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<br />CI'I'Y <br />BUILI>INr~ <br /> <br />OF ZEPgYRHILLS PERMIT APPLICATION <br />IJBPARTMBNT SHB 8th STRJIlBl'r ZBPHYRHILLS, FIr 331540 ~. <br />Phbrte 1813 - '180- 0020 raxI 81.3 -780 -0021 0_ J~} <br />OATB RBOBIvao ~L~___ <br />PLANS RBVIBW rB. <br /> <br />I OWNER'S NAME.-JQhn Ba..x. fe.r <br />JOB SITS ADDRESS 39551 Ame+~~LWa..'j <br /> <br />PHONE] CONT~SCO Pii~MIT SEnVICE <br />813-788-5314 <br /> <br />LEGAL DESCRIPTION, LOT(S) <br /> <br />SUBDIVISION E' meroJd. POI~t <br /> <br />BLOCK <br /> <br />PARCEL tD #~lf-.i\G.-.c;1l-0040-00000- Itoo <br />WORK PROPSED, [JNEW CONSTRUCTION ~ADD!TION <br /> <br />(OB'l'AIN P'ROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />[JALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />[] IN8TAJ-1L <br /> <br />PROPOSED USE, m(SGL FAMILY DWELLING <br />o COMMERCIAl. <br /> <br />DMlJLTI -FAM!LY <br /> <br />0# OF UNI'rS <br />DSWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL <br />DESCRIPTION OF WORK Room A d.di h.o~ \ 6c.reen ROOM I Ca.rpor-i-I 5h~d \ dri. \I~I.\)J . <br />BUILDING SIZE oBx.l./o a.....d. g X.{~ SQUARE FootrAGE IDI& HmIGHT 6<:e. pk...s <br /> <br />RESIDENTIAL I <br />COMMERCIAL, <br /> <br />ATTACH (:2) PLOT PLANS & (:2) SET8 OF BUIl,DING PL~8 & (1.) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUUJDING PLANS & (1.) SBlT ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALl. NEW CONSTRUCTION. <br /> <br />PIRMITS RlaUISTED <br /> <br />IX! BUII.DING <br />IiJ BlLEC1'RICAL <br />[J PLUMB ING <br /> <br />$ ~~, L/ 00. DO <br /> <br />VALUATION OF TOTAL CONStRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FI.ORIDA POWER <br /> <br />o W.R.B1.C, <br /> <br />o MECf.lAIHCAL <br /> <br />$ <br /> <br />VAr~UATION OF MECHANCIArJ INSTALI.ATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />'l'YPBI OF CONS'l'RUC'rlON I 0 BLOCK <br /> <br />~ FRAME <br /> <br />[] S'l'EEIJ <br /> <br />Ud o'mER A-UJf\'LINV~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD VES [] NO <br /> <br /> <br />BUILDBR <br />~ STATE CERT OR R GIST <br />SIGNA'ruRS '<'~ .~ _ CITY PROCSSSINll I <br /> <br />~ ******** ************************************************** <br /> <br />~LICTRIOIAN <br />} <br />ls IGNA'l'(JRE <br />; \ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY 6l15-f iJlS!;Q_8Zec:::f-/L/~ <br />STATE CERtr OR REGIST #e:;eDQ./~9/ <br />CITY PROCESSING # ,;2~3 ~ . <br /> <br />, <br /> <br />PLUU8R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />'-- <br /> <br />H8CHANICAL <br /> <br />**********************************************************~******* <br /> <br />COMPANy <br />STATE CERT OR RBlGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURBI <br /> <br />***************************************************************** <br /> <br />OTHla <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />