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<br />I OWNER'S NAMe S ~ A (l el"\ (Permi t4=F1 ~ ~5 ) <br />JOB SITEI ADDRess 3533 Pen'doT La...I'\..e.... <br /> <br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILUINC~ DBPARTMBNT 5335 sth BTREB'f ZBPHYRHILLS, P'L 33540 <br />Phbrt.,S13-1BO-0020 FaxI813-7S0-0021 <br />DATa a.oaIVIID 11- ~ ~ <br />PLANS R.VIa" "8. - --- <br /> <br />PHONe CONTACT 78~ - Oti<S(P <br /> <br />LEGAL DeSCRIPTION. LOT(S) ~~~ _____ BLOCK <br />PARCEL 1D # <br /> <br />-~-----~----- <br /> <br />SUBDIVISION <br /> <br />Emerald /Jot n..t <br /> <br />WORK PROPSBlO. DNEW CONS'I'RUCTION Jl\( ADDITION []ALTERATION [] REPAIR [J INS'I'Al,l, <br /> oSIGN [] MOVE [] DEMOLISH <br />PROPOSED USEI}&sGL FAMILY DWELLING []MlJLTI -F'AMILY 0# OF lINrI'S [] MOBILE HOME <br /> o COMMERCIAl, [] INDUSTRIAL [] SWIMMING POOL OOTlIER <br /> <br />(OB'rAIN F'ROM PROPERTY TAX NOTIeB) <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br />S C-,e e..vL <br />1;;2-1 <br /> <br />& HEAL'l'H DEPARTMEN'I' APPROVAl, <br /> <br />RoorYl <br /> <br />BUILDING sn~E <br /> <br />IDIX <br /> <br />SQUARE FOO'rAGE <br /> <br />(;;2.0 <br /> <br />HeIGHT ,:See.- ;:;/at...-s <br />, <br /> <br />RES IOIIINTIAL, <br />COMMERCIAL. <br /> <br />A'I'TACH (::I) PLOT PLANS & (J) SETS OF Bun,DING PLANs & (1.) seT ENeRGY FORMS. <br />ATTACH (3) SETS OF BUIIJOING PLANS & (1) SET ENERGY FORMS. <br />li'ROPIIIItTY SUitVEY REQUIRED FOR ALl, NEW CONSTRUCTION. <br /> <br />PERMITS REaUmSTED <br /> <br />Jl<1. BUII,lJING <br />M B1LBlC'l'RWAL <br />[] PLUMBING <br /> <br />$ /000.60 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SBlRVICEl <br /> <br />o Fl,ORIDA PdWER <br /> <br />[] <br /> <br />W.R.Ill.c. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAIJ INSTALI,ATION <br /> <br />o GAS <br /> <br />o ROOFINr1 <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />'l'YPE OF CONSTRuc'nON, 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEElJ <br /> <br />[] o'mER <br /> <br />FINISHED FIJOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARIlJAO Yes 0 NO <br /> <br /> <br />BUILDBR ~ ~- COMPANY Oc.un~r <br />(, ~, STATBl CERT OR REGIBT # <br />8lGNA'rURE U;:r CITY PROCESSING ff <br /> <br />****************************************************************** <br /> <br />8LIOTRIOIAN <br />SIGNA'l'(JREt <br /> <br />COMPANY O?O~ <br />STATE CERT OR REGtST # <br />CITY PROCESSING # <br /> <br />.J.-.._L_ <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CI'l'Y PROCESSING # <br /> <br />SIGNATURE <br /> <br />HIICHANICAL <br /> <br />**********************************************************~******* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA TURS! <br /> <br />***************************************************************** <br /> <br />OTHIIR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CI'l'Y PROCElSBING # <br /> <br />***************************************************************** <br />