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<br />OWNER'S NAME =; ? A~I <br /> <br />, <br /> <br />JOB SITE ADDRESS S.s-"ot <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREBT ZBPHYRRILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 /' ~ ..,L ..", ") <br />DATB RECBIVBD (; c::o( ~ -v-..... <br />PLANS RBVIBW FBE <br /> <br />;#// <br />rrtl ff <br /> <br />PHONE CONTACT '? po zjkJ;:! <br /> <br />LEGAL DESCRIPTION: LOT (S) /:.1'1 BLOCK ef Y SUBDIVISION <br />PARCEL ID # /- ;26~ ;:J../ - 60/0 -. 66:00 - &'...2/ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />l;t INSTALL <br /> <br />PROPOSED USE: (]SGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />~ OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK R~#~' /3U./71qj <br />./ <br />.f6,D . /?y3'L <br /> <br />~ ~O..J/ /&C c:.../ ~ <br />/"2 --S"~ <br />SQUARE FOOTAGE j 00 - <br /> <br />~!~ <br /> <br />BUILDING SIZE <br /> <br />HEIGHT tS -:.. ~ ,; <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ?-J9C)~ <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 /> <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: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER COMPANY ~ ~ ./1/::{.."....;. <br />~ STATE CERT OR REGIST # -4Y/"~fL2..k/ <br />SIGNATUR~ . CITY PROCESSING # /6~ <br /> <br />-~*~*************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />