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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPlIlCRlIILLS <br />BUILDING VEPAR~~T <br /> <br />DATE RECBXVED 1/12 (OD <br />PLANS RBVIBW I'BIIl <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />OW!"EH'S NAME ,'DonaJd (;/'(:;'LVes <br />JOB ADDRESS 3Jf I '-/TOl-Vr l'YIo-l In e.-' ,Dr. <br /> <br />PIIONE <br /> <br />, <br /> <br />Lof ,;? g ';3 <br />SUBDIVISION G'1erald I~/:J- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10" ;<'1- ;;l,[,-';;<'{-OOSD-OtJDOO- ;? ~;S <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCF.I <br /> <br />WORK PROPSED: ONEW CONS'1'HUCTION <br /> <br />~ AU 111 '1'1 ON <br /> <br />DAL'1'ERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL F'AMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUS'1'IUAL <br /> <br />0" OF UNI'1'S <br />o SWIMMING POOL <br /> <br />OMOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF' <br /> <br />o RESTAURANT & HEALTH DEPAHTMEN'!' APPROVAL <br />WORK Room I1dd,:..f/ov',-5) (';'aY'<Xje / '.. S(7f'e:e~ <br />;J. ~/x </3" 0/- ~ <- i ' SQUARE F'OOTAGE 101 0 Ij;' <br /> <br />k3~ J c- ~~ to{ZY <br />HEIGHT -.?ee pla.iA- s, <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: A'l"l'ACII (2) PLOT PL1\NS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.' '~ <br />PROPERTY SURVEY REQUIRED F'OR ALL NEW CONs'rRUCTION. <br /> <br />fJif.. BU I LDING <br />J3 ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />,,~(q.. gOO. a:J VALUATION OF 'l'OTAL CONSTRUC1'ION <br />, <br /> <br />AMP SERVICE <br /> <br />o F'LOIUDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUAT ION OF MECIIANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTIIER <br />~, F'H/\ME <br /> <br />o STEEL' <br /> <br />~ O'l'HER c:;.J b( t4t.1 ;1 ~(/--- <br /> <br />'l'YPE OF CONSTRUC'l'lON: D BLOCK <br /> <br />FINISHED FLOOR ELEVA'flONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES <br /> <br />o NO <br /> <br /> <br />" <br /> <br />BUXLDBI\. <br />SIGNA'rURE '~-&.t-.c2/Vvue ' <br />/ ,../ <br /> <br />~];z--A~ <br /> <br />COMPANY DC4'L Lowt!-, (! -oi'Lsfruc.,h VY'-- i kyLe. <br />STATE CERT OR REGIST " 1"11-{'OI43;;{R <br />crn PI\OCESSING tI <br /> <br />, , <br /> <br />...............*.......*.......*.*..........*..*******...***.*.... <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE ~11{<(?' r;;:-t//ler <br />-S e e, af/- f 'cIa v ( "f- ) <br />**********************.**..************************.*****.*.....*. <br /> <br />COMPANY <br />STATE CERT OR REGIST H <br />CITY PROCESSING n <br /> <br />PLUMBER <br /> <br />COM P^", Y <br />STATE CER'l' OR REGIST ff <br />CITY PROCESSING H <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />*.*.******~****.****************.****.....****.................... <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING f# <br /> <br />SIGNATURE <br /> <br />***.***.*.*..*.**...***..**..*..*.**********.**...*.***.*...*.... <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING n <br /> <br />...*..*.*~..**..*........~.....*............*......*.*....*.***... <br /> <br />~ <br />. <br />