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<br />OWNER'S NAME (f) /(~ qel ' C i <br />JOB SITE ADDRESS :3 9 / ,r; 3 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPART~ 5335 8~ STRBET ZBPRYRBILLS. PL 33540 . <br />Phone.813-780-0020 Pax.813-780-0021' 'c;" _ "2 0' Y) <br />DATR lUICRIVBD -:/ Z ./ oS. <br />PLAHS RBVIJOf FRR , <br /> <br />Roh ~t' f-s <br />3~d Ave/}U( <br /> <br />LEGAL DESCRIPTION, LOT(S) <br /> <br />PHONE CONTACT "'0/ 3 -"} 7 3- ~ JtF <br />:z e IJ 1; ( l' h, /1 <;"" <br />I" v <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br /> <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br /> <br />o ADDITIO~ <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: O(sGL FAMI~Y 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 /> <br />o RESTAURANT & HBALTH DEPARTMENT APPROVAL <br />7 tej)/qC r: Mf' J1; W/l1dcJld<i /5/.2. t: /(J/' ~/~ I" <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SE~ ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />L/.?> I 5 <br /> <br />oQ: <br /> <br />PBRKITS RBOUaSTBD <br /> <br />&~ () T ENBRGY <br />FOR . <br />~L\~ ' <br /> <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BLECTRICAL <br /> <br />AMP SERVICB <br /> <br />o FLORIDA POWBR <br /> <br />o W.R.B.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 />TYPB OF CONSTRUCTION: 0 BLqCK <br /> <br />o FRAMB <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELBVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARBAO YBS 0 NO <br /> <br /> <br />BUILDBR <br /> <br />ff~~/IAA-fl/\~ <br /> <br />COMPANY Th~ IIlytJ~day~ i/Joiq/kd ~9;;<) <br />STATE CERT, OR REGIST # C~C 05"'Y,~OO(JJ <br />CITY PROCESSING ~/~ <br /> <br />SIGNATURB <br /> <br />~***************************************************************** <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERTOR REGIST # <br />CITY PROCESSING # <br /> <br />PLUJlBBR <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT ORREGIST # <br />CITY PROCESSING # . <br /> <br />." ". SIGNATtmE <br /> <br />IIBCllAHrCAL <br /> <br />***************************..*.***.**.**************************** <br /> <br />COMPANY <br />STATE CHRT OR REGIST. # <br />CITY PROCESSING # <br /> <br />SIGNATtmE <br /> <br />**************.*****.**..**.*.*...**....***..****.*..*.***.*.*... <br /> <br />OTHER <br /> <br />SIGNATURB <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**************.**************.*****.*********..******.*******..*. <br />