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<br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTKBNT 5335 8~ STRBBT ZBPHYRBILLS, FL 33540 <br />Phon., 813 -780-00~0 Pax, 813 -780-0021 '" -IL/ _ 0' ~ <br />DATB RBCBIVBD p{ _L- .-:J <br />PEaANS RBVIBW FEB <br /> <br />"(T <br /> <br />~WNER I S NAME (;(Li4IV;) ;4[( Zc/v In /-1. P '. <br />JOB SITE ADDRESS Jr7r.2~i..f NL~utOII/( f) VC: <br /> <br />PHONE CONTACT 7f'z - / 00l.( <br /> <br />Lo t J "3 <br /> <br />SUBDIVISION &;WJ:7 /-IolZ/ coN /J1./I.t, <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />PARCEL ID # j'f- ~5 - 2( - DolO - 02;;-&0 _ Go I '7 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />.. <br /> <br />WORK PROPS ED: [91fEw CONSTRUCTION urADDITION o ALTERATION 0 REPAIR ErfNSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: EfSGL FAMILY DWELLING <br /> <br />OMULTI-FAM!LY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />04Lvl11/l/(/oM <br />OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT &. HEAL~pEPARTMENT AP~AL <br />(1YIv ~ J.JY2- ' <br />lexl; -Sl!fbl, 12><1& Se/Cctlv (ZC~'/Vl.. J2-;<;O CjJ/Z/'i$(/ <br />/ r / <br /> <br />C!fJY <br />cS?( /2 Covtlc6;l PO(Zc.(+ <br /> <br />SQUARE FOOTAGB <br /> <br />19z- <br /> <br />::. <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RBSIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS &. (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />13013. [q <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W, R. E, C. J..J I fl/:- 5t1-1~{) <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 />o SPECIALTY ,0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ /~- ~8J) <br /> <br />~OMPANYJ3~ H('ojV5T/1.vc..rt 0/" cF Cr-tvi-Tz...IlC f:::-C, <br />STATE CERT OR REGIST # (~I3U) 5'7'7 ?z- <br />CITY PROCESSING # -;L G <br /> <br />BUILDBR <br /> <br />. <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~4\~) <br /> <br />COMPANY !feE ,-;-LE c T(l{ c <br />STATE CERT OR REGIST # <br />CITY PROCESS ING # I 8'7 <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANI 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 />