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<br />O\'iNER' B HAI\1E ,A L-&D /)-e f4c-0 ~ <br />JOB BITE ADDRESS ~(/ '1. t:)~g (;--~~__._!A--~// <br />LEGAL DESCRIP'fION: LOT(S) BLOCK SUBDIVISION <br /> <br />L:J..'l'Y OF ZEPHYRHILLS PERMIT APPI-IICATION <br />BUILDING PBPARTMEN'f 5335 ~th S'l'REE'f ZEPHYRHILLS, FL 33540 <br />fhoneI813-780-~020 FMxI813-780-0021 L1_ ~,~ ~~~~ <br />DA'UI RBlCEIVED ~J r;>( <br />PI,ANS RBlVIIllW Ji'IilB__--- .~~== <br /> <br />PHONE CON'l'AC'~_11'" 0;2./0 <br /> <br />PARCEL In # <br /> <br />WORK PROf/SED: ONEW CONs'rRUCTION <br /> <br />(DBTAIH F'ROM PROPERTY TAX NQ'I'+CE) <br /> <br />g.-:mJDITION <br /> <br />o ALTERA T I ON <br /> <br />o REFAIR <br /> <br />o lNSTfl.!!I. <br /> <br />Os IGN <br /> <br />[J MOVE <br /> <br />o DEMOI,rSH <br /> <br />I?ROJ:lOSED USE: [lSGL FAMILY DWELLING <br />(J COfi]MHlRC IAI, <br /> <br />OMUL'l'I - FAMILY <br /> <br />D# OF mUTS <br />D SWIMMING POOL <br /> <br />o MOB I [,liJ HOMliJ <br /> <br />~ OTHlilR <br />reA ..p..p ') <br />JI?#t:I'~ <br /> <br />D INDUS'l'RIAL <br /> <br />CJ RESTAURAl'lT & HEAI,TU DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK )" ( <br />BUILDING SIZE I ,) 1- /.-fi-- <br /> <br />,h..e<-{!h <br /> <br />}-c??' Y1... <br /> <br />SQUARE FOOTAGE <br /> <br />1ft <br /> <br />I <br />HEIGH'!' ....? <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLAllS & (2) SETS OF BUILDING PLANS & (I) SET !lJNIilftC4V FORIYlS, <br />C01>1lvJERCIAL: A'I"I'ACH (3) SliJ'rs OF BUILD:rNG PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />FERWITS ~EOUESTED <br /> <br />o I3lJIUHl'lG <br />fJ ELEC'I'RICAL <br /> <br />$ Lf~(JCJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMI? ,sERVICE <br /> <br />o FI,QRIDA POWER <br /> <br />o W,R,E,C, <br /> <br />o Pl,UMB ING <br /> <br />o I1I1:CHANICAL <br /> <br />$--, <br /> <br />VALUATION OF MECHJl..NCIAI, INS'l'AI,LA'l'WN <br /> <br />o GAS <br /> <br />Ll ROQFIl1G <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />'!'YPIil OF CONS'I'RlJCTI01~: [J BLOCK <br /> <br />D FRANE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />l"INISHllm FI.qOR EI,EVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [:J NO <br /> <br /> <br />lI1J,ECTIUCIAN <br /> <br />BUILn.. . "OMPANY A- lei < _~-"'i'1f ~ /h::-,;~~V I <br />~ / ~ STA'I'al CER'r OR REGIS'!' # ~.. .... C_~~~ <br />SIGNATURE y~.-d 7- . CI'l'Y PROCESSING # //35 <br /> <br />..............::... .:.........................~~.~........ <br /> <br />COt1PAl'lI' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SJGHATlJRE ___ <br /> <br />~....,..-""- <br /> <br />*"**'*'.**'***k.*.***..*..**.**.************..***.*..***.*..*.... <br /> <br />iLmtElBlR <br /> <br />COMPANY <br />STATE CER'l' OR REGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNA'l'URE <br /> <br />MJIlCHANICAL <br /> <br />.******.*...****.***********.*.******.**..************,****.,*.tt' <br /> <br />COIYJI?ANY_ <br />STATE CER'f OR REGIS'I' # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**'****'**'***************************~*'*****.*****,.****,****.* <br /> <br />OTHJlIR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SHmATURE <br /> <br />k*'*******k"****"*'**"*k'*'***'*"*"*,***,*,**,,,*""""'" <br />