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<br />OHNBR'S NAME !:q c L e1? <br />JOB SITE ADDRESS i '9 3 7 <br /> <br />LBGAL DESCRIPTION: LOT(S) <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUl:LDIRG DEPUTJImno 5335 Sth 8nBJIT ZBPRYRBl:LL8. I'L- 33540 <br />Phon..S13-7S0-0020 l'ax.813-780-0021' <br />DATE RBCEl:VBD <br />PLAH8 RBYIJIK I'EB <br /> <br />;u~~ <br />'If"".~' ') <br />~b jr:r- <br /> <br />PHONE CONTACT <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSBD: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />D ALTERATION <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DeGL FAMILY DW.&;LLING <br /> <br />o COMMERCIAL <br /> <br />o MULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH <br /> <br />r2 16;v .~ <br /> <br />DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />c /z 0 ""Y <br /> <br />e &l~rI-- <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PBRNITS. RBQUBSTBD <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 OTHRR <br /> <br />TYPE OF CONSTRUCTION I 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJBCT IN FLOOD ZONE ARBAO YES' 0 NO <br /> <br /> <br /> <br />*********'*********** *****************************'************** <br /> <br />:~ <br /> <br />COMPANY f'v\.O\.{"'+\~ ?..xO ~~c;./ I :Jh.c- <br />STATE CERT OR REGIST # b (Zoo /3 c./L/ q <br />CITY PROCESSING # Q'1 <br /> <br />*******************************.*********************** <br /> <br />PLUllBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />MBC.llAHICAL <br /> <br /> <br />COMPANY <br />STATB CBRT OR <br />CITY PROCESSING <br /> <br />/,-8 2 <br /> <br />**********************.*************************************** <br /> <br />OTRBR <br /> <br />COMPANY <br />STATB CERT OR REGIST * <br />' CITY PROCOSSING * ~ <br /> <br />********************************************.********~~<. ******* <br /> <br />SIGNATURE <br />