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<br />OWNER'S NAME <br /> <br />I (0 (/1/ /J . .-- (::'~' ~ <br />, '--C-l.'(J7.d! 3 ~ ~ - v~. <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIOl-t-~ ___:... _~_-' <br />BUILDINQ DBPARTMmrr 5335 8th STRBET ZBPRYRR:ILLS. PL- 33540 <br />PhoneI813-780-0020 PaxI813-780-0021 <br />DATB RBCB:IVBD ;=50........ \ '1 - ,)CD,;1.. <br />PLANS RBV:IBW FEB <br />:?- 8'-1 - E'7 5 <7 <br />PHONE CONTACT E~ i ~ .. , C ~ 613 b~ <br /> <br />JOB SITE ADDRESS <br /> <br />DnlAl'1 I Ado\.M.s Il=:fhfd Adnv\l\~ <br />~ t <br />LjtpoA \ i~+~\:ic. Dr <br /> <br />LEGAL DESCRIPTION: LOT (S) 34 BLOCK SUBDIVISION lA.l'VllSr,')I2..Y"t V\J . ()~k..,:) <br />PARCEL ID # \ 5 - ::) b -:- d I - .01 Co a - 000 an - 0.::, Ll c\OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: oNEW CONSTRUCTION ~DITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />oSIGN <br />PROPOSED USE:~ FAMILY DWaLLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o MULT I - FAMILY <br /> <br />0# OF UNITS <br /> <br />o 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 />c:J RESTAURANT & HEALTH DEP~TMENT APPROVAL <br /> <br />~4/i~ aat~-Ir.a7v <br />f ( <br />('";) S X ?)O .. SQUARE FOOTAGE '1 GO <br /> <br />HEIGHT <br /> <br />81 <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 />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 />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 <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 COMPANY -r;:n4- ~r~,.-l,(,lck s~10 <br />f\ . ~ J STATE CERT OR REGIST # C oc:; B 4, Y <br />SIGNATURE. ~ts \.~<"'~....:. ~ CITY PROCESSING~~9/S- <br /> <br />.**************************************************,************** <br /> <br />BLBCTR:IC:IAN .f- <br />SIGNATURE~ 7J~ <br /> <br />COMPANY (i2Ct.KJ'-1 ~~E\.. ~o".....\ <br />STATE CERT OR REGIST # {5: (2 ~o ~ LD'5' <br />CITY PROCESSING # q ''TD :j:::{) <br /> <br />PLUMBBR <br /> <br />ti2W <br /> <br />****************************************************************** u ~~_+-~ <br /> <br />'--T .1:{': <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCRANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTUR Y~~4j~ COMPIlNY'~kJ,:",,&:Lj.r<, f>Fkf7;- ~<: , <br />. , STATE CERT OR REGIST # eeL 0 6;2 <br />SIGNATURE - ... CITY PROCESSING # [)CJ _~ V <br /> <br />*****************************************************************~ ~ <br /> <br />~.~oR- <br /> <br />***************************************************************** <br />