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<br />L:l".l'Y OF ZEPHYRHILLS PERMrr APPIJICATION <br /> <br />BUILDING DEPARTMENT 5335 ~th S'l'REE'l' ZBlPHYRHI14LB, :FL 33540 <br />~hon./813~780~~020 Fax.813-780-0021 <br />!lA'!'Bl RBCEIVBlD <br />~--''''''''-'--'~~-- <br />PI,ANS R.IllVIlllW i'IB__n_____ <br /> <br />0I1NER I SHANE <br />.JOB SITE ADDRESS lOt I Dr::t <br /> <br />~-~. <br /> <br />~3-k/r- <br />Ctr(J U II k\o'~~_'lfr:Jf;.c <br />o)o? <br /> <br />PHONE CON 'l'ACT8'B- h1. 6 :-c:;rr'7r <br />04ltr //u ;J4~ __.___ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BI,OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />4 ~ J 0 ~~ I ~oooo - 0(;,/00 - CD dOBTAIN P'ROM PROPER'l'Y TAX l'lOTfCE) <br />l'lEW CONS'fRUCTIOl'I <br /> <br />o ADDITION OALTERATlON o REPAIR D INSTM~l, <br />o MOVE 0 DEMOl,ISH <br />OMUW'I - FAMILY 0# OF ill'l I'l'S D MoaII,E HOI'4E <br />o INDUS'l'RIAL DSWIMMING POOL [] D'fIiER <br /> <br />WORK PROl'SED: <br /> <br />DaWN <br /> <br />PROPOSED USE; OSGlL FAMILY DWELLING <br /> <br />o Cot4MIilRCIAI, <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURAl'lT & HEi\LTH DEPARTMENT APPROVAL <br />}:Lx SO <br /> <br />~/v.eUkj <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />1000 <br /> <br />HEIGH'!' <br /> <br />RIil8IDENTIAL: A'fTACH (2) PLo'r PLAl'lS &. (2) SETS OF BUII~DING PLANS & (1) SET ~NIjlRr~y ~'OR\YIS. <br />COi'1MERCIAL: A'rTACH (3) SETS OF BUILDING PLANS & (1) SET ENlilRGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FERMI~~ REQUESTED <br /> <br />D 13\JILDING <br /> <br />$ ~"6 30.0:::> <br /> <br />VALtJATION OF 'roTAL CONSTRUCTION <br /> <br />II ELEC'I'RlCAI, <br /> <br />AMJil ,9ERVIClil <br /> <br />o FI,ORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />[J PIJUI'1B ING <br /> <br />o I1ECHAl'lICAr~ <br /> <br />$-- <br /> <br />VALUATION OF MECHAl'lCIAl, INS'l'ALLA'nON <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[J SP,ljjCIAL'l'Y <br /> <br />o O,!'H,ljjR <br /> <br />TYPE OF COl~8'fRUCnDl'l; 0 BLQCK <br /> <br />o FRAME <br /> <br />o S'l'EEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR lilI,EVATIONS <br /> <br />IS PROlJECT IN !.<'LOOfJ ZONE AREAO YHiS 0 NO <br /> <br /> <br />BUILOIllR <br /> <br />COt4PANY <br />STATE CERT OR REGIST # _., <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />--.t._**.*._*___._.*__.*.*_.**.****_..**....*__**.._.__**......*.. <br /> <br />lilI,lilOTUCIAN <br /> <br />COIYJPAl'lY <br />STAT~ CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _ <br /> <br />._~----.--_~--------~-..--- <br /> <br />.****.**********-********..***********************..****t*t****.t. <br /> <br />i'LUWBilR <br /> <br />COMPANY <br />STATE CER'I' OR ftEGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MlIlCHANICAr~ <br /> <br />***t*****.***************.*******_***.**.********.****t******t*..* <br /> <br />COIVJPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************~******************.******* <br /> <br />OTHJlIR L01.CA.f..k. <br />SH3HATURE !).f-<l , <br /> <br />an ttA-C fok <br />~~~ <br /> <br />, L <br /> <br />COMPANY Po~{~(P Cc;fJJ<A..e,~( ~/J1A~""4 "~~ <br />STATE CERT OR REGIST # O'fYi)ff t>cJ1T77' <br />CITY PROCESSING # Ir#-. ~~ 0 o. 00" <br />7-KIU.S . ~Ol 0 <br /> <br />****...****.*.***.*.**.**.*.......*.......*_...***.*..t..*..tt... <br />