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<br />MaY, 7, 2004 12:44PM CITY OF ZEPHYRHILLS No,5343 p. 1 <br />CI'n Vb' ZEPHYRHILLS PEBMI'r APPLlCA'rION <br />BUILDXNG OEPAR'1'HEN'r 5335 em 8t, Zepbyrh1111l, J'L 33542 ;; J <br />813-780-0020 I"AX:813-780-0021 J I JYj 0 <( <br />DATE REClIVJ:D . <br /> <br />PBON& CONTACT FOR PBRMIT'1'ING "7 ~ 7 - 'f l.{] - ~ 0'(.) <br /> <br />OWNER'S NAME S7f}AJIEY sa:rrr PHONE 7Ae -ID(;D <br />.roB ADDRESS '713.~- I}.PfJt6~-rG; I)~J\JH Z(=1,PfJ- M HILL... J FL 3~ <br />LEGAl. DESCRIPTlON: LOT(S) j BLOCK SUBDIVISION 1H..-IPI-lA-ltlLJ.A<...LP /;;Sr.f, /IIIisE/ <br />l'ARCEL ID i 3!J -~ -ill-oorO-OOODC -tJljJtJ (QBTIHN FROIof PT'tQ~~RTY 'I'1I'X' NOTTCEI <br />WORK PROPSED: aNEW CONSTRUCTION 9t ADDITION DALTERATION D REPAIR 1::J INSTALL <br />DSIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE; OSGL FAMILY D'lfELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />at Oli' UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE /P:, 'X/6 ; <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />r1trM1LV AJ/JOI1 A;Ob.YItJA! tJ^f"t""1) s/lJ6-l..G P'./fM1 L';IJ ,()1IJGii-Utlf- <br />/ AD 11 <br />, <br /> <br />SQ!.11UU: FOOTAGE <br /> <br />HEIGHT <br /> <br />lU:SIDEN'l'IAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDING PLANS (. (:I.) SET ENERGy FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ~GY FO~S. <br />IF SIGN PERMIT ONLY (2) SZTS OF ENGINE!:RED PIJmS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />~LECTRXCAL <br /> <br />PJ::aKITS REQUESTED <br />eo <br />$ t 71 (Jot) . VJU.UATION Oll' TOTAL CONSTRUCTION <br /> <br />/"')7) AMP SERVICE }{ FLORIDA POWER 0 W.R.E.C. <br /> <br />t ;?)/rJ <br /> <br />Cl PLUMBING DO <br />K MECaANlCAL $ il(X) ; <br />o GAS ZFING 0 SPECIALTY <br />TYPE O!' CONSTRUCTION:~LOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FMME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES )4 NO <br /> <br />SIGNATURE <br /> <br /> <br /> <br />:'-':~:~~ici#H;L;;;~j ~iJi: QI!G, <br /> <br />STATE CERT OR REGIST 1+ C Bc;.a '17773 j1JJfc <br /> <br />*******************************~*******.~**** )?~. <br /> <br />BLEC'l'IUCIAN /J ~ ___ ccmANY PO<Y'I)., /1....1 CtJ:, VI e' c...h~~ ; vc..s. IVl <.....W~ - <br />SIGNATt1RE ~~ ~ STATE CUT OR REGIST 1+ t.::. (L I ~() I 3 ftJ b <br /> <br />~**.****************.************************.********************* . <br /> <br />BUII.DI!:R <br /> <br />;1,~ <br /> <br /> <br />***.**.***************.***....**********.**** <br /> <br />:=:: ,~/~ CCNPANY <br /> <br /> <br />*~*~******** **********************************************~' - 0 ~ <br /> <br />OTBBR r" I C~P1lNY /ti-/ CH/f6 L \T1J /-ifir "13m-, lAiC , <br />CC-GO,J~ti~ <br /> <br /> <br />PU.lNBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST <br /> <br /> <br />STATE CERT OR REGIST * <br />