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<br /> <br />CIrry OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIILDING DEPARTMENT 5335 8TH at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 /_ _..., Q / <br />DATE RECEIVED ({/ o<-rG' fttI! <br /> <br />PHONE CONTACT FOR PERMITTING ($13) gC;o -18 8.J' <br /> <br />OWNE+ S NAME US /10 m G- <br />JOB +ORESS <br />LEGA~ DESCRIPTION: LOT(S) <br />PARC*, ID # D3 12Jo- 2-/- <br />WORK IPROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PRopbsED USE: OSGL FAMILY DWELLING <br /> <br /> <br />PHONE 81 ~ - ?{; 9 - S..:?"} '7 <br /> <br />Y\ <br />BLOCK ~ <br />-lJ..'iX;1:)" 2LCf 0 <br /> <br />SUBDIVISION GiLH,JP /J/t'J:. ~~IWffOt11t;'.s <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 />"toRi 'low,vllo,,,e.5 <br />pMUL'i'I FM1U Y <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 />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />DEscRjrPTION OF WORK 10 wlJ/iom€S t1l..otieJ st. UO', 't <br /> <br />BUILD~NG SIZE SQUARE FOOTAGE ~ HEIGHT --21' <br /> <br />RESIDi' NTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMM RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ EUILbING <br />o ELEC~RICAL <br />o PLUMbING <br />o MECH~NICAL $ ~\~CO../ <br />o GAS I 0 ROOFING 0 SPECIALTY <br />TYPE ~F CONSTRUCTION, III BLOCK <br />FINIS~ED FLOOR ELEVATIONS <br />, <br /> <br />PERMITS REQUESTED <br />f 2S3,SLD,~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILD,.R ~.d!f/ <br />SIGNAfURE __~ Cc[f/' , <br />/ <br />J " <br />i~/ ****************************************************************** <br /> <br />ELECTiICIAN /!//~: 12--. <br />SIGNATURE .~ <br />I ;;::;a......~~~:.......~............................................ <br />PLUMBtR u) /' COMPANY #1<.'1"'11(//1.. S'cf/ LE P7"A..! <br />SIGNAtURE, -{ t,~ STATE CERT OR REGIST # ere Oil!? :</ <br />/ // <br /> <br />COMPANY tiS 110m'!: (J,'-c.r-LENN/l1L <br /> <br />--- <br /> <br />STATE CERT OR REGIST # CBCI;;(5;:J.</:J./o <br /> <br />COMPANY .::Tt3C CU~:C''f~1 G tJr 'Mmr/J <br />STATE CERT OR REGIST # EC /300/98 b <br /> <br />Mile <br /> <br /> <br />. .~'*,~*,"""""""""""""""""""""".......,***** <br />// /'/ --~ COMPANY A S-rE;O/II/I~ S70N(F <br /> <br />~. /~--- STATE CERT OR REGIST # CrJ CoSo '-I/O <br />?' <br />. ***************************************************************** <br /> <br />OTHER <br /> <br />~O~, IN.. .~f' <br /> <br />URE ,. '/ <br /> <br />COMPANY C. S-rE?I<LIA,/6- <br />STATE CERT' OR REGIST *' eee 0 5199/ <br /> <br />SIGNA <br />