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<br />, OWNER'S NAME G n <br />,lOB BITE ADDRBlSS ,,?,cq Z::Ll/ G ~iz__J:2c~__ <br />LBlGAL DBlSCRIPTIONr LOT(S) ILo4 BLOCK <br /> <br />/' A <br />CITY OF ZEPMYRHILLS PERMIT APPLICATION( C4~~(~-~~ <br />BUILI>INCl DBPARTttBN'f 5335 8th STRHlBl'f ZBPHYRHILLS, PL 33!~____ _ <br />Phbrt.,813-7BO-0020 FaxI813-780-0021 <br />DATS RBORIVaD -11- 2€J -€>?..... _ <br />PLANS RRVIRIf "B.__ <br /> <br /> <br />PHONI1l CONTACT 1 IS- - mS-;;t <br /> <br />WORK PROPSBlDI <br /> <br /> <br />SUBDIVISION <br /> <br />Eme.rnOA RLJ <br /> <br />o <br /> <br />(OB'rAIN B'ROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o AurERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />I] INSTALIJ <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USEIPQ.SGL FAMILY DWELLING <br />[] COMMERCIAl. <br /> <br />OMtJLTI -F'AMILY <br /> <br />0# OF UNI'fS <br />o SWIMMING POOL <br /> <br />C]MOBILE HOME <br />DOTIIER <br /> <br />o INDUSTRIAl, <br /> <br />CJ tUllSTAURANT & HEALTH DEPARTMEN'r APPROVAL <br />DESCRIPTIoN OF WORK ~-h~ r 'fb,r? L1 ~Il i *-1 Shed <br />BUILIJING SIZE :26:, t( Lit! SQUARE FOO'rAGE lIt/if <br /> <br />RESIDENTIAL I <br />COMMERCIAL I <br /> <br />HBlIGHT See.... PI4A<.5 <br /> <br />A'1'TACH (J) PLOT PLANS & (J) SETS OF BUIlJDING PLANs & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUnJDING PLANS & (1.) SET ENERGY FORMS. <br />PROPERTY StJitVEY REQUIRED FOR ALl, NEW CONSTRUCTION. <br /> <br />~ BUII.IJING <br />~EIJEC'lIR ICAL <br />1](" PLUMB ING <br /> <br />$ <br /> <br />PERMITS REOUmSTBD <br />~,p.<)t), {;Jt) VALUATION OF To'rAI, C()NS'1'RUCTION <br /> <br /> <br />AMP SERVICE <br /> <br />o FI.ORIDA POWER <br /> <br />[J <br /> <br />W,R.E.C. <br /> <br />[] MECHAN WAL <br /> <br />$ <br /> <br />VAl,UATION OF MECHANCIAI~ IU9TAI,l,ATION <br /> <br />o GAS <br /> <br />[] ROOFINl1 <br /> <br />o SPECIALTY <br /> <br />[J OTHER <br /> <br />'I'YPBl OF CONS'l'RUeTION I L1 BLOCK <br /> <br />o FRAME <br /> <br />o 8'1'EEIJ <br /> <br />o O'rHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARIllAO YIllS 0 NO <br /> <br /> <br />BUILDBR COMPANY t7bV~ <br />() fL- /J j2 -'" A'l STATE CERT OR REGIBT # <br />~ SIGNATURI!l ~ ~7~ ~ CITY PROCESSING # <br /> <br />...........~................................................... <br /> <br />BLICTRIUIAN COMPANY Ow~ <br />-0-IJ- J fZ., _ A7/' STATE CER'r OR REGrST # <br />/ BlONA'I'IIR" ,-",:x~,."A ~~ CITY PROC'SSING # <br /> <br />.............. :.................................................. <br /> <br />"--.- <br /> <br />PLUMBIR <br /> <br />MRCHANICAL <br /> <br /> <br />COMPANY G7~~ <br />STATE CERT OR REGIST # <br />CI'I'Y PROCESSING # <br /> <br />- SIGNATURE <br /> <br />*****************************************~******* <br /> <br />COMPANy <br />STATE CERT OR RBlGI8T # <br />CITY PROCESSING # <br /> <br />SIGNATURBl <br /> <br />***************************************************************** <br /> <br />OTHBlR <br /> <br />COMPANY <br />STATE CERT OR REGlST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />