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<br />mINER'S HANE &\-aM S~ <br />JOI3 Sl'fE ADDRESS I- 0 T 20 3 _~ 03 <br />LEGAL DESCRIPTION: LO'r(a) 2- ()T~ BLOCK <br />PARCEL ID # ,72-4 -2l..-..:Ll- <0000- 00 (00 _ <br />WORK I?ROI?SED; ~ CONs'rRUCTIOl~ 0 ADDI'fION <br />OSH#N 0 MOVE <br /> <br />L:J..'J.'Y OF ZEPHYRHILLS PERMIT APPI~ICATION <br />BUILDING DSPARTMlilN'r 5335 ~th S'l'RElil'!' ZBlI?HYRHILLS, Ii'L 33540 <br />Phonliil813~7BO-0020 FaxI813-780-0021 iT..11I 1. \ r . <br />< DA'rs RICIlIVIlO ~l.k-L9~_ <br />PI.ANe IUI:VIIllW i'IilB-,-__~~ <br /> <br />e ~A-i' "-It: <br /> <br />~JI'\-e-5 <br /> <br />PHONE CONTACT (ect S . -'1 <:fer V <br />5+-. <br /> <br />SUBDIVISION <br /> <br />(OBTAIN B'ROM I?ROI?ER'l'V TAX NOn, CEll <br />0090 <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o IN8T1UJ{. <br /> <br />o DEMOl,ISH <br /> <br />I?ROJ:lDSEll USEl; OSGL FAMILY DWELLING <br /> <br />o MUL'l'I - FAMILY <br /> <br />0# OF mn'l'S <br />o SWIMMING POOL <br /> <br />o MqB I ~JIil HOME <br />rl OTHER <br /> <br />o COtlJMIilRCIAI, <br /> <br />o INDUS'l'RIAI. <br /> <br />DESCRIPTION OF WORK <br /> <br />J2-;><sa <br /> <br />CJ RIilSTAURAllT & HE}l,LTH DEPARTMENT APPROVAL <br /> <br />D l' "" if l oJ, J, tJdt~ <br /> <br />SQUARE FOOTAG / Gz. . <br /> <br />BUILDING 8 I ZE <br /> <br />HEIGH'!' <br /> <br />RESIDENTIAL I AT'rACH (2) PLOT I?LAUS & (2) SETS OF BUILDING PLANS " 'l) SET ~m.ilRQV FORMS, <br />COMMERCIAL: ATTACH (3) BETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />fE~IT~REQUE~TID <br /> <br />o BlJILQING <br /> <br />$ } '3,3 D , cO <br /> <br />VALlJATWN OF 'fO'l'AL CONSTRUCrrION <br /> <br />II ELEC'I'RICAI, <br /> <br />AMP ,sERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />[J lill,Ul'1BING <br /> <br />o !.1ECHANWAL <br /> <br />9-- <br /> <br />VALUATION OF MECHANCIAI, INS'l'ALLA'{'ION <br /> <br />o GAS <br /> <br />o ROQFIlW <br /> <br />D SElEOIALTY <br /> <br />o OTHER <br /> <br />'I'YPE OF COH6'l'RUCTIOl~; lJ BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />F'INISHED FLQOR EI.EVATIOHS <br /> <br />IS PROclECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDBlR <br /> <br />COtlJPAN Y <br />STATE CERT OR. REGIST # ..-,__ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***"**"*'*".""*******.*'******t****.***t.*****.**t.t*tt*...*. <br /> <br />~1.lilCTlUCIAN <br /> <br />8WNA'ruRE: ___ <br /> <br />CDt1PANY <br />STATE CERT OR REarST # <br />CITY PROCESSING # <br /> <br />'t'*'*""'k********'***,..,**,**,,**********,,**,****'*"**t*t*.. <br /> <br />i'LUMBBlR <br /> <br />COMPANY <br />STATE CERT OR ~EGIST # <br />CITY PROCESSING # <br /> <br />S IGNA'l'lJRE <br /> <br />MBlCHANICAI, <br /> <br />****t"**t't*'**'*******************t****************tt*"*"*t.*, <br /> <br />COI'iJPANY <br />STATE CERT OR REGIS'l' # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHBR Co()c,e..e:h~_ L r.vr!:t?lk;}oe <br />- <br /> <br />SH3l1ATUR0- ,k ~~ <br /> <br />***tt**"t*'t**t*t'******'************~'*tt****t*t****t*t*tt**,** <br /> <br />COMPANY~>"n2(, r"'i rA'et-c+ rllfj)/?rJ/f~ <br />STATE c!ERT OR REGIST 1fb <br />CITY PROCESSING # f2B:v- (j , "0'1 7"7.7- <br />2-1--1) '-{ i i::L. ;;L ~" L <br />. -- -. _....~ , - <br />ttt****,'**tt******.*t**...t*t**.***.****.***********.t*.*,.*...* <br />