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<br />L:.!'l'~ OF ZEPHYRHILLS l?ERMIT Al?l?I",ICATION <br />BUILDING DBPARTMENT 5335 ~th S'rREE'r ZIllPH'iRHILLS. FL 33540 <br />Jilbonill6l3-7BO-O,020 FaXla13~780-00~~'l'1ll RBCilIVlIlD -2:_({-:_q,y <br /> <br />PI,ANS RIllVIIllW 1'18________ <br /> <br />mm~R' 8 NAI'I~ Awl'T "J'1'{)f' 15.-. <br />,JOB SITE ADDR'ESS ~'S"""~ !.2 /LTL..5T <br /> <br />LEGAL DESCRIPTION: LOT (S) 1/ ~ /~ <br /> <br />2~)>~/ <br />BI.OCK })~ <br /> <br />FL- <br />. <br /> <br />PHONE CONTAC'!, ~J.J -73'3, .7?/i <br />~35~JZ <br /> <br />SlJBPIVISJON <br /> <br />PARCEL ID #.u.'..,:Jf:4,e12/, /n/t') . tJ3St':.O _ &/(j <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN Ii'ROM P~OPERT'l TAX ~n'l'+CEl) <br /> <br />DAIJI'ERATION <br /> <br />o REPAIR <br /> <br />.J1f lNS'r#}.I4 <br /> <br />Osrc3U <br /> <br />o MOVE <br /> <br />o DElvjOl,ISH <br /> <br />l?ROJ:lOSED USE: ~SGll, FAMILY DWELI,Um <br />[J COMMERCIAL <br /> <br />DMUI/l'I - FAMIIN <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOlUr,E HOME <br />D D'rUER <br /> <br />o INDUS'l'RIAI" <br /> <br />D RESTAURANT &. HElIU,TH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK /NJllJJ/ J'J7$~e RiB HJ~T/JI Pr()~ 5~ d"WZe. OJ ~ ~..e SH~v.~" <br />; ~/J1- <br />---- SQUARE F'OOTAGE J~ HEHmT ".__ <br /> <br />RESIDENTIAL: ATTACH~) PLOT PLANS Co (2) SETS OF' BUII.DING PLANS & (1) SE'r ENEJtqy. F'ORMS , <br />COI"lI"lERCIAL: A'!"l'ACH (:3) SE'rs OF BUILDING PLANS & (1) SET ENeRGY FORMS. .J <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />17 ''';'~ <br />,5. - <br />~o- 00 <br />Z;. <br />\ ( <br /> <br />BUILDING SIZE <br /> <br />~ERMIT~ R,EOUE~TED <br /> <br />o I3IJILDINC3 <br /> <br />$ <br /> <br />/~/~ ~ <br /> <br />VALUATION OF '!'O'I'AL CONS'fRlJC'rION <br /> <br />fJ IiJL8C'!'RlCAL <br /> <br />AMP ~EJRVICE <br /> <br />D FLORIDA POWER <br /> <br />[] W.R.E.C, <br /> <br />[J tlLUMBING <br /> <br />D I<tE:CHAl'l I CAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAI, INS'!'ALLNl'lnN <br /> <br />o GAS <br /> <br />-~OOFIHG <br /> <br />[] SJ?ECrJWrY <br /> <br />[] OTHER <br /> <br />'l'Yl?J:jJ OF CONSTRUCTION: [i('BLOCK <br /> <br />o FR-AlVJE <br /> <br />o STEEL <br /> <br />7J.7-0b( cx)77 <br />[] OTHER ____- <br /> <br />FINISHED f!,QOR EI,EVATIONS <br /> <br />IS PROcJECT IN FLOOD ZONE AREAD 'iES D NO <br /> <br /> <br />BUILIUIR CotiJPANY /PINi:>>J ~1lUj /V(!,..,!--- <br />- ~ STATE: CliJRT OR REGIS'!' # C~ <br />S]GNhTUR~ ~ CITY PROCeSSING # <br /> <br />****..*"*..**~***********.**'**'*******'**"****"*.,'*""'*" <br /> <br />COI1PAN-t <br />STATE CERT OR REGIS'!' # <br />CITY PROCESSING # <br /> <br /> <br />ltU,B1CTIUCIAU <br /> <br />SJGlIATURE ___'_ <br /> <br />.-----------.--...---.-.......-..- <br /> <br />*"""*'***'***"""**""*'*'*****"*'****'****'**'***,*,*tt*.. <br /> <br />iLUWBBlR <br /> <br />COMPANY <br />STATE CER'I' OR REGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNA'l'tJRE <br /> <br />MBlCHANICAI. <br /> <br />*'**'****t*'t**'***'*******'**"******'*'*******************,*,.., <br /> <br />COM PAN Y___ <br />STATE CER'l' OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***'*'*'**'***'****'***"*'****'******~****************k'*******, <br /> <br />OTHilR <br /> <br />SWNATURE <br /> <br />COMPAl'lY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />"'**'*""*'*'********'****"*'*******'************"***'**'*'** <br />