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<br />~ <br /> <br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMKNT S335 8~ STRBBT ZBPHYRHILLS, FL 33540 <br />Phone I 813 -780-0020 J'ax1813 -780 -0021 '7_I{~ ~ '3 <br />DATB RBCBIVBD bZ-- _L.. v <br />PLANS RBVIBW FBI <br /> <br />OWNER'S NAME & f-4/VrJ !-lea ( 21);V III -/-(. r. <br />JOB SITE ADDRESS J tfo "38' LD!GE/V /I- iJVE. <br /> <br />PHONE CONTACT r;gz- lOr;. 'f <br /> <br />LD T: 12f.o <br />SUBDIVISION (;;fl/IrvtJ /./t;;Z( z{)/\/ /YZ-II .f. <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />PARCEL ID # 51-2~-2l- ODlD- D2-8"O{) - O)~ <br />WORK PROPSED: ~W CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />OS IGN <br />PROPOSED USE: ~~ FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMlLY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />r-Y 11 L--(/ f/;I. I /l/tA'VL <br />l!0 OTHER <br /> <br />o COMMERC IAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTA~ <br />~. <br />, 2X /2 (ZfllSfiJ SCfit)~.N ft(M', J L,X <br />I <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />~~ <br />JcJ {~r 51fbi/ <br /> <br />SQUARE FOOTAGE 5 G:, L{- <br /> <br />HEIGHT L., <br /> <br />BUILDING SIZE <br /> <br />RBSIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPBRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />(id"1fU I LDING <br />~LECTRICAL <br /> <br />$ /I J ift.f, J Y <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W . R . E , C. I.../,;V:: sllEi/ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY . 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />r3MU ;J, fhlw <br /> <br />COMPANY 15t. (-I- C QIv$r (l.1-c-(f eN ct= Cr/l/77Zik J:L. <br />STATE CERTOR REGIST # C8CDSIf,?cf-L <br />CITY PROCESSING # 2-(P <br /> <br />BUILDBR <br /> <br />. <br />.............*......*...*.................*..*.**......*.......... <br /> <br />SIGNATURE <br /> <br />&10 I), Md:1 <br /> <br />COMPANY Ac..e EL-t:c.. r/2t C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I?"? <br /> <br />ELBCTRICIAN <br /> <br />~.~ <br /> <br />............................*......****..*......*................* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />*........................*..................*..................... <br /> <br />KECHANI CAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />..*.*.****....*.*...*...*..*......***************.*****.*....*.*. <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****......*...**........**.***..*****.****.***.*****....*....*** <br />