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<br />, OWNER'S NAME-.:Be 1- A"lf.. '.I nv'estvY1e.VL-T~ <br />JOB SITE ADDRESS 375/ L a...u.re-l Vc.<...ll ej <br /> <br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILI>IN(~ lHlPARTMBNT 5335 8th STRBllll'f ZBPHYRHILLS, PL 33540 <br />Phon.IB13-7BO-0020 FaxI813-7BO-Q021 ~ <br />DATB RBOBIVRD L-:~~ -0...2... <br />PLANS RBVIBW rIa <br />S (,,4..;Z..d..vl.v-. '(.... 'Bol-I r7 '3 8 - S 3 I Li <br />PHONEl CONTACT tlE:S-BBL-elB <br />30'^!:f3S llVoJ!:f3d 0::; <br /> <br />LEGAL DESCRIPTIONl LOT(S) BLOCK <br /> <br />------ <br /> <br />SUBDIVISION <br /> <br />M a.jes +-i c.. 0 CLk => <br /> <br />PARCEL ID # ,;J,4-.;1,(~r~/-0030-000C()-CJ.;J.90 <br />WORK PROPS ED r ONEW CONs'rRUCTION IE ADDtTION <br /> <br />(OBTAIN P'ROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o ALTERATION <br />D DEMOLISH <br /> <br />DRElPAIR <br /> <br />[J INS'I'AIJI, <br /> <br />PROPOSED USEr I8lSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DMtJLTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'rS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMB <br />o OTHmR <br /> <br />o RESTAURANT & HEALTH DEPAR'rMEN'r APPROVAL <br /> <br />DESCRIPTION OF WORK CO-('!:Jort, Sc..reen Room, Shed) Concrete. <br />1,;( x. I 0 5c..r,-~,^" 1:2 1<- "il Sh <"'4 :;1.., rh <br />BUILDING SIZE 1)",)< I "il Ca.r'l:>o r t- SQUARE FOOTAGE ---!:L~ <br /> <br />RESIDENTIALr <br />COMMERCIALr <br /> <br />A'I'TACH (2) PLOT PLANS & (2) BErra OF BUIl,DING PLMs & (1.) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUlfJDING PLANS & (1) SE'r ENERGY FORMS. <br />PROPEltTY SUJ:{VEY REQUIRED FOR ALl, NEW CONSTRUCTION. <br /> <br />sta.b C>/-dn~ew~ <br />HEIGUT See.. ~a.~ S <br /> <br />PBRMITS RmOU~STBD <br /> <br />~ B(JII,[JING <br />[] ELEC'l'RICAL <br /> <br />$ 3500.00 <br /> <br />VALUATION OF TOTAl, C()NS'1'RUCTION <br /> <br />AMP SERVICE <br /> <br />o FI.ORIDA POWER <br /> <br />[] W,R,E.C. <br /> <br />IJ PLUMB WG <br /> <br />o MI!lCHAIHCAL <br /> <br />III <br /> <br />VALUATION OF MElCHANCIAJ~ INSTALl,ATION <br /> <br />o GAS <br /> <br />o ROOFINr] <br /> <br />o SPECIALTY <br /> <br />LJ OTHElR <br /> <br />'l'YPE OF CONS'l'RUC'rlON r 0 BLOCK <br /> <br />I1J FRAMEl <br /> <br />o STEBlIJ <br /> <br />~ O'mER A-IU-V\'\.~nl^.~ <br /> <br />FINISHED FLQOR ELBlVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARBlAO YES 0 NO <br /> <br /> <br />" <br /> <br />BUILD.R <br /> <br />8lGNA'rURE~ W ~~~ <br /> <br />COMPANY Mike Wi / I i aIM!> Con ~t . <br />STATE CERT OR REGIST # <br />CITY PROCE8SING # 3(O~ <br /> <br />****************************************************************** <br /> <br />IILBCTRICIAN <br /> <br />SIGNA'l'URJll <br /> <br />COMPANY <br />STATE CER'r OR REGrST # <br />CITY PROCESSING # <br /> <br />J..-___ <br /> <br />****************************************************************** <br /> <br />PLUMBIR <br /> <br />COMPANY <br />STA'I'Bl CERT OR REGIST # <br />CI'l'Y PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATBl CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHIIt <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIeT # <br />CI'I'Y PROCBlSSING # <br /> <br />***************************************************************** <br />