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<br />OWNER'S NAME R~bf(f- tl "J"4J''1 f~~t1lfl'\.tO"" <br />JOB SITE ADDRESS 4l..f 4 D Ii S t1 V I { (~ c:lt , <br />LEGAL DESCRIPTION: LOT(S) L/ BLOCK <br /> <br />, <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMBNT 5335 8~ STRBBT ZBPBYRKILLS. PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCHIVBD I {}- ;;Z () - 0 y <br />PLANS RBVIBW PHH <br /> <br />PHONE CONTACT ~'J-7/1(- 4835 <br />~ <br /> <br />PARCEL ID # <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br />PROPOSED USE:ur:SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK (Ot\)~-c.-h'.*".F n(.&fJ S,'~" f-,,".')'1l,o~<<, 3 J, J J. <br />BUILDING SIZE ''11'133' SQUARE FOOTAGE I,'t/?. <br /> <br />q' <br /> <br />RESIDENTIAL: <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 />HEIGHT <br /> <br />PERMITS RBQUESTED <br /> <br />ff BUILDING <br /> <br />$ g~ O~c} <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[YELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />G PLUMBING <br /> <br />I5MECHANICAL <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 OF CONSTRUCTION: 0 BLOCK <br /> <br />WFRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />JkI It ;fItio/ <br /> <br />COMPANY I.. LIt ~.,J.th't\ <br />STATE CERT OR REG 1ST 1# C <br />CITY PROCESSING 1# <br /> <br />SIGNA <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY H.a~-t:l'" ~Jr.~c...... <br />STATE CERT OR REGIST # E C.13bO I '~ '8 .~ <br />CITY PROCESSING 1# .. <br /> <br />***.**********~**************************************** <br /> <br />~ ~ COMPANY 1:016,1 ~tlflJf5 P/~rJ"iY)C? [1Jc. <br />~ /. / // STATB CBBT OR k&.IST # CJ=c. 1'126/'1 LJ <br />C;zfL - ~._ .~ CITy PROCESSING # J 6 (., <br /> <br /> <br />************************************************************ <br /> <br />COMPANY ~#~ <br />STATE CERT OR REGIST 1# d\ h1. Of) 1~<f.-(tJ I <br />CITY PROCESSING # <br /> <br />PLUllBBR <br /> <br />SIGNATURE <br /> <br />MBCBANICAL <br /> <br /> <br />SIGNATURE <br /> <br />OTRBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />