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<br />@ ~n~e\~ ~ <br />~S~~'-\i -IIO~ <br />OWNEIt'S NAME :TO'n '(\ ~_\~ <br /> <br />JOB SITE ADDRESS J d3.lo Ome~Q CA. <br /> <br />LEGAL DESCRIPTION: LOT(S) 10 <br /> <br />'Y-J\{XBJ- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINQ DEPARTMENT S335 8~ STREET ZEPHYRBILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW PEE <br /> <br />PHONE CONTA~~-1L} -Cd 1 q <br /> <br />z/ h t \ \ ~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />A\\'t\o \J; \ \uge <br /> <br />PARC~L ID # <br /> <br /> <br /> <br />0100 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK iPROPSED: o NEW CONSTRUCTION o ADDITION ~TERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PRopbsED USE:~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCR[PTION OF WORK ~~\Q Ce~ l Lt)\~W S '\"Z.e ~Qr :::)',7. ( <br /> <br />BUILD~NG SIZE <br /> <br />R~SID~NTIAL: <br />COMM~RCIAL: <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />J8:"BUILIDING <br /> <br />o ELECtRICAL <br />I <br />o PLUM.ING <br /> <br />o MECHANICAL <br /> <br />$ ~iq~l.OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE qF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />, <br /> <br />FINIS~ED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br /> <br />COMPANyE cme "\1p:A Tf\~~ <br />STATE CERT OR REGIST # ' J () <br />CITY PROCESSING # <br /> <br />I <br />ELECT~ICIAN <br />SIGNAlIURE <br /> <br />*************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMB~R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />I <br />MBC~ICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'IIDRE <br /> <br />omn ~ <br />SIGNAT RE . <br /> <br />i <br />I <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />