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<br />L: 1. 'l' X <br />BUILDING <br /> <br />U.14' ~El?HYRHILLS PERMIT APPLICATION <br />DBPARTMENT 5335 eth S'fREE'f ZEPHYRHILLS, Ji'L 331540 <br />Phon&1813-780-~020 FaxI813-?80-0021 <br />D1\.'l'E IitBCEIVBlD <br />PI,AliS IitBlVIBlW Ji'BE___----------o-__ <br /> <br />JOB SITE <br /> <br />NANE r'. nth " a. '&k e r <br />ADDRESS !-S3. "6 6 ::s~~{ JLY1 Q tJr, <br /> <br />PHONE <br /> <br />CON'J'AC'L~ (~]~ '"<6759 <br /> <br />OllNER I S <br /> <br />.------- .._~--------- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />FAlWElL ID # <br /> <br />(OBTAIN B'ROM PROPERTY TAX NOTICE) <br /> <br />WORK PROI?SED; O1'1EW C01'1s'rRUCTION <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPJ,IR <br /> <br />[] INSTAI,I. <br /> <br />[]SHm <br /> <br />[] MOVE <br /> <br />[] DEMOl/ISH <br /> <br />FROJ:lOSED Uf;lE: OSGL FAMILY DWELLING <br /> <br />[]MUl/rI - FJ.I.MILY <br /> <br />[]j:I OF UNITS <br /> <br />[] MOBH.E IiOME <br />[] OTHER <br /> <br />[] COMMERCIAl, <br /> <br />[] INPUS'l'RIAL <br /> <br />DSWIMMING FOOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />II rr,Ro~ <br /> <br />RESTAURANT &< HEALTH DEPARTMENT APPROVAL <br /> <br />/~2t=1<j1/'/Lef- ff ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'r <br /> <br />RESIDENTIAIJ: <br />COI>1MERCIAL: <br /> <br />AT'rACH (2) PLOT PLANS & (2) SETS OF BUIIJDING PLANS & (1) SElT ENElRGY FORI>1S, <br />A'!"l'ACH (3) SETS OF BUIIJDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PE~ITS REQUESTED <br /> <br />o B{JILDING <br /> <br />$ <br /> <br />VALUATION OF 'I'O'l'AL CONS'rRlJCrrION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o ~I . k . E , C . <br /> <br />[J l?l,UMB I1'1G <br /> <br />o j.1ECHANICAlJ <br /> <br />l? <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOFIHG <br /> <br />[] SPECIA.lJ'l'Y <br /> <br />[] OTHER <br /> <br />'l'YPE OF CONSTRUCTION; [] BLOCK <br /> <br />o FRANE <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FI.oOR EI,EVATIONS <br /> <br />IS PRO,JECT IN I:<"LOOD ZONE AREAO 'tElS <br /> <br />o NO <br /> <br /> <br />BUILnBlIit <br /> <br />SIGNATURE ~" <br /> <br />****.****************************************..***.*******.*.***** <br /> <br />lill,ECT1UCIAl'l <br /> <br />COto1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S] GNATURE __, <br /> <br />--------~------~ . <br /> <br />*a***************************************************************. <br /> <br />ilLUM1U1R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'l'URE: <br /> <br />MilCHANICAIJ <br /> <br />***************************************************************.** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************~********************.***** <br /> <br />OTHBlR <br /> <br />SIGHATURE <br /> <br />COlvlPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************..**********************************.* <br />