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<br />OWNER'S NAME ~\ll 0 <br /> <br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STREBT ZBPHYRBILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED 6 - .;7~- -o.;:L <br />PLANS UV~~ FEB . ,j/zt- . <br /> <br />PHONE ~ACT@"3)~-OeD8' <br /> <br />-----""-.="'=......,~ <br /> <br />~ ~S' 4- \ ...,-......,-,._- <br /> <br />A. <br />5~4- <br /> <br />LA'-'"t"t4 <br />=31t..C) ~T <br /> <br />-z.eP'"'"..... .....\L.L':> , ~ '- <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) IS,Lc.,1.7 BLOCK \).."$"' <br />PARCEL ID # 11 - 'toe... ~ -oe,o _ 'L 2.S' 000 _ 0 I So <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~DITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />(] DEMOLISH <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />[J INDUSTRIAL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />A'DP\1i 01...1 <br /> <br />OF ~"'M'L'-{ P.ooM <br />SQUARE FOOTAGE 5 \0 JZf <br />. <br /> <br />HEIGHT <br /> <br />BUILDING SIZE -z.o..{. 1.5. $" <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />y'e. <br />U' <br /> <br />(r~ <br /> <br /> <br />IStBUILDING <br /> <br />$ <br /> <br />(eoo.oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />6!rELECTRlCAL <br /> <br />160 <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />IQ" MECHANICAL <br /> <br />$ <br /> <br />500.00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />GrRooFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />!ir""FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />m!~~~;j"',1lr,JJ:mlfF~FIW~~m'lI1'{f~fJi8:l~rmi~r:r1!:Wl";rnn..Wi tfl:'l!f1lIT~ " ... ...'" ... - -, ... - ". ._;.lIji'Jl~lm".~:.f ,. <br />!1f!~<.h:jl11~H~~:'I:L4~Lrp,~~;~~f;:!I~ I,~ ':f::::~'t,~,1"fr'\I,.If,ft1~jr: ~!.;io I. ""'"'' _ _ .._......... ...._ ..... ~ "... ..., ,....! L.iJf "'~q''l ;d!!!L ...:~j!~:~~'''Jd,l'. .D.. <br /> <br />BUILDBR COMPANY Ow.LN:7Z.. A <br />hI ~ STATE CERT OR REGIST # <br />SIGNATURE V / (f""..4:t . ~-' . CITY PROCESSING # <br /> <br />..**.*.....* ..*.**..**.*..***..***..****.*...*..*..........***.* <br /> <br />BLBCTRICIAN ~ COMPANY tJW"'~ ' <br />, /..L .~ STATE CERT OR REGIST # <br />SIGNATURE L/ ~ . CITY PROCESSING # <br /> <br />.:.*.*..*...***. ***..*****.***..***...********..***************** <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />)//j- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />.********.*****.******.*****..***...*********.********.***.****.** <br />COMPANY OW~EJ2. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />*.*.****.************************************ <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********.***********.********************************.*********# <br /> <br />-t.' <br />~' <br />