERT OR REGIST # ere 0 l.//?:l... /
<br />
<br />SIGNAT
<br />
<br />
<br />**********************************************************
<br />L COMPANY A S7'Er"I"I4Iv Sroul'C
<br />
<br />. STATE CERT OR REGIST # CrJ coSo t./IO
<br />
<br />MECHAN CAL
<br />
<br />*****************************************************************
<br />
<br />OTHER
<br />
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<br />COMPANY C. S-ret<1-IN6-
<br />STATE CERT' OR REGIST # CCC05199/
<br />
<br />SIGNAT
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