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<br />. <br /> <br />OW'.R'8 "AJ,"__~~~ LJo~Le~ <br />JOB SITE ADDRESS 37 ~_ E' L~~ tt~__ <br /> <br />L:l'l'Y OF ZEPHYRHILLS PERMIT APPI~ICATION l~ //-/6-02 <br />BUILDING nS:PARTMEN'.l' 5335 fl~h S'rREE'f ZEPHYRHILLS I FL 3354 ~ <br />l?hon81813~780-0,()20 Fa:X:1813-780-0021 ('I 'Y) If) '1 <br />DJi'.r!ll RBC!llIVED ~~L~_.-.y-_~__ <br />PI,ANS RlIlVI!llW Flil!ll________ <br /> <br />PHONE CONTACT W9.- ~~~ <br /> <br />..-.---....----. --- --------- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROl'SIilD: ~Vl CONSTRUCTION <br /> <br />(OBTAIN P'ROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o AIlI'ERA T I ON <br /> <br />o REPAIR <br /> <br />o mETAI,I, <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DVlELLING <br /> <br />OMUL'J'I - FAMn,y <br /> <br />0# OF maTS <br />DSWIMMING POOL. <br /> <br />[] MOBII.E HOME <br />D a'mER <br /> <br />o COMMERCIAl, <br /> <br />D INDUS'l'RIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT &. HEALTH DEPARTMENT APPROVAL <br />R<.{Vl l.{.~ ~ ~Rc6s ~~i~ c-.c,f fo SlOvL !bo!<~p <br /> <br /><Dc/eAt- <br /> <br />BUILDING SIZE <br /> <br />--- <br /> <br />SQUARE FOOTAGE <br /> <br />HEWHT <br /> <br />RES IDENTIAlo: <br />COII1MERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PLANS & (1) SET ENERr~'i FORIYlS, <br />A'I'TACH (3) SETS OF BUILPlNG PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUEST~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TO'l'AL CONSTRUe'PION <br /> <br />L1 ELEC"I'RICAL <br /> <br />AMP SERVICE <br /> <br />D FL,ORIDA POWER <br /> <br />D VI.R.E.C, <br /> <br />o PLUjVJBING <br /> <br />o j'1ECHAlHCAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: !'pLOCK <br /> <br />o FRAME <br /> <br />o S'l'EEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EI,EVATIONS <br /> <br />I <br /> <br />IS PRO':TECT IN !t'LOOD ZONE AREA 0 YES <br /> <br />01'10 <br /> <br /> <br />BUILDER <br /> <br />CQtIlI?ANY <br />STATE CERT OR REGIeT If ___. <br />CITY PROCESSING # <br /> <br />8lGNATURE <br /> <br />****t****A****************************************************t*.. <br /> <br />iIlLECTRICIAU <br /> <br />S I GHATIJRE _____ <br /> <br />COIVJPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />-------------......~-_.~ <br /> <br />A**********,********************************************t********t <br /> <br />E>LlIHBilR <br /> <br />COMPANY___ <br />STATE CERT OR REGIST If <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />M!llCHANICAI, <br /> <br />************************************************************t***** <br /> <br />COIVJ PAN y__ <br />STATE CERT OR REGIS'!' # <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />SIGHA'fURE <br /> <br />.~;;;. '~;;;"""" 'C~M~~:: :ii.~Ju'<~~' ~~P~/,8 <br /> <br />t1 10.. STATE CE T OR REGIST # 170<1. <br />CITY PROCESSING # 22 t, fI - ~.:1l <br /> <br />*************************************************************.*.. /1 <br />)'C. '1c <br />w-. ;;W' tr1 <br />( <br /> <br />OTHIiIR <br />