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<br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br /> <br />BUILDINr~ IJBPARTttBNT 5335 8th STRllllll'r ZBPHYRHILLS, PI. 331!5fO <br />PhbrteI813-180-0020 FaxI813-780-0021 <br />DATB RBCBIVaD ______. <br />PLANS RaVIBW .Ia_ <br /> <br />I OWNER'S NAME! 3un ty'\ ~ ~ l2- (~ f3 tee 11 5( H VI T Svl d <br />JOB SITE ADDRESS 3'75"32-- LO(LE/'v:/J- I!\/t:... <br /> <br />PHONE CONTACT <br /> <br />712 -/ u~l.( <br /> <br />LEGAL DESCRIPTION, LOT(S) <br /> <br />13 !; <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />0llt/ll// /-I-{Jf!I Z6N /lJll,f- <br /> <br />PARCEL ID # '711 C>-"2 (OB'I'AIN FROM PROPERTY TAX NOTICE) <br />.7T- Z-5" -2-1 ~ 00' 0 - 02i) CO - 0 I v S- <br />WORK PROPSED, ONEW CONSTRUCTION [B--AfJDITION DAIJTERATION D REPAIR (J IN8TAIJIJ <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE I DSGL FAMILY DWELLING <br /> <br />DMtJLTI-F'AMILY <br /> <br />0# OF UNI'rS <br /> <br />o MOB I LE Hor~E1 <br /> <br />Et(;'THIllR <br />,!lLulY1lj1/JM... <br /> <br />o COMMERCIAl, <br /> <br />o INDUSTRIAIJ <br /> <br />o SWIMMING POOlJ <br /> <br />D w;rAURANT lie HEALT~PARTMENtr APPROVAL <br />~ ~ , dfii> <br />DESCRIPTION OF WORK 12.x J4 VI (II<{L. !2.o[)lV1 J '7 X? 5/-1':/.// ?o X '24-- c,4R.1'b(lT <br />, I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 7 D if <br /> <br />HEIGHT <br /> <br />RESIDENTIAIJ' <br />COMMERUIAL, <br /> <br />ATTACH (:2) PLOT PLANS lie (:2) 8E'fa OF BUIIIDING PLJll18 lie (1.) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUIIJDING PLANS lie (1' SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALIJ NEW CONSTRUCTION. <br /> <br />PERMITS RBOUmSTBD <br /> <br />~UUJIJING <br /> <br />$ <br /> <br />/5:, [)OU. 00 <br />I <br /> <br />VAl.tJATION OF TOTAL C{)NS'l'RUCTION <br /> <br />rg---lfLEC1'RICAL <br /> <br />AMP SERVICE <br /> <br />o FI,oRIDA POWER <br /> <br />[J W.R.Bl.C. WillE sH-EO <br /> <br />[] PLUMB ING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAIJ INBTALIIATION <br /> <br />o GAS <br /> <br />D ROOFINl.~ <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />'l'YPE OF CONS'l'RlJC'rlON I [] BLOCK <br /> <br />o FRAME <br /> <br />[] S'l'EEIJ <br /> <br />[] o'rnER <br /> <br />FINISIIED FL90R ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BU!LOllR <br /> <br />COMPANY rs~ 1-1 (ON$rll-ven otJ 6F CE'/l/71l.iK. Fe , <br />STATE CERT OR REGIST # C~C 0 s 7rJ <fz. <br />CI'rY PROCESSING # 97~ I <br /> <br />BIGN1\.'fUREI -:._~ /J..~ <br /> <br />****************************************************************** <br /> <br />ILICTRIUIAN <br /> <br />****************************************************************** <br /> <br />COMPANY fk E EL-E C rll., c <br />STATE CER'r OR REGIST # <br />CITY PROCESSING # .I P7 <br /> <br />'---- <br /> <br />S I GNA'l'URBl <br /> <br />~ I:), ~' <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MlICHANICAL <br /> <br />**********************************************************~******* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CI'l'Y PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHIR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR RBlGIST # <br />CI'I'Y PROCESSING # <br /> <br />***************************************************************** <br />