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<br />OHNER'S NANE L~tJ~'-l ~(,.) P LO 0 <br />JOB SITE ADDRESS l.jo'!23 ---.A\.tL l'\M~ ~"'V.;r <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th S'fREE'r ZEPHYRHILLS, I1'L 33640 <br />PhoneI813-780-~020 l1'axI813-780-0021 . <br />OATH RBCHIVBD ~:':~~D ~ <br />PI.ANS REVIEW I'JllB--'-__-:.-'__ <br />~lI..L~ <br />PHONE CON'fACT it 3 - :"}'i'::>- :> 4:;). ~ <br /> <br />~l"t'-l~~\u-!O. ~ t.A___+___ <br /> <br />~. '! <br /> <br />(!JJ.U~ ~ ..13-0 <br /> <br />LE~AL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # \"8-'d<--d,;;)-~O(O-()~'-\~O_OOl~ <br />WORK PROPSEDI ~EW CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o AI/rERA 1'101'1 <br /> <br />o REPAiR <br /> <br />o INSTAl,I, <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE I DSGL FAMILY DWELLING <br /> <br />GCOMMIilRCIAI, <br /> <br />OMULTI - FAMILY <br />HumUSTRIAl4 <br /> <br />0# OF UNITS <br />o SWIMMIN~ POOL <br /> <br />o MOB I I,E HOME <br />o OTHElR <br /> <br />D RESTAURANT & HEAI,TH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF NORK \~O()C sc: W~l)u1.~ __ <br />go )(..:;)..00 <br />BUILDING SIZE l \0 c~YO $.r;:: SQUARE FOOTAGE l\'()C90 s:t= <br /> <br />HElIGH'r <br /> <br />RESIDENTIAL I ATTACH (2) PLOT PI~ANS & (2) SETS OF BUIIJIHNG PLANS & (1) SET ENERGY FORMS. <br />COMMBJRCIAl~: A'rTAeH @ SE'rs OF BUILDING PLANS & @D SET ENERc3Y FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~~ <br /> <br />o BUILDING <br /> <br />$ ~ 20. 1)00 <br />. <br /> <br />.- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Ll ELEJCTRICAr, <br /> <br />AMP SERVICEJ <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br /> <br />o PLUMBING <br /> <br />[J MECHANICAlJ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION I 0 BLOCK <br /> <br />o FRAME <br /> <br />o 8TEEl4 <br /> <br />o OTHER <br /> <br />FINISHED Fr,OOR EIJEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER '"t?~,-c- ~ COttlPANY U~~ ~~ '''\{l....J~ '3:'",<:..- <br />~~ STATE CERT OR REGIST #_c:;.c-c...o'-t~\,." ,_ <br />SIGNATURE ,. - CITY PROCESSING # ~ t .-, 3 ~ ?~- <br />/ ro/fI.1. T < f.<, <br />""""'*""""""""'*"""'*""""""""""""'" ~* <br />. // -~'. <br />COMPANy!bJ/f:;Aef ~ 0r::-,_ . <br />STATE CaRT OR REGIST # <br />CITY PROCESSING # "~tO!?3~__ ~-~ <br /> <br />""""""""""""""""""""""""""""""""" ~~ <br /> <br />PLtIMBBR COMPANY-~ ?i'ilG--. <br />-/},J, LI -;/\ STATE CERT OR REa~~ ~ 60 '-iSlltJ <br />SIGNATURE -L.!!:f..J /1l ~ CITY hOCE.SING # :30~~. . <br /> <br />> · · · · · · · ( · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · .. · 'II/It n'), '.!,. t w.~ \!.' · <br />MBlCHAtllICALd:t,. rl!: COMPANY. h m_~LUI'4::.L <br />/ L/ d STATE CERT OR REGIS'r # ~Y70 <br />SIGNATURE ~t . CITY pROCESSTNG # '308'0<. /Jei;I~ <br /> <br />. . ........ .............. ................ .......... ............... ~ '11 ' <br /> <br />IlI.BCTRICIAN <br />STGNATUREv/ ~~ <br /> <br />OTHBlR <br /> <br />...., <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************"*"*'*'**"**************'******"*******"**'**'** <br /> <br />,..,..-. <br />