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<br />OWNRR' 8 NAME~ i (\ e 'Sc 11 I e... c~ I ~ <br />LTOB SITE ADDREss6R.ol/ '5 QeJYlQ!1:\ ~ <br />LEGAL DESCRIPTION: LOT(S) 8<-D <br /> <br />CITY OF ZEPHYRHILLS PERM!'!' APPI.lICATION <br /> <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />PhoneIS13-780-Q020 FaxI813-780-0021 1/.- /7_D J <br />DA'fE RBCEIVED :J L <br />~--_. -"."_. ._-- .._-- --------- <br />PLANS REVIEW FBB_________. <br />PHONE CONTAC'~3 :._($~~;} <br /> <br />-- 8lJBDIV:BION -~U0ti;:;(vt+-IP <br /> <br />PARCElL ID # Dd - d- (0-- d 1-6d-.-Co 0 -co OOO-O~D (OBTAIN FROM PROPERTY :A~ NOTICE) _ <br /> <br />BLOCK <br /> <br />WORK PROPSED: 6QNEW CONS'l'RUCTION o ADDI'rION o ALTERATION o REPAIR D INSTAI,L <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWEL1,ING OMULTI - FAMILY 0# OF UNITS ~ MOBU,E HOME <br /> [J Cm1MERC 1Al, o INDUS'l'R1AL o SWIMMING POOL DOTHER <br /> <br />o RESTAURANT & HEAI,TH DEPARTMEN'r APPROVAL <br />DESCRIPTION OF WORK Bee h.evn ~ D'-^---* <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RES IDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PI,ANS & (1) SET ENERGY FORMS, <br />COMMERCIAIJ: ATTACH (3) SE'rs OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ D-11 a ~.'4 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Ll ELEC'I'Rl CAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />[J PLUMB ING <br /> <br />D JIIECHANICAIJ <br /> <br />(J 7J 'J. tSLI <br />$--, <br /> <br />VALUATION OF MECHJU1CIAI, INSTALLATION <br /> <br />o GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: LJ BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR aJI,EVATIONS <br /> <br />I S PROJECT IN FLOOf) ZONE AREA 0 YES <br /> <br />01'10 <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # _____ <br />CITY PROCESSING # <br /> <br />~._---._------._---~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />IlII,BlCTRICIAN <br /> <br />S J Gl'IATURE ___.____________ <br /> <br />COf\1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />-~------------....._---~ <br /> <br />****************************************************************** <br /> <br />PLUMBIlIR <br /> <br />COMPANY- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATIJRE <br /> <br />****************************************** ***~~** *** .*~*******r* <br />.BCHANICA:::U 11 COMPANY ft1r I Q11;~ 'f f:;.te...c-frJ'C .___ <br />h. b~ . ,/ It - . S. TATE CElR'f OR REGIS'r #CAC 3..2 7~ ____ <br />SIGNATURE./ ~ CITY PROCESSING # . <br /> <br />**************************************~************************** <br /> <br />OTHIlIR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />-------- <br /> <br />***************************************************************** <br />