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<br />I OWNER'S NAME <br /> <br />'V,!rUJD ~e.. ULAJ (U <br />,JOB S I'I'E ADDRESS _G'O~ 3 y-=_ ( i~_- ~f~_='=~=.-_-~=_-=-~_.__._ <br /> <br />CITY OF ZEPHYRHIIJIJS PERM!'!' APPLICA'l'ION <br />BUILDING DBPART~ENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DA'ra RBCBIVIllD <br />-----.-----------------... <br />PLANS RBVIBW FBR <br /> <br />.. <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LO'1'(S) <br /> <br />---_._---- --~-----_.__._-- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />-------_.__.~ <br /> <br />PARCEL ID # <br /> <br />-------. <br /> <br />(OBTAIN P'ROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 'f-jNEW CONSTRUCTION <br /> <br />[] ADDITIOH <br /> <br />[JALTERATION <br /> <br />[] REPAIR <br /> <br />[J INSTALl, <br /> <br />DSWN <br /> <br />rJ MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: []SGI, F'AMU,Y DWELLING <br /> <br />[]COMMERCIAl, <br /> <br />~lJLTI - F'M1IJ,Y <br />IlINDUSTRIAI, <br /> <br />0# OF UNITS <br /> <br />[J MOBILE Hor-1E <br /> <br />[]SWH1MING POOl, <br /> <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPAR'fMEN'l' APPROVAl, <br />DESCRIPTION OF' WORK __ .p(J\.~l__~_~cz ---L_~_':'_____.___ <br /> <br />BlJU,DING SIZE <br /> <br />---------- <br /> <br />SQUARE FOOTA(3E <br /> <br />HEIGH'l' <br /> <br />RES IDElN'l'IAI,: <br />COM[\1ERCIAI" : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUI I,DING PLANa & (1) SET ENERGY FORt.1a, <br />ATTACH (3) SETS OF BUII,DING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED P'OR ALL NEW CONSTRUCTION. <br /> <br />PERMlrs REQUESTED <br /> <br />o BlJII,IJING <br /> <br />$ <br /> <br />VALUATION OF TO'!'AL CONS'l'RUCTION <br /> <br />rJ ELECTRICAl, <br /> <br />Al'-1P SERVICE <br /> <br />[] Fl,ORIDA POHER <br /> <br />[) W.R.E.C. <br /> <br />[1 PI,UMB ING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />--- VAL,UATION OP' MECHANCIAL, IIJSTAI,LA'l'TON <br /> <br />[J GAS <br /> <br />L1 ROOF 1N<3 <br /> <br />CJ SPECIALTY <br /> <br />[J OTHER <br /> <br />TYllE OF CONS'!'RUC'l'10N: (J BLOCK <br /> <br />[] FRANE <br /> <br />CJ STEEL <br /> <br />[] OTHER <br /> <br />FllHSHED FLOOR ELEVATIONS <br /> <br />-------- <br /> <br />IS PRO,JECT IN FLOOD ZOI1E AREA[] YES <br /> <br />[) NO <br /> <br /> <br />BUILDIllR . !) " / # <br />8WNATURE_~~~ ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # __ <br />CITY PROCESSING # <br /> <br />O(,N htr <br /> <br />****************************************************************** <br /> <br />J!ILJIlC'!'RICIAN <br /> <br />81 (3NA'l'IJR E <br /> <br />COMPANY_________.______________.m ---'" <br />STATE: CERT OR REGIS'!' # <br />CITY PROCESSING # <br /> <br />---------.--.----.-.....--- <br /> <br />****************************************************************** <br /> <br />---.--.----., <br /> <br />PLUMBIllR <br /> <br />COMPANY--__,----,-______, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE: <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPJ\NY <br />STATE CERT OR REGlST # <br />CITY PROCESSING # <br /> <br />S IGNA'I'tJRE <br /> <br />------------------- <br /> <br />***************************************************************** <br /> <br />O'fHBlR <br /> <br />COf\lPANY <br />STATE CERT OR REGIST # <br />CI1~ PROCESSING # <br /> <br />SIGNATURE <br /> <br />------------- <br /> <br />***************************************************************** <br /> <br />I <br />-------.- <br />