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<br />r <br />I _r- ~ ..., <br />( (!.;~.JJU{.(I ( i -It' ..() z t f' <br />"'----,--- <br /> <br />CITY OP ZIPHYRHILLS PBRNIT APPLICATION <br />l!IU'ILDIHQ U.I'UTJbnno 5335 8tJo S~ft ZBPIInUIILLa, n.. 33540 <br />PhORe,B13-780-0020 .ax:813-780-0021 u~ ?J/ ~ <br />!)Ani UCB1:Vlm It 1"1 - D <br />PLllIfIl UVZ:llf ... <br /> <br />OWNBR'S NAME-1.rLltnc ~ l\JncC'ler-Lyklr1<:; <br />JOB SITE ADDRESS ""'3'C; 2'--32 Scl- A,,-Clll.T. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br /> <br />PARCEL ID ,. I <br />WORK PROPSBIl: ONEW CONSTRUCTION <br />~IGN <br /> <br />o ADDITION <br /> <br />o tDVE <br /> <br />PROPQSBIl USI: OBGL FAMILY DWBLLING <br />'t8(COMMBaCIAL <br /> <br />DHULTI-PAMILY <br />o INDUSTRIAL <br /> <br />PHONE CONTACT t81~ i 78 ',1. ~ Dc.. ) l <br />C("fhyrh\ I is J Fl Y~S<:.j1 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICB) <br /> <br />OALTBRATION <br /> <br />o 1l.BPAIil <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />Oft OF UNITS <br />OSWIMMING POOL <br /> <br />o M:>BILB HOMB <br />o OTHER <br /> <br />D RESTAURANT (. HBALTH DEPARTMI!:NT APPROVAL <br /> <br />DBSCRIPTION OF WOU 1 VI <:; t (] 1)(1 h Ctl 0+ h PI : j({l ){\d '51~Y\ +c r '~plo (j1 -Q,^, s Tl'r:5 'C oJ <br /> <br />BUILDING SIZE 'SQUAJl.B FOOTAGB HBIGHT (\ 1c"~Y# <br /> <br />RESIDBNTIAL: A'l"1'ACH (2) PLOT PLANS (. (2) SRTS OF BUILDING PLANS (. (1) SRT ENERGY l7ORMS. l\,J rf.. <br />COMMBRCIAL, A'l"1'ACH (3) SBTS OF BUILDING PLANS (. (1) SET BNSll.GY FORMS, VI'I <br />PROPERTY SDRWY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />[J IilLBCTRICAL <br /> <br />'r)CC- C\. <br />$ I-. I Jl) ,- <br /> <br />PBRKITS UQtJBSTIQ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SBRVICI~ <br /> <br />W.R.E.C. <br /> <br />o PLlJMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />/J ~~<f/' g"1rfj <br />l/ . J./ <br />/ <br /> <br />DOSTu.=,,,, 11 ~1- 1 J.I1 <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />o GAB 0 ROOFING <br /> <br />[J OTHBR <br /> <br />VALUATION 011' MBCHANCIAL <br /> <br />o SPBCIALTY <br /> <br />TYPE 01" CONSTRUCTION: 0 BLOCK <br /> <br />o FRAMB <br /> <br />[J STUL <br /> <br />IS PROJECT IN FLOOD ZONB ARBA[J YES 0 NO <br /> <br />[J OTHER <br /> <br /> <br />PINISHBD FLOOR BLEVATIONS <br /> <br />i', , :;, -:. ~-,""~,: :,;", "_: :1.," - ( '~:;:U~'e":-:.:-.~~'i}"~:f:9'G,F':.:;i.~~"9[11~; <br /> <br /> Bt1lLDD <br /> SIGNATURE <br /> IILE'l'a:rC:rU <br /> SIGNATURE <br />. PLtJJCIIU <br /> SIGNATURE ' <br /> UCBAIIXCAL <br /> SIGNATURB <br /> <br />COMPANY <br />STATE CHRT. OR REGIST # <br />CITY PROCESSING It <br /> <br />6**..............**......***..****.**.....**...*******........,_** <br /> <br />COMPANY <br />STATE CSRT OR RBGIST # <br />CITY PROCESSING It <br /> <br />.......******..................******...........*.**.............. <br /> <br />COMPANY' <br />STATE ClRT OR DGIST It <br />CITY PROCBSSING It <br /> <br />........-...................-.*..........,--*'.................... <br /> <br />COMPANlt <br />STATB CBRT OR REGIST It <br />CITY PROCESSING It <br /> <br />**...........,..........-..*-.........,....,.,...............".. <br /> <br />~ COMPANY II-]),S. S\'qn.J <br />. STATB CERT OR REGIST 41 ~ <br />"....7 u - ::7."" crt'Y ,.'x"..""'. tlfl'U. <br /> <br />.......... ..........*****.*........*....*..~*~**..........* <br /> <br />OTIID <br /> <br /> <br />.:."". ., <br /> <br />