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<br />OWNER'S NAME Lo...u..r ~ <br />.lOB SITE ADDRESS S83S <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINg DEPARTMENT 5335 8th STRBBT ZBPHYRBI.L LB. VL 33540 ~ <br />PhoneI813-780-0020 rax.B13-780-0021 <br />DATR RBCIIIVJ!ID 7 ~__ <br />PLANS RBVIBK rRB . _ <br /> <br />PHONE CONTACT 779 - ~ 77 tj <br /> <br />rl, c. h 01 so Y1 <br />I{~ ~ <br /> <br />LEGAL DESCRIPTION. LOT(S) <br /> <br />BIDCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID If <br /> <br />II-alrJ/.... VOID ... O:~{pOD - OOID <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED; []NEW CONSTRUCTION <br /> <br />[] ADDlTIO};l <br /> <br />[] ALTERAT ION <br /> <br />[] REPAIR <br /> <br />o INSTALl. <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />, <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />[]MULTI-FAMILY <br /> <br />[]ff OF UNITS <br />[]SWIMMING pbOL <br /> <br />[] MOBILE HOME <br />[]OTHER <br /> <br />o COMMERCIAL <br /> <br />rJ INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAl. <br /> <br />BUILDING SIZE <br /> <br />llo p sh~ AJ...-AI!)r# <br />8QUARE FOOTAGE <br /> <br />I 73 UK <br /> <br />~~~..;- <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGIlT <br /> <br />RESIDENTIAL; <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLAN8 & (2) 8ETS OF BUILDING PLANS & (1) SET ENERGY FORM8. <br />ATTACH (3) SETS OF BUll,DING PLANS & (1) 8ET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[] BUILDING <br /> <br />()() <br />$~,YOS. <br /> <br />PERMITS RBQUiSTBD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FIJORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o PLUMIHNG <br /> <br />[] MECHANICAl. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALI.ATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINI8HED FI.QOR ELEVA'f!ON8 <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY ~ 1 s cJ.,Qft}:Jt:~ ~ ~, <br />STATE CERTOR REGIST If - ~ J <br />CITY PROCESSING # ~8~ <br /> <br />BUILDRa <br /> <br />...........................................*............*... <br /> <br />BLBCTRICIAH <br /> <br />COMPANY <br />STATE CERT OR REGIS'f # <br />CITY PROCESSING ff <br /> <br />8IGNATURE <br /> <br />........,*...*.*..*.......*.......***..***************.******.***, <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT ORREGIST ff <br />CITY PROCESSING ff <br /> <br />... ". SIGNATU!tE <br /> <br />*."""..,.".*,*,***,****,***,,*,*,,***,....,..,*..,.,.,****.... <br /> <br />MRCRAHIC.lL <br /> <br />COMPANY <br />STATE CERT OR REG 1ST If <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />,.*...".*..,.....'*'.....'*.*'.*......,...,..,..."'.,..*.,...., <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE ~ERT OR REGIST ff <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />.,......,....".....*.*'......,...,.*..."........."..,....*.." <br />