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<br />L_~rl-<~ :1.- 5 ~ 0.2 /6(-., <br />CITY OF ZEPHYRHILLB PERMIT APPLICATION--'---_ --... ' _ <br />BUILDINQ DBPARTMBNT 5335 8~ STRBBT ZBPRYRBILLS. P~ 33540 <br />Phone.813-780-0020 PaxI813-780-0021 <br />DATB RBCBIVBD <br />PLANS RBVIBW PBB <br /> <br />OWNER'S NAME <br /> <br />fJ[)111VJ <br />:5 Cj 20 <br /> <br />DtJ/\ 7J 7!: J D <br />~(,otS c/V. R.-y <br /> <br />PHONE CONTACT ?tf3 -/9<-5'/ <br /> <br />JOB SITE ADDRESS <br /> <br />e-T <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION (,v)::;/Jrrk,L()fJ.i/ lit l1A/zr.e <br /> <br />P~CEL ID # /(?- 2 6 ~ ,Z/ 'o( Z t!) .,. tJ-iJ~ 9c:O- OZ'Jr; (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUCTION ffAoDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK G X 1-1/'2- Sc..-I<.. iSEtV fZ8 f)/"'f <br />BUILDING SIZE 6)( (<f- YL SQUARE FOOTAGE 5-'1) <br /> <br />8/ <br />HEIGHT <br /> <br />RESI'DENTIAL: <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 />PBRKITS REQUESTBD <br /> <br />o BUILDING <br /> <br />$ <br /> <br />ZZ/? <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 />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME 0 STEEL ~THER ;:1 Lv /'I <br /> <br />'-- . --- ..-- m- <br />FINISHED FLOOR ELEVATIONS t:,X' (S-r 14./ Cr:: n: IS PROJECT IN FLOOD ZONE AREAO YES' 0 NO <br /> <br /> <br />SIGNATURE, <br /> <br />(L~1 Xk~# <br /> <br />COMPANY H~:S C'O..-vsT <br />STATE eBRT OR RBGIST * <'.I't Co 3'";3 -? ~ <br />CITY PROCESSING # I~~ <br />~ ~.~ <br />*,**** ** *** ******************** ***** ***************************** ** W{~. ~ .. <br /> <br />BUILDBR <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCIlAHICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTRBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />