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<br />OWNER'S NM1E /(T J/JAfl./5 m l) <br />JOB SITE ADDRESS ~~a K'iVj <br />LE~AL DESCRIPTION: LOT(S) <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ~1~ I J- ,-1'--~;1if <br />BUILDING DEPARTMElfr 5335 Sth S'rREBlT ZEPHYRHILLS, I1'L 33540 <br />Phone.S13-780-~020 FaxIS13-780-0021 <br />DATE RBCBlIVIIlD ~:::.S~~~~ <br />PLANS REVIEW rlE . <br />7g2.-'~-//~ -- <br />PHONE CON'l'AC'~5l? 5"<9'~ <br /> <br />Rp <br /> <br />BI~OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSEDI ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />(B-1(r)D I T ION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />[] INSTAl.I. <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />fJ CQtIJMERCIAI, <br /> <br />OMUL'l'I - FAMILY <br /> <br />0# OF UNITS <br /> <br />fJ MOBII,E HOME <br />[J OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />r,..;7h./1 F:/e.~ 4/112ft1 5'y,IrN1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'f <br /> <br />~---..... <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />A'I'TACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o BUIl.DING <br /> <br />$ <br /> <br />OZ 1 tJ() <br /> <br />(.)0 <br /> <br />PLANS & (2) SETS OF BUII,DING PLANS & (1) BET ENElRGY FORMS. <br />OF BU!LDING PLANS & (1) SET ENER(~Y FORMS, <br />REQUIRED FOR ALL NEW CONSTRUCTION. _ 9 q (c; _, <br /> <br /> <br />PERMITS REQUESTED ('!J5'J )51v 1/:; J9- <br />. :---;- c~::;\ ~ ~ YC; <br />VALUATION OF TOTAL CONB'rRUcTIO ~ 5 ~Q <br /> <br />AMP BERVICE 0 FLORIDA POWER W"'.'~!J~ 7~ <br /> <br />~/ ' <br />'-' <br />VALUATION OF MECHANCIAI, INSTAI,LATION <br /> <br />[] ELElCTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAr~ <br /> <br />$ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />o 8PECIAlifY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEJ~ <br /> <br />o OTHER <br /> <br />FINISHED FI,OOR ElJEVATIONS <br /> <br />IS PROclECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDIR <br /> <br />COtlJPANY <br />STAT'E CERT OR REGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />"""""""""""""""""""""""""""""""*'" <br /> <br />B1LBlCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _'__ <br /> <br />"""""""""""""""""*""""""*"""*""""'" <br /> <br />-----..- <br /> <br />PLtIMBBlR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATlJRE <br /> <br />MBlCHANICAr~ <br /> <br />"""'*""""'*"""""""""""""""""""""""" <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />"""*"""*""""""""""""""""""'*""""""* <br /> <br />OTHER ---.G/t.~ Ai4~A1 (!tJ"lff./I'er.rkllZ. <br />SIGNATURE ..J. -/'~ Dc/ <br /> <br />COMPANY 5'Pe-CI.4/It' Flr-ckp-'V/l::- ~Y~kA15___.z/J/c... <br />STATE CERf OR REGIST # '€"~O~ot'oq"(p <br />CITY PROCESSING ,~"-~..:r .2~ <br /> <br />**'*""*"'*'*"**'*"'***""'*"""""'~;tJ*~*"""*'*' <br />