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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />EUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />'(}J;:r 3!---- <br />,~~ <br /> <br />DATE RECEIVED <br /> <br />6 -d2f-v6 <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) 510 -18 8S' <br /> <br />OWNER'S NAME US !lOI11G" <br /> <br /> <br />PHONE 81 ~ - ? (; 9 - 5".;)'7 '7 <br /> <br />JOE ADDRESS <br />LEGA~ DESCRIPTION: LOT(S) <br />PARCeL 10 # 03~2b>-21'" <br /> <br />o SUBDIVISION GILP,~O ~/t.'j:. ~~"NffOl1l1;;S <br />-Cfj::J:X)~ 2.2.5{) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~'NEW CONSTRUCTION <br />OSIGN <br />PROElOSED USE: OSGL 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 />'l'5li '10w,v,j 0,..... e-S <br />~MU1'fI 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 />DESC~IPTION OF WORK <br /> <br />o RESTAURANT <br />'/0 w;vftom€! <br /> <br />& HEALTH DEPA~MENT APPROVAL <br /> <br />t Ii odeA, m CL (-h n ," ~ l..te <br />SQUARE FOOTAGE J lo 63 HEIGHT 2.) I <br /> <br />BUILdING SIZE <br /> <br />RESI~ENTIAL: 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 />o ELECTRICAL <br />o PLUt-tBING <br />o r--JECH~NICAL <br /> <br />* PERMITS REQUESTED <br />$~ I~~I ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ ~ 300. - <br />\ <br />o SPECIALTY <br /> <br />VALUATION OF 'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: l3 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINIS~ED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~1"-"1'("'''11r1'''11': ")'..'.""';1['1"...1"-... - ,.. "M-'.--"-I"I:I'''''''7''~'' I 1n.......'..t "I I' !-,..---r---~Q- r-_....~_ ---- ___~r ---- - ~.]'I'...,.I' II' lr."~""IP rl ,~, 1'1 " ,~.- "1"1' --." 'rn~ 'I '.""""'rlrlVJ'7"I'lll' <br />1:11 'II 111 1 1111 'I; ~, I'll I I I II I II I I, " I' t I I" I') j I I , I I \ I Ilt[ I ,I I I r, ' II II , I' I' 'III, I 'I' I I' 'I' I II, IIII' HI It jI~llil'l ,,', I <br />'II I, I ,1111"11 'III :ti I f Jll ,I 1'111 I, 1'1 I II Ii,' 1111 III r" r' I ii, I I J' l! l I j I ' II' 1 I I II j'l I I" I I I) II' "1 )1 HI I ,I :111 ) 1 1/1111 II], 'fl';~I"1 L Jil11111haf, \] <br />l!lt~ll~ J!1U:t~__I~.l~~UU~ _1 :J'~I~~~,"~~I..I~ _..~ _.I~~ ~~.L_ _~______~'_ __~_~_ _ ~ ~ - _+'....l ~~.:d~L~J~~~~L~~~L!ih~'_~lLJ:1UJ.:.~ll ~~~L:J~~;rn / <br /> <br />SIGNATURE / <br /> <br />/~~ <br /> <br />COMPANY CIS l/om"E al~-LENN/J/Z- <br />STATE CERT OR REGIST # CB C 1::( 5;), f../ :Uo <br /> <br />EUILDElR <br /> <br />****************************************************************** <br /> <br />ELECTtICIAN <br />SIGNA'ruRE <br /> <br /> <br />COMPANY .::T13 C CGlE-c-1'tt:/ ~ (J,c /;,m.~/J <br />STATE CERT OR REGIST # EC /300/98 b <br /> <br />**************** ************************************************* <br /> <br />PLUME$R <br /> <br />u;?;/ <br /> <br />COMPANY 1lt<."r;-/rJ/l. S'c...fI t...E n71'J,J <br />STATE CERT OR REGIST # ere 0 l./ / ? ::1.. / <br /> <br />SIGNATURE <br /> <br />" <br /> <br />/~........................................................ . <br />MECHANICAL ,_// -, - COMPANY A SrE~;:1I1//(/- SrOAl?' <br /> <br />SIGN1URE,__ ~ STATE CERT OR REGIST i C/lCOSO<//O <br />1/ <br /> <br />, <br />! <br />OTHER!I /f.o Of'tN{,-- , .. <br />SIGNA~URE ~~~ <br />~~ <br /> <br />***************************************************************** <br /> <br />COMPANY C. S-rI?t<I-/A./6- <br />STATE CERT' ORREGIST # CCC051Q9/ <br />