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<br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8~ STREBT ZBPHYRBILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 5'/ 7/.tf2 <br />DATB RBCBIVRD L!-7t...: ::> <br />PLANS RBVIBW FBB f <br /> <br />OWNER'S NAME (;r'ZAN/J 1-Io1117.dyV /VL-t-/ "p, <br />JOB SITE ADDRESS 3702.7 LoruA/A fJVE. <br /> <br />PHONE CONTACT 7/2- / D <!l 'f <br /> <br />1-r!) r, I it- <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />tdvw;;! /-It; I!-( ZM/ yYI./-/, f. <br /> <br />PARCEL ID # 31.{ - 2-S' _ 2-i - 0<::> { 0 - 0 Uo 0 - (9/ / tf (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: 19"fffiw CONSTRUCTION ~DITION o ALTERATION 0 REPAIR g-mBTALL <br /> <br />OS ION <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />~ ~LvP'lIA../c./r- <br />lld-OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~TAURANT & HEALTH <br />I z..X~ S~/l~?/./ l())/Vl , <br />r <br /> <br />DEPARTMENT APPROVAL ~ <br /> <br />~~ j...l~o If;x 31 CA!2ID/l-r- <br />r <br />SQUARE FOOTAGE tf tf- '-( <br /> <br />: . <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <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 />~ILDING <br />~ECTRICAL <br /> <br />$ I .If 13 0 . (p () <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. c. tvil2E ~ HEll <br /> <br />o PLUMB ING <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 />W.m~@j'jlilfITll1ltfHn:~lal':Htil'l'll;fl~! ';1\jli'!li:!l\"".\,;,I,l'j ':"1 i' II' 'I::':: I~' r ; :;.. \~! : : ,I" ,. ,! ,i, ',i '1" '1' :' .' 1']'11 ';,1,,[: 1t;:;H;:i::Tlfjji1j'f.1~1!l1}~tl'tmf[f <br />f!lJitl1f:f:L,jh!, !ilt:f'IHU,lljl'l' I'!:"" I, 'll"lt'l '.)1'111., [I :' II' JI',' ,I . . , , '.' Id"",.~."J,[h:'. ft,. ~UHjjf:1k,t~IH~ ~ .. ::..tir;".. <br /> <br />SIGNATURE <br /> <br />~ 4, !U& <br /> <br />~OMPANY {S t H C~fv$/ /l.ve-r! Q^/ oF- cj?vT/ZA<.. FL \ <br />STATE CERT OR REGIST # CB{' () _':)'7"7 2- <br />CITY PROCESSING # "2-(p <br /> <br />BUILDBR <br /> <br />, <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~;J'~ <br /> <br />COMPANY /J..c.E ELEc--nL{ <- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I~~ <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.*......****..*************************************************** <br />