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<br />, OWNSR'. NAM"_VI rj; in I ~ Y,r;; n t'r . <br />LTOB BITE! ADDRESS (p(~ 5/) I IS TGLCC'h "0 ,5i... <br /> <br />CITY OF ZEP8YRHILLS PERMIT APPLICATION <br />BUILnIN~ UBPARTMBNT 5335 8th BTRmmT ZBPHYRHILLS, FL 33540 <br />Phbrtel 813 -., 80- 0020 Faxl 813 -780 -0021 C'-30-- D '2. <br />DATH RaOBIvaD _Q_____. <br />PLANS RBVIBW ra' <br /> <br />PHONEl CON'fA~'i~C() PI=~MIT ~I=~VI(;E <br />813-788-5314 <br /> <br />LE!GAL DESCRIPTION I LOT(S) <br /> <br />SUBDIVISION 'T) ri FtwcocR. <br /> <br />BLOCK <br /> <br />PARCElL ID # OJ, - ;l.{;- ~-;N -. O~4 O-DoC()e - 0010 <br />WORK PROPSElD I ONEW CONs'rRUCTION 0 ADD!TION <br /> <br />(OB'I'AIN II'ROM PROPERTY TAX NOTICe) <br /> <br />DSWN <br /> <br />o MOVE <br /> <br />~AIJ'fElRATION <br />o DEMOLISH <br /> <br />oRBlPAIR <br /> <br />o INSTAlJI~ <br /> <br />PROPOSED USE. paSGL FAMILY DWELLING <br />o COMMERCIAl, <br /> <br />DMI1LTI-F'AMILY <br />D INDUSTRIAL <br /> <br />0# OF UNI'rS <br /> <br />rJ MOBILE HOMB <br />fJ OTHBR <br /> <br />D SWIMMING POOI~ <br /> <br />o t(ESTAURANT & HEAL'l'H DEPARTMEN'r APPROVAL <br />DESCRIPTION OF WORK ,Srr~c:t:n ex.lslli~ open pOrc.h <br />BUILDING SIZE g X .;? 7 SQUARE FOO'rAGE .;:( I U. <br /> <br />HEtollT <br /> <br />gl <br /> <br />RES IDENTIAL I <br />COMMERCIAL I <br /> <br />A'l'TACH (J) PLOT PLANS & (J) SETS OF BUll/DING PLAAs & (1) SIlIT ENERGY FORMe. <br />ATTACH (3) BETS OF BUIf~DING PLANS & (1) SET ENERGY FORMS. <br />PROPER:TY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PIRMITS RBOU~STID <br /> <br />ri BUII,IJING <br />o IllI,E!C'l'RICAL <br /> <br />$ d, 2f tto _ rJ7) <br /> <br />VALUATION OF TO'fAL CON8'1'RUCTION <br /> <br />AMP SERVICE! <br /> <br />o FI.ORIDA POWER <br /> <br />o W.R.E.('"), <br /> <br />(J PLUMBINeJ <br /> <br />o MECHAN ICAL <br /> <br />III <br /> <br />VALUATION OF MECHANCIAfJ INSTALI,ATION <br /> <br />o GAS <br /> <br />o ROOFINc1 <br /> <br />o SPECIAIJTY <br /> <br />o OTHER <br /> <br />'l'YPBl OF CONS'l'RUC'flON I 0 BLOCK <br /> <br />o FRAME <br /> <br />o 8'I'EE:I~ <br /> <br />o O'rHER <br /> <br />FINIBIIE!D FI.OOR E!LEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARBlAO YIilS CI NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY 13ahr' A-I UVI1./'v,U/IYV €>I- <br />STATE CE!RT OR REGIST # <br />CITY PROCESSING f1 <br /> <br />8IGNA'fURlll <br /> <br />******'******************************""'***'*************** <br /> <br />BLBCTR.IOIAN <br /> <br />8IGNA'1'(JRI!l <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />************************************************"*******'******** <br /> <br />PLUMBBa <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />HBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATUREI <br /> <br />***************************************************************** <br /> <br />OTHIIR <br /> <br />SIGNAT(JRE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CI'I'Y PROCESSING # <br /> <br />***************************************************************** <br /> <br />-1-._ <br />