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<br />Cl'J.'~ OF ZEPHYRHILLS PERM!'r APPldCATION <br />BUILDING DEPARTMENT 5335 ~th S'l'REE'l' ZlllPHYRHILI,S, FL 33540 <br />Phonitl 813 -'780 - 0,020 i'ax 1813 -'780 - 0021 ;/23' <br />DA'.rBl RBCBlIVBlD ..Lt2::.____~ <br />PI,ANS RBlVIlllW Ji'BB______~ <br /> <br />O\'/HIi:R'S HAHE C.a/<i1_~~/5/.? PHONE CON'l'AC'I' "I07-JI0l-77'19 <br /> <br />JOB SITE ADDRESS VJ~q' L~t:f: St-_~/AyllJ.,'It..., c!oj{JNI_Llo.~It/l.lJ~ <br /> <br />LEGAL DESCRIPTION: LOT (S) peel PG6 BLOCK UNI<~ SlJBDIVISlON O~ NIOR-fA- zq FT ~~ 4J j;. <br /> <br />... <br /> <br />PAR~EL ID # on; Oltf; 0( I OQt1.o O(O,j~ <br />WORK PROl'SED: ONEW CONs'rRUCTION 0 ADDITION <br /> <br />OSIcm <br />PROPOSED USE :~SGL FAMILY DWELLING <br />[J COMMElRC lAI. <br /> <br />o lYJOVE <br /> <br />OMUL'l'I - FAMUN <br /> <br />o DEIVJOI.ISH <br /> <br />o INDUS'l'RIAI~ <br /> <br />00 1-/<3 <br /> <br />(OBTAIN /;i'ROM PROPERTY TAX l'IlTl'fCE) <br /> <br />\ <br />0\ <br />P\ <br />~ <br />~ <br />~ <br />~ <br /> <br />OALTERATlON <br /> <br />~ REPAIR <br /> <br />~ 1 Ns'rM,I. <br /> <br />0# OF mUTS <br />OSWIMMING POOL <br /> <br />D MOBIr,El HOME <br />IJ D'rUER <br /> <br />D RESTAURANT &. HEALTH DEPARTMEN'r APPROVAL <br />llESCRIP'rION OF WORK R~~ 8ft &n1j1' _~""5~J. /0012.,,) ,PI.Lun6,'V ;-::;'Jr-/fARIL.7 DRy~ <br />BUILDING SIZE ~/X Ii,'-____ SQUARE FOOTAGE (;dt'Oc2 HEH1H'l' .L <br /> <br />RESIDENTIAL: <br />COI>1Iy]I:iJRCIAI~ : <br /> <br />~ <br />~ <br />~ <br />~ <br />~ <br />l" <br /> <br />AT'rACH (2) PLOT BLANS & (2) SETS OF' Bun,DIl'IG Pl.ANS & (1) SET ElNijlJtGY /;i'ORMS. <br />A'L''l'ACH (3) SE'l'S OF BUILDING PLANS '" (1) SE'r ENERGY FORMS, <br />~RO~ERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ <br />'^ <br />..."" <br />~ <br />~ <br /> <br />o I3lJIUUNG <br />~ ELEC'I'RICAL <br />~ PLUMB ING <br /> <br />~ <br /> <br />6'0 <br /> <br />FERMITS REQUESTED <br /> <br />- <br />"j rJ::), <br /> <br />$ <br /> <br />AMI? SERVICE <br /> <br />VALUATION OF To'rAL CONS'I'RUC'I'ION <br /> <br />00- FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />W j.lECUAHICAIJ <br /> <br />$~.eo <br /> <br />[] GAS <br /> <br />[] OTHER <br /> <br />VALUATION OF MECHANCIA1, Il'1S'I'AI,LA'l'ION <br /> <br />[] ROOFING <br /> <br />n SPECIAl/rY <br /> <br />'l'~PE OF CONS'I'RUCTI01~: [] BLOCK <br /> <br />~ FR.ANE <br /> <br />l"INrSHElJ Fl,OOR EI,EVATIONS <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJEC'r IN !.<'LOon ZONE AREAD YElS ~ NO <br /> <br /> <br />CDto1PANY <br />STATE CERT OR. RE <br />CITY PROCESSING # <br /> <br />****t*************t**********************************,*tt**t"*'t* <br /> <br />ELECTRICIAN _ <br /> <br />SWNA'ruRE LJ K ~k~...---- <br /> <br />CO!o1PANY ;f6/~ 4/J~ <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />-----.-- <br /> <br />._-~----..----_--......-...._~- <br /> <br />'*"'*******************************'*'******************t*tt***t. <br /> <br />JilLtJW:aBlR <br /> <br />SIGHATlJRE d/ r ~e/.L4./ <br /> <br />COMPANY 4..rn ~ (!?U;'U'F~ <br />STATE CERT OR REGIST 1# ___ <br />CITY PROCESSING # <br /> <br />MECHANICAL, <br />SIGNATURE d~ R~ g--b~..-...~ ~ <br /> <br />******'*"***"'**************"*"*"**"*'*'****""'**t*t*'*t** <br />COIVJPANY ~'77~ ?iL'-<2~L <br />STATE CERT OR REGIS'I' # <br />CITY PROCESSING if <br /> <br />OTHJilR <br /> <br />****************'*'******'****'*'*****~*t******'***,**t*t*'*t*'*, <br /> <br />SIGNATURE <br /> <br />COf'.1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />-~ <br /> <br />*****'**'..****************"*****************'*****"'*"t**'t., <br /> <br />--...-.....~-------~~- <br /> <br />J <br />1 <br />