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<br />L:.l'J.'~ UF ZHiJ?HYRHILLS PERMIT APPI.lICATION <br />JilUILDING DBPARTMENT 5335 !ltll S'fREE'I' ZEPHYRHILLS, FL 33540 <br />j1honill81~~780-o.0;jlO FaxI613-780-0021 . )F\/li1.'. ' , <br />DA',['E RBCJilrVIID ~_Q~~_ <br />PI,ANS RBlVIIIW FBB___~__ <br /> <br />O\'INER I S HAJ.1E ~ ( ~ S ~ PHONE CONTACT CcA 5-- crCfln <br /> <br />JOB a I'f8 ADD"""a f-- 0 T '1-~,- :3 (12?--L-~J-/: I} -.k_a~ ___ <br /> <br />LEGAL DEa CRIPT ION , LOT(al Lo-r@ BLOCK allBDIVIaION <br /> <br />PARCEL ID # 2-4--Z~-2)- ()c!)OL)- bol oo--ooqo (OBTAIN !;i'ROM J?ROJ?Ii:RTY TAX NQ'l'tCIi:) <br /> <br />WORK PROPSED; ~W CONS'l'RUCTIOl~ 0 ADDITION o ALTERATION 0 REPAIR 0 n~eTM,l, <br /> <br />OSI(m <br /> <br />[)MOVIi: <br /> <br />o DE1"lOl,ISH <br /> <br />PROI?OSED USE; 08G1, FAMILY DWELLING <br /> <br />fJ COMMERCIAL, <br /> <br />o MULTI . FAMUN <br />o INPUS'l'RIAI., <br /> <br />0# OF UNl'I'S <br />OSWIMMING POOL <br /> <br />[) MQB I 1,Ii: 110MB <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-J2X So <br /> <br />'f)A.,ueCA(f } WI"~_/; . <br /> <br />SQUARE FOOT~GE . 2v <br /> <br />BUILDING SIZE <br /> <br />H1UWi'!' <br /> <br />RES IDENTIAL; ATTACH (;I) PI,OT I?LAl'l8 & (2) SlllTS OF BlJII,OING PI,AWS & (1) SET EjNfjlRQY FORMS. <br />COlvlMElRCIAL; A'!"!'ACH (3) SEl'l'S OF BUIl.OING PLANS & (1) SST lllNSIWY FORMs. <br />PROPlllRTY SURVlllY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FE~IT~ ~EQUE~TJD <br /> <br />o BOII.DING <br /> <br />$ <br /> <br />I 33&1 fXJ <br /> <br />VALlJATWN OF TOTAL CONSTRUCTION <br /> <br />II li/LEC'I'RlCAL <br /> <br />AMI? ~E1RVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.EI.C. <br /> <br />[] Pl,U1VJB ING <br /> <br />o HECHAlHCAI, <br /> <br />$ <br /> <br />VALUATION OF Iv1ECHJll~CIAL INSTALLA'l'WN <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SI?IilOIAl,TY <br /> <br />o OTHER <br /> <br />TYPEI OF C01~S'l'RUC'frol~; lJ BLQCK <br /> <br />o FRAMlll <br /> <br />o STEEL <br /> <br />o OTHlllR <br /> <br />F'INISHlllP n.c;)OR 1i:I,lllVATIONS <br /> <br />IS PRO,TEC1' IN FLoon ZONE AREA 0 YES IJ 1m <br /> <br /> <br />BUILOBlft <br /> <br />COMPANY <br />STATE ClllRT OR REGIST # <br />CITY PROCESSING # <br /> <br />fHGNATURE <br /> <br />****..*****.******.****..*...******..*****.**..******..*...*...**~ <br /> <br />111l.IlCTRICIAN <br /> <br />COlvJPAliY <br />STAT~ CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />s r GHA'fURE __. <br /> <br />..*****.*******~**'**,.*...*..**.************.****.*....".t".... <br /> <br />i'LtIWSBR <br /> <br />COMPANY <br />STATlll Cli/RT OR ~EGIST # <br />CITY I?ROClllSSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />.*****-_..***-*****.********-********.**.**..****.**....***..**." <br />COI"iPANY___ <br />STATE CElRT OR REiGIS'!' # <br />CITY PROCESSING # <br /> <br />MBlCHANICAL <br /> <br />*********.**.******~*..***************~**.*********..-.*......._* <br /> <br /> <br />OTHlllR CQb(..e~...e CcJYItl?-1CfoL COMPANY/:;-Ctl_-LO (' rfl-1c R-l-f-c' If. 4l;9!/7#.{,/kc _ <br />/ /7 'ffl ~ STATE (illlRT OR REGIST # n~Jc()::;tf 0(97) 7 <br />a"lllA'l'URy.i~4" l~ CITY PROCEaaING # '" ,Z; L<J#';'S6.f: , - <br /> <br />*...........*..***..*****.....*_..*..*....***..****...**.*....... <br />