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<br />MAY-24-'S9 MON 10:59 ID: <br /> <br />TEL NO: <br /> <br />11787 P14 <br /> <br />OWNER'S NAME <br /> <br />/ -~-rQ <br />DAD UClIVEJ) (p 7 ~_ <br />,LIlt. bVIn I'D _ ?aL 1/ 7.3 # 0 <br /> <br />'F"OG 1:x:-Ua.o ~M e0l' I IN ( . PHONE e t~ [ <=fbe - b5 l t <br /><;.~. ~ CEll_'''~~ ~"\..,,~ 1. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZZPHYRHILLS <br />DUILDINCI DBPA1\7HENT <br /> <br /> <br />-- <br /> <br />WORK I.'ROl'lll!:D: )fNew CONSTI'IVC'l'!ON <br />OSIGN <br />PROPOSED USE: ClSGL FAMILY DWELLING <br />~M.HERCIAL <br /> <br />o MOVl!; <br /> <br />o JJEMOLISH <br /> <br />DMULTI-FAHILY <br />o INDVS'rRIAL <br /> <br />011 OF UNITS <br />DSWU1MING POOL <br /> <br />tJ MOBILE HOMll: <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK (' IWS"nZ1,)C."'O"'" of 1'5"" I;:ur> SFf W4U8~ ~AIt!M+t..'f.,f &!tI' ~)D-ec; <br />, " I W,..-w 'li~,ve-rH'ltv <br />BUIloOING SIZE Ij~ .K--'//:~S -=- SQUARE FOOTAGE t5/ (~ HEIGHT ~~ ~__+ <br /> <br />RESIDENTIAL: ATTACH (2) "'LOT PLl\Ns & (2) :le:'l'S Of BVILDIN~ ~ (1) S~ ENI!:RiY FORMS. /) ~ <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS, (11 S!!:T ~79il~- P~97 <.kn?~ <br />PROPl!;RTY SURVEY REQUIRED FOR ALL NEW CONSTR . I'~ 'T. <br /> <br />REQUESTElJ)1fL'(-3-/~- /1'13 ;(~ <br /> <br />PERMITS <br />:) ').:J.. I 5010 VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />o BUII.OING <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECIIANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VAW,lI,'rION OF Ml!:CHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYP! OF CONSTRUCTION: 0 BLOCK <br /> <br />o fRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISH~D FLOOR ELEVATIONS <br /> <br />IS PROJ~CT IN FLOOD ZONE ARJl:AO YES 0 NO <br /> <br />_woo ~~ ""'ANY <br />STATE CERT OR RE <br />~ ~CITY PROCESSING . <br /> <br />*....................**..~......................**...~............ <br /> <br /> <br />lI:LBCTlUCIAH <br /> <br />COMPAU'! <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />....***..*....****.~..t.+~,..**.**...*...**.***................... <br /> <br />PLUN8U <br /> <br />COMPANy <br />STAT!!: CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />IIIlCllAlfIc:AL <br /> <br />*.....~..*~*..*.....*..........*..*.**...*...*.+****.............. <br /> <br />COMPANY <br />STATE CERT on !'lEGIST . <br />CITY PROCESSING H <br /> <br />SIGNATURE <br /> <br />......***.*...*.~....*..*.*._........*.....*.......*............. <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.....*.....*...*',....*..~............*...._......*.......*...... <br /> <br />.. <br />