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<br />~ <br />OWNER'S NAME: W\l\\nl1v\. 10i ~ - SSI Pr()p~r~\eS PllONE CONTACT ~/3 Q73-JI.;t1 <br />JOB SITE """""as ..Gcld r ~ ~rl\i I , Ui 9 5,~ r-, I' \ I f, I "d. I Ze p h~ r:h i 1\ s 3,"; 5 if I <br />LEGAL DESCRIPTION: LOT(S) ~ ee CA.+ +a ~to~t- ') SUBDIVISION <br />PARCEL ID # ..J- :;.(p- e-t cz.f!'{~:'lA.c;~ 00 - 00/'0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTMmtt 5335 atll STREET ZEPHY1Ul:ILLS, FL 33540 <br />Phone;813-7S0-0020 Fax~813-780-0021 <br />DATE R2Cl!lIVED <br />PLANS REVIEW FBB <br /> <br />WORK PROPSED: )QNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSG~ FAMILY DWELLING <br />;t9COMMERCIAL <br /> <br />DMU'LTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME: <br />DOTHI!:R <br /> <br />o SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />t s"t-t! (" '"' <br />I <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS Oll' BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o RESTAu:RJ\NT & HEALTH DEPARTMENT APPROVAL - hQS bQen SubfY\Afeol <br />~\ Re. vi t\..\j <br />K. t'.c, +0. UrlU\ + <br /> <br />, 'I <br />HEIGHT ), 0 -::( <br /> <br />r{)n.~-trur {..IO r'\ o-f2(T\/pr( II) Si+ dow n LBtA-C{P-I- <br />I <br />SQUARE FOOTAGE TQO 7 <br /> <br />DESCRIPTION OF WORK 10~w <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />)8( BUILDING <br />o ELECTRICJ\L <br /> <br />~ERMITS REQUESTED <br />$ .I J f) ~ C ,. t9 tJ 0 VALUATION OF TOTAL CONSTRUCT:I:ON <br /> <br />AMP SERVICE <br /> <br />o FLORID1\. POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATrO~ OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:,~ aLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES p6 NO <br /> <br />.;:1: <br /> <br />r."'~,;,.' <br />, .' c. . <br /> <br /> <br />, '!~;t~i. ~\(j:p:;~~~~::,~ ~!~i:,jl~,i\;"I;~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATtlRE <br /> <br />*~***********************~~*************.************************* <br /> <br />:ElLECTR:rC:J:AN <br /> <br />COMPANY <br />STATE CBRT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MZC~CAL <br /> <br />*********~******************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGLST. # <br />CITY PROCESSING # <br /> <br />SIGN1I.TURE <br /> <br />********~**************.***************************************** <br /> <br />OTllZR. <br /> <br />COMPANY <br />,STATE CERT OR ~GIS'l' # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />~. <br /> <br />8 . d <br /> <br />Ztll'ON <br /> <br />SlllHHAHd3Z jO All8 <br /> <br />~V90:B lOOl '9 '2ny <br />