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<br />OWNER'S NAME -.15 E IT'l ~.- M g 1) oN,q leR <br />JOB SITE ADDRESS ,--:2ft (p tJ ~ /'1 E,4 V 00 <:) Oct I.CD!? <br />, <br /> <br />/ wM 3 -s-- c7d( 4- <br />CITY OlP ZEPHYRHILLS PERMIT APPLICAT!'OIr' 17 n'f- <br />BUl:LD:i:lta DIIPARTJOnno 5335 8th 8TR.IIT ZIIPRTUILLS I'L- 335-40 rtl51'o rer;n.-?f <br />. --=zet" v' (c. e.., <br />PhoneI813-780-0020 l'axI813..780-0021 , 7~g- 53('1 <br />DATil RBCIIIVI!ID ~ - 01... 7" () -:1... <br />PLAlt8 RBVIIIIf ..811 <br /> <br />LEGAL DESCRIPTION: LOT(S) iD~ <br />PARCBL ID # -~ J - 01'10 - 00000 _ /036 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUCTION l!fADDITION o ALTERATION 0 REPAIR 0 INSTALL <br />CtfRpO~1 <br />D MOVE <br /> <br />BLOCK <br /> <br />PHONE cONTACTg 1 j - 7 Ij-- ~ 13 g <br />Zepi'(IeL,/(f."7,' (-~. '35::'-"0 <br />SUBDIVISION MFADOWOOD <br /> <br /> <br />DSIGN <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMuLTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE IO'X/(pl <br /> <br />CJ RESTAURANT <br />C'{A.r~ <br />alA&: 51 x 7' <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />/Cf J- f <br /> <br />HEIGHT <br /> <br />REStDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SBT ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SBT ENBRGY FORMS. <br />PROPERTY SURVEY RBQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />ql <br /> <br />k(BUILDING <br />o ELECTRICAL <br />o PLUMBING <br /> <br />PBRMITS, RBOUBSTBD <br /> <br />$ <br /> <br />350. ()O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />N.R.E.C. <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 I 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />Hi1 OTHER A L U hl... <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARBAD YES' fi?f NO <br /> <br /> <br />BT1ILDIIR COMPANY 0 IJ) JU/='tJ _ <br />- (vf) L-,.-, ~) STATE CERT OR REGIST # <br />BIGIlATURBr/ ~p. j I'/(,,~ CITY ORoesBBI.... . <br /> <br />...... ........................................................... <br /> <br />BL8CTRICIAlt <br /> <br />SiGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.................................................................. <br /> <br />PLUllB8R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNJ\.TVRE <br /> <br />IIBClIAHICAL <br /> <br />....*............*................*.........*.........*.*.....*... <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.****************.*******.*****.***.***.*******.*.*.****.******** <br /> <br />OTBBR <br /> <br />COMPANY <br />~ L G:nA C.V J /J /7 STATE CERT OR REGIST # <br />I:J.. 7f: :'J --!.L.L ~ CITY PROCESSING # <br /> <br />***.*w.*..*....***.**.*......**.*..*...*...*.**.***...****....**. <br /> <br />SIGNATURE: <br />