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<br />~J) 3-~'-o~ 1<1- <br /> <br />CITY OP ZEPHYRHILLS PERMIT APPLICATJCON <br />BU:ILD:IRQ DBPARTllBHT 5335 8th BTRBIIT ZBPIITlUI:ILLB, PL 33540 <br />Phone, 813 -780-0020 Pax, 813 -780-0021' '1 "\ 0-_ f) d--. <br />DATB RBCE:IVBD :.:'\ ~ ~ to. <br />PLAlIfB RRV:IBN ~BB <br /> <br />OWNER'S NAMB Nttlf~,ffo/ <br />JOB SITE ADDRESS '3 'I 3'-1 q P " C K-t +1-'., )4 ;/1 Ave. <br /> <br />LEGAL DESCRIPTION: LOT(S) !)tJ BLOCK <br /> <br />PHONE CONTACT 997-/ '1&:1- <br />1(t.f~ <{~~ <br /> <br />SUBDIVISION <br /> <br />P~CEL ID # 03 -J.b-dl-~-ODOOO - 0500 <br />WORK PROPSRD: ~NEW CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTRRATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWaLLING <br /> <br />DMULTI - FAMILY <br /> <br />Off OF UNITS <br /> <br />D MOBILE HOMB <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK S/NGtG' F/rP1 It V J2:er;//16VcE:' <br />, <br />BUILDING SIZE 34'6" 'f... 73' 'f " SQUARE FOOTAGE d. 0 ~7s <br /> <br />HEIGHT <br /> <br />9/ <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) SBT BNERGY FORMS. <br />PROPERTY SURVEY RBQUIRBD FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PBRMITS. RBOUBSTBD <br />$ '60,000. 00 VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />~oO <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 2/50&. 00 <br /> <br />, <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTIONI~LOCK <br />FINISHED FLQOR ELEVATIONS <br /> <br />, FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE ARRAO YES' ~NO <br /> <br /> <br />BU:ILDBR <br /> <br />.********.** ***************************~*********.************** <br /> <br />" <br />/ <br />BLBCTR:ICXAR ". / .~ ' . ,1 . -.-/ <br />SIGNATUR).,. /('}f~u!~ ~fl...~.l/'-C,L <br /> <br />. 'i <br /> <br />SIGNATURE <br /> <br /> <br />*******w********************************************************** <br /> <br />~ .4 . COMPANY &/6(; JAYl1g I~~ 6,~ 1 <br />fdt. c'/', STATE CERT OR GIST # F- b 'i, ~ <br />. t ,UI '. CITY PROCESSING #' /~t <br /> <br />· . .~...L.....~.........,................................,,>..... .. <br />A'.. COMPANY ~ CJ #'kcr . <br />. STATE CERT OR REGIST # tin tJ{) / f' II {; I <br />CITY PROCESSING # ' <br /> <br />COMPANY M(.t r+; \A. 'Z I ol ~. ~ C/. TA C <br />STATE CERT OR REGIST ff t: e.O 0 /3 LIL.{ lj <br />CITY PROCESSING ff 17 <br /> <br />PLUllBBR <br /> <br />SIGNJ\.TVR,E <br /> <br />JlBCBARICAL <br /> <br />* *.... * ** *****.,.{* * *.* * * *** **.. * * *.... * * *.. **..*** ****** * *.. *..* ** ** <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING #, <br /> <br />..****..************j******....***************************....*....**..*** <br />