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<br />~.J..'J.'Y OF ZEPHYRHILLS PERMrr APpr~ICA'rI()N <br />ElUILDINl] DBJi'ARTMIilN'l' 5335 ~th 8'l'RIilE'l' ZEPHYRHILLS, li'L :33540 <br />JilhoniiI813~780-Q020 B'a:X:1813~780-0021 ---LLr')-- 0_0"7 <br />DA'l'1Il RBCIilIVED I 6 ~ <br />. ~"....,~ ..-.-.. ......,.....-..--.-. <br />PI,ANS RJIlVIlilW i'IJIl________ <br />O\'ll~E:R I SHANE ,J1e 19 b.L3 0 \...(. , ~ J1 Lf PHONE CON'1'AC'l'7 r.J.... 79 7 L <br />,JOB SITE ADDRESS :? 3:3 ')- .J:L5"~-~p--L,,-cL--_~f?___________________._._____ <br /> <br />LEGAL DESCRIPTION: 1,0'1'(8) <br /> <br />BLOCK <br /> <br />I:HJBPIVISION <br /> <br />PARCEL ID # 6_Lt ;A.5' -:1...1 0 / Ci 0 <br />WORK l?ReJ !;is ED : 0 NEW CONS'l'Rl1CTION <br /> <br />o (j O~O <br /> <br />0300 <br /> <br />(OBTAIH :I!'ROM PRO!?ER'!''! '!'AX NOTICE) <br /> <br />--.--..--.."....___~.T__._~___...-_ <br /> <br />[] ADDITION <br /> <br />o ALTERAT I ON <br /> <br />o REPAIR <br /> <br />o IN8'l'M,I, <br /> <br />OSIGN <br /> <br />DMOVE <br /> <br />D DEMOl,rSH <br /> <br />PROJ:lOSED USE: [JSGL FAMILY DWELLING <br /> <br />DMUW'I.. FAMIIN <br /> <br />0# OF lINI'l'S <br />~SWIMMING POOL <br /> <br />[J MOBrr,E HOME <br />o (J'mER <br /> <br />fJ CQtIIMERC!IAI, <br /> <br />o INDUS'l'RIAL <br /> <br />D RES'fAIJRANT & HEAI/l'H DEPARTMEN'I' APPROVAL <br />llESCRII?TION OF l'lORK _200.L..j Scrz -.e--e 4.) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HElm~rr <br /> <br />RESIDENTIAL: <br />COHMERCIAL: <br /> <br />A'I"l'ACH (2) PLOT PLANS & (2) SETS OF' BUILDIHG l?LAHS & (1) SET ENElftCfV FORMS, <br />A'l"l'ACH (3) SETS OF BUILDING PLANS & (1) SET ENEJ1<GY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />fJ ELECTRICAL, <br /> <br />~AJfl) ,;~~ <br />FERMITfi! REQUEfi!TED r!J:} I~ W <br />VALUATION 0" TOO'AL CONS'I'RIJC'fION (fj) r:,: ~ 'J- :f} . <br />AMP ~SRVIC, 0 FLORIDA POWER 0 Ii) if)' tJ'l'J/i 1/ <br /> <br />[] BIJILDING <br /> <br />(,' .:' <br />$ .l,S- O()() <br /> <br />[J PLIJt.1B ING <br /> <br />o I-1ECHAH I CAr. <br /> <br />$-_. <br /> <br />VALUATION OF IvJECH1.l.l'1CIAL INS'l'ALLA'l'lON <br /> <br />D GAS <br /> <br />fJ ROOF'IHG <br /> <br />o SI?EcrAl/l'Y <br /> <br />o OTHER <br /> <br />'l'YPl:l OF CONS'l'RlJCTlON; [J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[J OTHER <br /> <br />F'INISHEl}) FLOOR El,EVATIONS <br /> <br />IS BROdEe'!' IN FLOOD ZONE AHEAD YES <br /> <br />o l~O <br /> <br /> <br />BUILDER <br /> <br />COtlJPANY #fJ."",-c "'T;c..vh.J E~<d::) +-;..,<- <br />, STATE CERT OR REGIS'l' # ~Lr;;.O cJ... '=>~'-I ~ <br />~ CI'l'Y PROCESSING '*-~7-..., __ <br /> <br />* * * * * ,. * * * *.. , '* .* '*. * * * * * * * * * * .. '* .. I< * I< '" '" * I< *.t I< * '* .t '* *.. '* * '* '* * * '* * * * '*~, <br /> <br />COlvJl?ANY /JOht'<. 0 r........",..,\~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />liUlC'fRICIAN(\ /) <br />SJ GHATlJrd..~....J::;;>~~_ <br /> <br />._--~-----~-~~-----_._----_.,-- <br /> <br />SIGNATIJRE <br /> <br /> <br />......... ........................... ............. .J:.:......... i"\ , <br /> <br /> <br />COMPANY l..-.--'. "J. 1# 1.--:- ~~_~_ <br />STATE CERT OR ftEGIST # <:/'<... d~S-,s-v'"'l-.. <br />~~'^' CI'l'Y PROCESSING # ~l q <br /> <br />~---._----..._-~._._----- <br /> <br />PLUMI:lIllR <br /> <br />UIIlCHANICAI, <br /> <br />**********'***'*******'***'****"*'***'**"'*****************,'.*, <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~-------~--..._-- <br /> <br />SIGNATURE <br /> <br />------..------- <br /> <br />**'***********'**..********************~"'**************"t,**,**** <br /> <br />OTHIIlR <br /> <br />COI\1I?ANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />S I <mATURE <br /> <br />'--,.------- <br /> <br />**'*****'*****'*************.**********.**,************t.**.***.* <br /> <br />--_.----~----......----- <br /> <br />--- <br />