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<br />CITY OF ZEPHYRH'ILLS' PERMIT APPLICATION <br />BUILDING DBPARTMEN'r 5335 8th B'rREET ZEPHYRHILLS, I!'L 33540' <br />PhonerB13-780-0)020 FaXI813-780-00~lATE RBCEIVIID I ~ ::.~.:O?-- <br /> <br />PLANS RJIlVIIIW rIll8--'--'__,:.o____ <br /> <br />OWNER I S NANE ,,$-re w(#'LL <br />JOB SITE ADDRESS 37536 <br /> <br />uC c:...'ve.r1e-Y/4 <br />~117CoJ/J o~ <br />, <br /> <br />PHONE CON'I'ACT <br /> <br />,.,." <br /> <br />LEGAL DESCRIPTION: LOT(8) <br /> <br />/17 <br /> <br />BIJOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />ar(DDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALIJ <br /> <br />oSIGN <br /> <br />o MOVE <br /> <br />o DEMor,ISH <br /> <br />PROPOSED USE I lJSGL FAMIIJY DWELLING <br /> <br />o MUL'1'I - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBII,E HOME <br />o OTHER <br /> <br />[J Cot1MERCIAI, <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />/G 0 <br />. J?1 <br /> <br />::yo 6' C-t!' ./ ? <br /> <br />d'b t) n{ <br /> <br />BUIIJDING SIZE /5 ~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~tJILDING <br /> <br />P!RMITS REQUESTED <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PI.ANS & (2) SETS OF BUIIJDING PLANS <br />A'rTAC!H (3) SETS OF BUILD!NG PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />. s. . 2//0 <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP ~ERVICE 0 FLORIDA POWER 0 W . R . E . " . b ~ <II <br />~O '10f1b <br />VALUATION OF MBeHANOIAL IN~TALL7~N I] r1 ) Lj .,. J - <br />o OTHER \ t rl- <br />D FRAME 0 S'I'EEIJ 0 OTHER <br /> <br />II ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIAIil'Y <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED Fr,OOR EIJEVATIONS <br /> <br />IS PRO,TECT IN FLOOD ZONE AREA 0 YES <br /> <br />ONO <br /> <br /> <br />BUILDIR. <br /> <br />COr1PANY ~-/ c.v~(J <br />STATE CElRT'OR REGIST <br />CITY PROCESSING # <br /> <br />~eJfl7 ..t-:m. <br /># ClK'. (")0~ L) "'7 <br />3(O7{}- <br /> <br />SIGNATURE 13~&6.../ -< t..-:::-.-le y <br />/ <br /> <br />,.,uJ~ ~. <br />~'6e <br /> <br />****************************************************************** <br /> <br />BlL8CTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBlCHANICAIJ <br /> <br />*****************************************'************************ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************.************************** <br /> <br />OTHBlR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />