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<br />OWNER'S NAME J/)g(l gq:( tQ tJ <br />JOB SITE ADDRESS ~ b 5) WI'1\ rJ PiroNe r' A LIe, <br />LEGAL DESCRIPTION: LOT(S) 7 BLOCK <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCB:IVBD /..2 - J 0-0 ! <br />PLANS RBV:IBW PBB <br /> <br />#7 <br />SUBDIVISION 5/ee fY f.I oil oW <br /> <br />PHONE CONTACT(J 15. 7'l3~ J 9 75 <br /> <br />PARCEL ID # 0 (J.~ ;< <br /> <br />/# 00 10.0 LJ500-, QG'OG <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />JlI INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI -- FAMILY <br /> <br />0# OF UNITS <br /> <br />)'4 MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />Re~ 12 ~ er\ <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />vJ/ ~ .'y\ J Je- P)y 1<14 6~e6 fYJem6rq (J e- <br />SQUARE FOOTAGE 7 ~ ~Z!J <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />~ 4<i, If.~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />IS(ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 0 NO <br /> <br /> <br />BU:ILDBR <br />SIGNATURE -~~ W ~ <br /> <br />COMPANY 7/1 1//'y1 C J t iJ~ #.s"'t' oL. <br />STATE CERT OR REGIST # CLf_ 0'/1 3 I:, 7 <br />CITY PROCESSING # -#";309 <br /> <br />****************************************************************** <br /> <br />BLBCTR:ICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************~************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />