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<br />I OWNBlR' B NAME <br /> <br />-- , <br /> <br />r (L /I-~' v-- <br /> <br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILUINCa IJIJPARTMBNT 5335 8th STRlIlE'f ZIJPHYRHILLS, PL 33""'0, <br />PhorteI813-780-0020 raxI813-780-0021 <br />DATa RaoaIvan _______ <br />PLAKS RaVIaw .a. <br /> <br />PHONS CON'fAC~~~ - J.-1fsj <br /> <br />, SVf~l '1 <br />, \ <br /> <br />JOB BITBI ADDRBlSS <br />LBlGAL DESCRIPTION. LOT(S) ~ 4 <br /> <br />Co <br /> <br />SUBDIVISION <br /> <br />~) C ":$1- <br /> <br />----- <br /> <br />BLOCK l)- ) <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSEO. [JNBlW CONSTRUCTION <br /> <br />(OB'rAIN P'ROM PROI?BlRTY TAX NOTICE) <br /> <br />DSHm <br /> <br />D ADDITION )iaLTERATION ORBPAIR rJ INSTAI,I, <br />D MOVE 0 DEMOLISH <br />DMULTI-F'AMILY 0# OF lJNI'rs o MOBILE nOMBI <br />o INDUSTRIAl, o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE. DSGL FAMILY DWELLING <br />~MMERCIAl' <br />D RBlSTAURANT & HEALTH DBlPAR'rMEN'r APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~C-~ c~ c- \ <br /> <br />'1-...1: [)c;l jJ I ~S Svb.-... J1J <br />/ 7 J <br />SQUARE! FOO'rAGE ~ I):S Z HmmHT <br />,/ <br /> <br />d-O /' <br /> <br />BUILDING SIEE / Dc) 'f.- .J 0 ~ <br /> <br />RESIDENTIAL, <br />COMMERCIAL. <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PLANS & (1.) BET ENERGX_..!'QRMS, <br />ATTACH (3 J SETS OF BUII,DING PLANS & (1 J SET ENERGY FORMS. -. <br />PROPERTY SlJItVEY REQUIRED FOR ALL, NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br /> <br />~Ir.rnNG <br /> <br />$ Lj txJ ().):) <br />/ <br /> <br />~BRMITS aBOUmSTBD <br /> <br />VALUATION OF To'rAL C<JNS'l'RUCTION <br /> <br />[] EI,EC1'RICAL <br /> <br />(] PLUMB INCl <br /> <br />o MECHAN ICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANcrAI~ INSTAI,I,A.TION <br /> <br />o GAS 0 ROOFIN(3 0 SPECIALTY <br />'I'YPBl OF CONS'l'RUCTlON I ~ <br /> <br />[] OTHER <br /> <br />[] FRAME <br /> <br />D STElllI, <br /> <br />D o'mER <br /> <br />FINISlUnD FLQOR ELBlVATIONS <br /> <br />IS PROJECT IN FLOOD EONE AREAO YBS 0 NO <br /> <br /> <br />BUILDBR <br /> <br />.,.,----""". <br /> <br />' COMPANY G-_C. J-/-jJ>5 i) J <br />STATE CERT OR REGIS'r #5-BC ~g'J'1 <br />,-1 _. CITY PROCESSING # ;.-" j D 3 <br />- ~ 1< .~ <br />~~~~~**~******************************** **~****.******* <br /> <br />S lGNA'fURBl <br /> <br />BLICTRIOIAN <br /> <br />COMPANY ;/14/ -/-;..,.-, E;;J ~r,; C'..> ~<:....: <br />7.. STATE CER'r OR REGIST # E-c_ () 0 ();J ()6>7 " <br />CITY PROCESSING # C;'3z' <br />If::.-+ ./ <br />***************************************************q~***** '***** <br /> <br />PLUMB.a , COMPANY AV\i ~c" <> ,\?\o \ll.^G lv~ <br />cA ~)I) /f{ /.~ STATE CERT OR REGrST # f!. F C)OltS(1 f.? <br />SIGNATURE ~~~ , CI1'Y PROCESSING 0#1L=1 0 ~q(P. _, , <br /> <br />f****** ************************************************~~******* <br />MBC!HANIC!AL COMPANY 7' 0 ,4;'~ _ <br />STATE CERT OR REGIBT # ~ P7 {J 0 I f't" ( <br />CI'l'Y PROCESSING # ;< 0 ~ . <br /> <br /> <br />SIGNA'1'(}RE <br /> <br />SIGNATURE <br /> <br /> <br />******************************************** <br /> <br />OTHIIR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR RBlGIST # <br />CI'I'Y PROCESSING # <br /> <br />***************************************************************** <br /> <br />--1-._ <br />