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<br />MAK/L~/LUU~/pKl !l:~) p~~ ZfPtlYKtlJ~ .~lLu!~r~ <br /> <br />~,~-'. NO. ijlj-;'~U-UULl <br /> <br />r. LlUi <br /> <br />CITY OF ZEPHYRBILLS PERia~ APPLICATION <br />:smWI:NG DBPAR'J!MR.~ 5335 9'" lOt, Zephyrhills, li'L 33542 <br />813-76Q-0020 ~AX:813-780-0021. <br /> <br />DATil HEClilIVED <br /> <br />PROm: ~ FOR PBRHIT'rING <br /> <br />oWm:R'S Nl\ME t::tYf'C\.~(.\ l:::cS,:{Ybv,- ", paONE Lg13) ('g'3,- \31D <br />JOB ADDRi:SS '35=\ 2..'1 u ~ 1'(\ .,A,\...tL <br />LEGAL OESCIUP'l'ION: WT(S) \ 2LOCK S SUBDIVISION Z~( \-\e\~\;~ <br />PARCEL In if \L.-U-Z.I-CD'-10-0a~t)-(:)(:)lO /OBTAIN FROM PROPERTY'l'AX NOTICE) <br /> <br />wORK PROPSED: 'ONEW CbN$~J;l.UC'1'ION <br />'OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o Il.EPAIR ~TALL <br /> <br />o otHOLISH <br /> <br />PROPOSED OS~L. FAMILY DWELLING []MULTI-FAHILY <br />o COMMERCIAL o I NOOSTRIAL <br /> <br />Of OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE liOMli; <br />o OTllER <br /> <br />CJ RESTAURANT ... HEALTH DEPARTMENT APpROVAL <br />DESCllI1'7:WN OF NORK \-\\1 AC.J-f/q DU\' C Y\LU'\(~ Q v~ l- \'Vd..> -tcv\ ~Lcl-f()y1...i2 L-0 \ ~ CX.I rraf'Vlb <br />. . (\.y\C\ ~KL0 <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />. . <br />RES1DEN'l'IAL:. ATTACH (2) PLOT l'IJINS 6\ (2) SETS OF BUILDING PLANs... (1) SET ENERGY roRMS, <br />COMMERCIAl..: ATTACH (3) SETS OFaUILDING PLANS & (1) SET ENERGY. FORNS. <br />U' SIGN PEF.Ml'l' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PM1?ERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMJ:TS RBQ'UESTBD <br /> <br />AMP SERVICE <br /> <br />(] . Progress in~rgy a <br /> <br />W.R.E.C. <br /> <br />.~ <br /> <br />//(S <br />l-\/ <br /> <br />[] earLDIoo <br /> <br />$ <br /> <br />VALUATION OF 'l'QTAL CONS'l'RUC'l'ION <br /> <br />[] ELECTRICAL <br />o PLUMBING <br />~CHMrClU. <br /> <br />;, <br /> <br />$ ?-2::f63 <br /> <br />c':'{) <br /> <br />(] GAg (] ROOFING (] S.PECIALTY <br />TYPE OF CONSTROCTION: CJ BLOCK <br />FINISHED FLOOR ELE\'A'l'IONS <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />[]~ <br /> <br />[] STEEL <br /> <br />(] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE Ai\EAO YES 0 NO <br /> <br />- ~ . - - - . <br />. - . <br />- - <br />. - - <br />r- - - ~ _ _ - _ _ <br />~~~---- ~------- - - - - - -- - -- -- ~ <br /> <br />. BUIIDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'!' i <br /> <br />****~***~*********.*****..********~*~.******~**~*.**********7***** <br /> <br />llLiilcfli.rClAN <br /> <br />SIGNATURE <br /> <br />CCNl'ANY <br />STATE CERT OR REGrBT i <br /> <br />w.~***+****.w*~**~*****~****+**...**********~*~****~************** <br /> <br />PLOtolBER <br /> <br />COMPllJlY <br /> <br />SIGAA'IORE <br /> <br />STATE CERT OR REGIST t <br /> <br />. *********************************************************t*~****** <br />MECHANI~ - / L COMPANY J\.)O-<,ms\ue.. A:C- <br />SIGNATURE ~ . STATE eER'!' OR REGIST .. ~=~<:{; z.z. CZ <br /> <br />***************.*~W****.****.*******~**********~*~*~**********~** <br /> <br />O~ <br /> <br />CQMP./INY <br /> <br />SIGNA'l)URE <br /> <br />STATE CERT OR REGIST t <br />