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<br />CITY OF ZEPHYRHILLS PERMrr APPLICATION <br />BUILDING DEPARTMENT 5335 eTR St, Zp.phyrhills, F'L 33542 <br />813-7130-00:W FAX.: 1313-780--00:21 <br /> <br />DA'l'E RECEIVED _________. <br /> <br />Sov.:t1. ~~ ~\A.V' ~ ~W\A.L4 ~ 2-t='~)~~71?c~:r..~r. FOR PERMI'l'TING ___._____ <br /> <br />OW"En'S N^ME ~~~ 0\!M.<2.'u-l~ FIIONE 11> .>- - ossO? ___~_ <br />JOB ADDRESS '3 8d-. SO _D__ ~ . __._________ <br /> <br />LEGAL DESCRIPTION: LO'1'(5) <br /> <br />BLOCK <br /> <br />SUBDIVISIUN <br /> <br />P1\RCEI. II) if 1'4 ~q.L ~ a-. \ . ~.1D._.::JH.3 rlQ~ O.1D----.---.---J.OlU'AIK..ER.QIL.P.R{)F..ERTL'r.8X._.N.(.n:ICF~.Ln._ <br /> <br />---------------.---- <br /> <br />WORK PROPSED: [J NEW CONSTIUJC'1' ION <br /> <br />o AUDITION <br /> <br />[] A Vl'l'a'l\'J' 1 ON <br /> <br />U RE:Pl\lR <br /> <br />[J INSTAL,I, <br /> <br />OSIGN <br /> <br />o HOVE <br /> <br />[J PF:f10J,J 51! <br /> <br />PROPOSED USE: Dsm, F'l\MILY DWE;J.,LING <br /> <br />o COf1f1ERC l1\L <br /> <br />C1MUI,'1' I - F'NULY <br />D INDUS'l'IUAL <br /> <br />[lit (Jf' UrH TS <br />[J SW IMtllNG FuOI, <br /> <br />[J MOBI.LE H(\m~ <br />[] UTHF',r. <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTl\URANT & HF;l\I,TIl UF.PARTMENT APPROVl\I, <br />d l a ~ 3 ~'cU;...tfL <br /> <br /> <br />.._~-_..-.."------~._--_.._-----_.__.---_.....-._--. _..- <br /> <br />BUILDING SlZI<; <br /> <br />SQU1\l\E: <br /> <br />IIE:IGlIT _____________ <br /> <br />RF:SJIJEN'f'Il\L: l\'1"l'1\CH (?) PLOT PL.AlJS Fv (?) SETS OF' BIH [,IH Nt; PLANS Fv (1) SE:T ENEP.GY FOnt1S. <br />COMMERCIl\L: J\TTACH (:3) SETS OF' BUILIHNG PI,l\NS & (1) SET ENERGY FORMS. <br />IF SIGN PERtH't' ONLY (2) SETS Of' ENGINE:F:REIJ PL,l\NS REQUIRE:!). <br />PROPERTY SURVEY REQUIRED E'CJR ALL NEW CONSTRUCT ION, <br /> <br />r.::J BUILD[NG <br /> <br />PERMITS REQUESTED <br />$-.~...4-...d::l~~____ Vl\L.Ul\TIUN OF' TOTl\L, Cr)t.JSTRlJC'I'ION <br /> <br />L1 E:LECTRICM, <br /> <br />l\MP SERVICE <br /> <br />o F'I..OR I Dl\ PONF:n <br /> <br />[J W . H . F~ . C. <br /> <br />[] PLUMBING <br /> <br />o ME~CHl\NICl\JJ <br /> <br />$ <br /> <br />VALUl\TION OF' HECHANCIl\L rNSTl\L[,l\TION <br /> <br />D GAS <br /> <br />o ROOF'ING <br /> <br />D SPECIALTY <br /> <br />D OTHF;R <br /> <br />TYPE OF CONSTRUCTlON: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEr. <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YF;S <br /> <br />o NO <br /> <br />I' ',< ... . CON'l'RAC1'OR\:Sli:Oi.r!ON . '. . ' <br /> <br />...::::::I~E..~X~~~--~-~....'~.:::::<I:::jR~:~~:~~~ <br /> <br /> <br /> <br />******~********~***~***~~*~****~~**~*~~*~~~****~\*~~~*k~~********* <br /> <br />ELEC'l'RICIAN <br /> <br />Cot1PANY__. <br /> <br />SIGNATURE: <br /> <br />STl\TF. CERT OR REGIS! ff <br /> <br />--.------------------- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPl\NY <br /> <br />-----------------.--- <br /> <br />S IGNl\TURF: <br /> <br />STATE C~RT OR REGIST ff <br /> <br />--~._-~-,------~---~ . --..-.--...-.- <br /> <br />ME:CfJ1\NJ.CAl. <br /> <br />~****~******k,k*~***~**+***k~*~~~~~****~~J:~~~~~*~~~~~~.~~***.****** <br /> <br />COMPl\NJ <br /> <br />_._-_._----------_.__..__._-~ <br /> <br />;3IGNl\TUHE: <br />/ <br /> <br /> <br />=1~~~:~~' OR, ~E(~ I ST ,!t .,---:--- <br /> <br />:A-J.1l\.:;'\J ';'.. "- "1 <br />* * * * * * * * ~* *'.t; ~il' 1; *it: * *, * ~ * * * * * * * "" * I.! * *;*' * * + ... * * <br /> <br />\, . ,'. <br />11 . <br />! 't(~MP~N'L <br />tt ";.('~,~ \ :< <br /> <br />O'l'HER <br /> <br />SIGNA'l'UR, <br /> <br />~ :.. ; ,~. ::1...'""'.' ~:- <br />. STl\'l'E CERT OR RECaST !r:: "~__________________ <br />