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<br />. ,{h <br />C. . \\t \" \ <br />V"'\,''i) <br />. C\ VI <br /> <br />OWNER'S NAME 6',o,don~: 'Po...uJ C,---I-{.J\ \~V-l (,k- <br /> <br />JOB SITE ADDRESV: 39 I ~ g 0\ d vn \ I \ l.-CU1 e..... <br /> <br />"\ <br />LEGAL DESCRIPTION: LOT (S) 03,0 <br /> <br /> <br />PARCEL ID # ,.), - Jlo-.;LI -ClDO-OODDO-C)?> -70 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPAR~NT 5335 Sth STREET ZEPHYRHILLS, FL :33540 <br />Phone:813-7S0-0020 Fax:813-7S0-0021 ~ <br />DATE RECEIVED L-/7- 0 I <br />PLANS RBVXBW FEE !... <br /> <br />PHONE ~Ac~~';~5~I'gd -Cto 7b <br />/. ~ ...--.- --" <br />L-..__~. ~---.. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~~ ~xrl 01 (:( t-\- ; 1 } <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAl" <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRI PTION OF WORK e.. en.s t( u..C t So J \ - f=o...m I I j io I Dck.. h (;yYl~ <br />BUILDING SIZE SQUARE FOOTAGE d 04 I . ~ HEIGHT <br /> <br />RESIDENTIAL: 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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />123 BUILDING <br /> <br />PERMITS REQUESTED <br />$ <br />$~tJO~ <br />d,OO <br /> <br />'- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />lS!I ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~ <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~ PLUMBING <br /> <br />I8l MECHANICAL <br /> <br />$ d~ ;) S . 00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br /> <br />SIGNATURE <br /> <br />~ 7-~~ <br /> <br />COMPANY 'T en i~( Ink. ;. Rs~ 0(, . <br />STATE CERT OR REGIST #. L E,~ 0434 ;;) ~ <br />CITY PROCESSING # 3g, <br />le. ~ <br />****************************************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN~?fJ COMPANY Z- <;p~y hi IIS~ Cl-€.C-t-.l C Svc <br /> <br />~ \ STATE CERT OR REGIST #, OCO d-.llo8 <br />SIGNATURE~.... ~ CITY PROCESSING # CJlO <br /> <br />"'''{"..J <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:* * * * * * t",\:~ * * * * * <br /> <br />PLUMBER COMPANY PI LUll be r.s u+- ~ ~ c:ne.V\ Ct" t. <br />./,-;,P / ,?,~~_ ~.f STATE CERT OR REGIST #.. (Fe os 1S" D4 <br />SIGNATURE 174''"l:1'---Y r;c..r #-?~ CITY PROCESSING # I ~ Q{) <br />JJ, ~';!:! <br />****************************************************************** <br />MBCHANXCAL .') COMPANY SctA..i-ht.rl'\ ~{hy~.pC"f+ <br />..r! ~/ (). J /.. STATE CERT OR REGIST #.. Rm ot; I ~ 0 d ;;.. <br />SIGNATURE ~ X ~ CI'l'Y PROCESSING # 53 <br /> <br />~ *******~*********************************~*~***f**f~~~*** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********************************,.***************************** <br />