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<br />OWNER'S NAME Ne(Jlf g. Jrhv 11ft! <br />JOB SITE ADDRESS .9 7'1 tJ 9 'PA"7j(E/7~- <br /> <br />"., /1 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIONL ~:~~ /-,/i-C!-lc.:I- <br /> <br />BUILDING DBPARTMBNT 5335 8~ STUHr ZBPHYRRILLS, PL 33540 <br />PhoneI813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVBD /::L -.Ii{? H_ ~..L- <br />PLANS RBVIBW PlIlB~__ <br />~ ~"~...... <br />...... -', <br />PHOryrr;;NTACl' ;1 '1- L/X35) <br />Illl"-k Jlt/~. "-- '-- ~ ~ <br />. <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />t' J - .?,. d \ <br />PARCEL ID # ;) 00-- Dooex)" 05;)0 <br /> <br />WORK PROPSED: IRNEW CONSTRUCTION <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIOO <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIP'rION OF WORK (l,li.V (O.1c.f/llC!ia/\. ~f' s"/-,\e{e'"" ,'Ii dwe/I/t~ <br />BUILDING SIZE 33 )( (, 'f SQUARE FOOTAGE }J OJ I d- <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT q I <br /> <br />Gt BUILDING <br /> <br />PBRMITS REQUBSTBD <br /> <br />$ IJ5r 000 <br /> <br />IY' ELECTRICAL <br />If(PLUMBING <br />B" MECHANICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />P?( FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />@" FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES rg..-NO <br /> <br /> <br />BUILDBR <br /> <br />BLBCTRIC <br /> <br />vc. <br /> <br />~~tJ <br /> <br /> <br />COMPANY Ma .+ i ~ Eu.~ ~ t...J . 'Ih c:... . <br />. ~ STATE CERT OR REGIST #: 1300/?>f?3 <br />CITY PROCESSING ~ <br />I- . <br />************************************9** ********** *** <br /> <br />PLUllBBR <br /> <br />SIGNATURE <br /> <br />*****************************~*********~******** <br />COMPANY /t/ ,v <br /> <br />Jj~ J~<;4 <br /> <br /> <br />Ib,L <br /> <br />SIGNATURE <br /> <br />HBCRANlCAL <br /> <br />STATE CERT OR REGIST <br />CITY PROCESSING #: <br /> <br /> <br />**************************************************** <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST #: <br />CITY PROCESSING #: <br /> <br />***************************************************************** <br />