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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8~ STRBBT ZBPRTRRZLLS. PL 33540 <br />PhoneI813-780-0020 PaxI813-780-0021' /7- <br />DA.TB lUICB:rvJID /-/S--O~ <br />PLUS RBVIBIf I'BB , <br /> <br />OWNER'S NAME _ r;f44!JO !k{U 7iJ/V IVI -II, p, <br />JOB SITE ADDRESS '5'7 (P SO UJ(l-F IV k jJ V I~ . <br /> <br />PHONE CONTACT '1 Y 2 - I ora l( <br /> <br />LEGAL DESCRIPTION I LOT (B) <br /> <br />BLOCK <br /> <br />1--0 r I 2.lf <br />SUBDIVISION 6tuAJIJ J-.!w.u "20/rJ M-II. P. <br /> <br />PARCEL ID If: 34 - 7-C:; - ;;l-( - 00 (, 0 ~ 026"0 () - 61 Z- <br />WORK PROPSED: ~W CONSTRUCTION ~DITIO~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: ~ PAMI~Y DWELLING OMULTI-FAMILY Olf: OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />[J SWIMMING PbOL <br /> <br />o MOBILB HOME <br /> <br />9()THER <br />A WIYI I A./U IV\. <br /> <br />QESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMEN~TPP YAL , <br />, 1/ \. S 2 <br />/2'{ 11- (2,.4/5ff]PSLt2bf3jv /200Nt I I-z.x s CAIl{)ot, .,... <br />~ <br /> <br />SHe 0 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ,57" <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2)SBTS OF BUILDING PLANS & (1) SET BNERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SB~ BNBRGY FORMS. <br />PROPBRTY SURVBY. RSQUIRBD FOR ALL NBW CONSTRUCTIO~ <br /> <br /> <br />PBRNITS RBQU.STBD <br /> <br />~ILDING <br />g..-m;BCTRI CAL <br /> <br />$ II '2.5(P. 30 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. w/(lE St/I;P <br /> <br />o PLUMBING <br /> <br />o MBCHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING . 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLqCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELBVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARRAO YES 0 NO <br /> <br /> <br />BUILDaR <br /> <br />COMPANY [311-1 (f)/usr !lucnoJJ .~;::. G=/Vi7Uh.. FL. <br />n /J ' () /J /J STATE CERT, OR REGIST If: C{5(o S'Y'7 ,rz- <br />laJ.",. -'. ~. ,C~TY ~ING · :z <br /> <br />* * * * * * * * * * * -A * * * * * * * * * * * * * * * * * * ~ * * ~~* ~ *~~'.1 .I;;J i....< <br /> <br />SIGNATURE <br /> <br />BLBCTRICIAH <br /> <br />SIGNATURE <br /> <br />'~Il. ~ <br /> <br />COMPANY 40::: I~ crlZt L <br />STATE CERTOR REGIST If: <br />CITY PROCESSIN~1 f"'7 <br /> <br />****************************************************************** <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT ORREGIST If: <br />CITYPRO~ESSING If: ' <br /> <br />'>, ", SIGNATtmE <br /> <br />IOICRAHICAL' <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST. # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTSBR <br /> <br />COMPANY <br />STATE CBRT OR REGIST If: <br />CITY PROCESSING If: <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />