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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUliLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED t,"511-t}~ <br />FOR PERMITTING (813) <390 -188..) <br /> <br />Ol'i'NE ' 8 NAME fA S' /10 mE <br /> <br /> <br />PHONE 81~ - ?(,,9 - S~'7'7 <br /> <br />JOB DRESS <br />LEGA~ DESCRIPTION: LOT(8) <br />Pl~RC~L 10 # 03 .2iD.. 2J .. <br />WORK PROPSED: ~'NEW CONSTRUCTION <br /> <br />r:) <br />-Droco- 2300 <br /> <br />SUBDIVISION Git.i1r/o ~tt'j:. "";<,JtVtlMl~.s <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br />j 0 't'5d' 'TOw,<hlo,"nE-S 0 <br />PROPPSED USE: SGL FAMILY DWELLING y..r#UL'fI fMlIbY # OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br /> <br />"0 w,vftom€! <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />fY)lXief Sf, V6 j'l <br /> <br />SQUARE FOOTAGE 139 ~ <br /> <br />HEIGHT <br /> <br />~/' <br /> <br />BUIL <br /> <br />NG SIZE <br /> <br />NTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ E,UILj:nNG <br />i <br /> <br />PERMITS REQUESTED <br />It. &3) ~2D . C9. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />AMP SERVICE <br /> <br />iii Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ ~ 3()O~-- <br />\ <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />F CONSTRUCTION: QI BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />BUILD R ~'/ 1 /~ COMPANY tiS 110m?: a,~-LEN/V/J/L <br /> <br />SIGNAUR~4/. . STATE CERT OR REGIST * CBCI;;S;;J.</:U, <br />C/ ****************************************************************** <br /> <br />ELECT rcrAN ~ d "1 ~ COMPANY .:Tt3C CU~C'1't1:.1 G or: MI'/'1~"1 <br />SIGNAtURE /d/'/'l~(;J STATE CERT OR REGIST * EC 1300tB8{, <br />I ****************************************************************** <br />PLUMB*R ~7 7 ~ <br />SIGNAtURE K.~;;:: <br />./ <br />~ ****************************************************************** <br />::NA ::~. 4ff~ ~ :::::N:ERTAORS;;::,:4'; S;~v:OSo<//o <br /> <br /> <br /> <br />~ ***************************************************************** <br /> <br />COMPANY II i<fll II/t. S'cH (.E /1'71'} A..! <br />STATE CERT OR REGIST # ere 0 li / ? :< / <br /> <br />OTHER <br /> <br />UREr{O~~. <br /> <br />/'-- <br /> <br />- <br /> <br />COMPANY C. S-ret<1-/A/6- <br />STATE CERT' OR REGIST i cceo 5199 / <br /> <br />SIGNA <br />