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<br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING OtI'ARrHENT 5335 ado Str_t:, Z.phyrhi.lh, i'L 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECIUVED- <br />PLANS REVIEW FEE <br /> <br />, .("- <br />OWNER'S NAME --.S't~;O;-'?"I/l'& /0 E~fS- <br />JOB ADDRESS ~ ~ ~ <br /> <br />h'...-?d'!'~ <br />7'7/1 <br /> <br />PHONE (~/d/ s.;:>~- 63CV '>'!" <br />G~ b\"tl. <br /> <br />SUBDIVISION '2 ~'-?/"A~#(' cenb <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 . <br /> <br />OSIGN <br /> <br /> (OJ:lTAIN FROM PROPERTY TAX N()TH~!':l <br />o ADDITION )(ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY O. Of UNITS o MOBILE HOME <br />o INDUSTRIAL OSWIMMING POOL o OTHER <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />PROPOSED USE: ClSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />L,~.../P'/ ;/,:n....,nr' .L;>,p/'?>?r'/J'?'-;77 ~/ ,/'VJ//;>e.....- ~~ck/I"o?/./ /'7~C/( ~ <br />r>/t.........,d <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: 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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ <br />J/ go ! <br /> <br />PERMITS REQUESTED <br /> <br />( <br /> <br />"-.," <br /> <br />11 <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION Of TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION Of MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />Cl SPECIALTY <br /> <br />o 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 0 NO <br /> <br />I ..... <br />... . ... '. <br />'", ~..,~~ ...,.~., '.. <br /> <br />,".<,,', <br /> <br />...,;,_..! <br /> <br />C;)~~,~n( _ <br />. <br /> <br />~ <br />v1c- <br /> <br />BUILOER <br /> <br />COMPANY \;'t\(~G;.~ <br />~ ~ STATE CERT OR REGIST <br />SIGNATURE , ~ ~ CITY PROCESSING . <br />"'::) <br />.................................................................. <br /> <br />.-...-.. "...-.-. -~"".,--" .~.,~.-.~-~- <br />c:::::. Ii:LEC <br /> <br />\/l COMPAN,{VP~;? J ?9v1Y~( E:V;l'. <br />- ~,,~~ "''' CERT OR REGIST . - ~ <br />.........."'! CITY PROCESSING * .-() J( . ~ <br />V ' <br />. ....**..*.*..*.....*.....*..........***........~.**.../5. .,:**u .... ,...- <br /> <br />C::_.PLUHBEll ': ___ COMPANY S)~/<f L;L:.n~ .14 . L.v.c <br />.. . ~ STATE CERT OR REGIST . <br />SIGNATURt;=: . CITY PROCESSING 0.-/0 fI.- ,q1l3 <br /> <br /> <br />SIGNATURE <br /> <br /> <br />SIGNATURE <br /> <br />*********.****......****t....*..*.**.~~..*.. . <br />COMPANyfiA6',,; ..,n-7,!f..a/f"""C:.", (.. <br />STATE CERT OR REGIST . <br />?-0 CITY PROCESSING ~ /~ _ <br /> <br />****..**.**.*.....*****...**..*************..*~*..**.:. * ** ~~ <br /> <br />.4'" ..J.., --r <br />~^ L.......' <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />*****.*....*..*****..***.**.***************.**~**...************* <br /> <br />I'd <br /> <br />6998'ON <br /> <br />SllIH~AHd3Z jO A1IJ <br /> <br />~V88.0i i:OOZ 'iZ'!"~ <br />