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<br />OWNER'S NAME et3~/L1 ~Jwl' <br />JOB SITE ADDRESS 3Cfog S Cf"ff,.... Ac.)e. <br />OfO 'Xf!:l. C,c:I <br />LEGAL DESCRIPTION: LOT(S) ~O ~K <br /> <br />V)"fi. . \ <br />~ 0--'- - it;), 100 <br />CITY OF ZEPaYRHILLS PERMIT APPLICA~~ <br />BUILDING DBPART~ 5335 B~ STRBBT ZBPRYRRILLS, PL 33540 <br />Phone: 813-780-0020 Pax:813-780-0021. L/::'/_ /J /} . <br />DATB IlBCBIVBD L (/ ~ <br />PLANS RBVIBW FBB <br /> <br />... <br /> <br />PHONE CONTACT lei?- - <=1 '-f {p S- <br /> <br />2-3 <br /> <br />SUBDIVISION <br /> <br />Y /tv'] L. '^~ <br /> <br />PARCEL ID # '.Z -;z..t. -;< - oo~ 4 - (!)7{ 300 -00 10 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUCTION J(ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br />OSIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE:)8$GL FAMI~Y DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />I?ESCRIPTION OF WORK I/St)D' Qt9rv<!rd-e.. O~fD Gll"'\,..':h A Cf'lIZ. ;.J;/-..Lb <br />I <br />9'1'/ Z. SQUARE FOOTAGE <br /> <br />108 <br /> <br />/iM.;C1 IPS c.c. ". IE <br />9' <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />f. ~ ,!!- <br />/~()O <br /> <br />PBRMITS RBQU.STBD <br /> <br />~DING <br />~LECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/00 <br />. <br /> <br />AMP SERVICE <br /> <br />)kf FLORIDA POWER <br /> <br />o <br /> <br />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 />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLQCK <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES jJ('NO <br /> <br /> <br />BUILDBR~~ <br />STATE CERT OR REGIST # <br />SIGNATUR J CITY PROCESSING 1# <br /> <br />******************************~********************************'*** <br />'VI <br />BLBCTIlI~IAH . . COMPANY{Y 1....77U/J/ <br />.. STATE CERT. OR REGIST 1# <br />SIGNATUR', . CITY PROCESSING 1# <br /> <br />*.*********************.*.*.*..****.*..****.****.*.*******.******. <br /> <br />COMPANY <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # . <br /> <br />'~, " <br /> <br />SIGNATURE <br /> <br />IOICHAHICAL <br /> <br />....*...*.**....*..*.*.**.*********.*****************.*...*.*..... <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**.************************.****.***.*********.******.**********. <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********************************************************..**** <br />