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<br />, OWNER'S NAME -;::J, Wl ~ (2[ (? E Cc It .:;:(.-/-1 L/ I T ~/!2I:L <br />LTOB BITE ADDRESS :1.'75'"3 2-- LO~N'A IJv'E <br /> <br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILDING DBPART~BNT 5335 8th STREBT ZBPHYRHILLS, PL 33540 <br />Phbrt.1813-780-0020 FaxI813-780~0021 <br />DATa aBa.IvaD _______ <br />PLAN'S RBVIaK rBI_____._. <br /> <br />PHONHI CONTACT 'J f 2-1 ~ l( <br /> <br />--------------- <br /> <br />LEGAL DESCRIPTION I LOT(S) __/3S-_ BLOCK <br /> <br />PARCEL 10 # '3y -?-'5 - z..t --; (90 I D - ozro 0- 0 I :3 5 <br />WORK PROPSED, [JNEW CONSTRUCTION <br /> <br />SUBDIVISION CRA#t? J..I..61l' ZM/ <br /> <br />(OBTAIN F'ROM PROPERTY TAX NOTICE) <br /> <br />o COMMERCIAl, <br /> <br />[] ADDITION o ALTERATION DREPAIR f!:rfNS'I'AJ~lJ <br />~VE D DEMOLISH <br />OMULTI-F'AMILY On OF lINI'rs ~BILE Hor,un <br />o INDUSTRIAL o SWIMMING POOL [lOTHER <br /> <br />DSIGN <br />PROPOSED USE, ~~ FAMILY DWELLING <br /> <br />D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL <br /> <br />DESCRIPTION OF WORK ... (Y108U I:: <br />BUILDING SIEm 7'1 '1< S-t;""' <br /> <br />I-!Dff}/:: ~;:;T U/ <br />SQUARE FOO'rAGE -...!..!hf'.~ <br /> <br />HBlIGHT <br /> <br />RBlSIDENTIALI <br />COMMERCIAL I <br /> <br />ATTACH (:2) PLOT PLANS & (2) SETS OF BUIl,DING PLANS & (1) SET ENBlRGY FORMS. <br />ATTACH (3) SETS OF BUIJ,DING PLANS & (1 J SET ENERGY FORMS. <br />PROPER.TY SURVEY REQUIRED FOR ALl, NEW CONSTRUCTION. <br /> <br />~mRMITS RIOUmSTID <br /> <br />[!(Bl1IUJING <br />~EC'l'RICAL <br /> <br />$ (; 2- 00. 0 0 <br />ISo <br /> <br />VALUATION OF TOTAL CdNS~RUCTION <br /> <br />AMP SERVICE <br /> <br />~JORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />13'PLtJMB ING <br />~CHANICAL <br /> <br />$ (p 00 . .:>.0 <br /> <br />VAr..,UATION OF MECHANCIAI~ INSTALI,ATION <br /> <br />o GAS <br /> <br />[] ROOFINC1 <br /> <br />o SPECIALTY <br /> <br />[J OTHER <br /> <br />'l'YPE OF CONS'I'RUC'rION I 0 BLOCK <br /> <br />o FRAME <br /> <br />o 8'I'EEIJ <br /> <br />o o'rnER <br /> <br />FINISHED FL90R ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARmAo YES ~. <br /> <br /> <br />BUILDBR <br /> <br />lGNATURE . 0J~~7 <br /> <br />COMPANY BurrEll-Pi Fl.-a {fJb01if !-/Dnt;; '>1f"/2V1CE INC. <br />STATE CERT OR REGIST # ~__ <br />CITY PROCESSING # r'.g <br /> <br />******************.,.***.,..,.***************~************************** <br /> <br />PLUMBBa <br /> <br />JlLICTRIOIAN COMPANY 4c is' I-5'L~ C , ILL (, ~~_ <br /> <br />-r:z. Jl f) f' STATE CER'r OR REGtST # 1Ji~--" <br />aIGNA'J'tlRB -/d<- ,~t"-" e11'Y PRtle.aaING # 7~ ~ ._' <br />./" / 't!-1=-' <br />* * * * * * * * * * * * * *.,..,. *.,. * * * * * * * * * * * * * * * * * * * * * * * *.,. * * * * * * * * '" * * * * * * "-<!....* *~;F;, ~b .... <br /> <br />COMPANY 13J rTeli.... r-lcLO mtB'Le jJDI1t: .5~{lVICf ~. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />B.ln..N.~..S E <br />(){~ <br />MaJJANlcAL <br /> <br />SIGNATURE <br /> <br />*******************"'**************************************~******* <br />COMPANY IJL E. tit 12-' C.oNL/ j <br />STATE CERT OR REGIST # <br />CITY PROCESSING ~ ;&'7 <br /> <br />~ Ac {0f~ <br /> <br />***************************************************************** <br /> <br />OTHla <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CI'l'Y PROCESSING # <br /> <br />*"'*************************************************************** <br /> <br />---L-_ <br />