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<br />to H-('\~e'lo ; <br />3"Sd- ~\.\.~- ) <br />ll05 <br />------ <br />-"-- <br /> <br />OWNER'S NAMEj"{\)ff\S ~ +Bfln~. marsh PHONE CONTAC~/3)/%O- (i737 <br />JOB SITE ADDRESS f"J1f):J A~hla nc{ Or ?f?ph')lrhll\S, fl. <br /> <br />',-- <br /> <br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPART~ 5335 8th STREET ZEPHYRBILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATE RECEIVED /1- ~/- [;) #..0 <br />PLANS REVIEW PEE <br /> <br />LEGAL DESCRIPTION: LOT(S) 30 BLOCK SUBDIVISION S+aJeS <br />PARCEL ID # 35-d5-;} (OBTAIN FROM PROPERTY TAX NOTICE) <br />- <br />WORK PROPSED: TERATION o REPAIR t;lINSTALL <br />DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULTI - FAM!LY 0# OF UNITS o MOBILE HOME <br />o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK R(?0\or~ 3 \1 )\ndfu)S S'\"Ze +;" S)LJc... <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />R~SIDENTIAL: <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 />Q'BUILDING <br /> <br />$~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />o NO <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />**************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />