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<br />OWNER'S NAME S ^o.~Y-c~ I; tt I kitUt.+ <br />JOB SITE ADDRESS .s:/'~1 a. j k~_~2/3 <br />LEGAL OESeR 1: PTION: LOT (S) '19 BLOCK <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 ath S'rREET ZEPHYRHILLS, Il'L 33540 <br />Phonela13-780-~020 FaxI813-780-0021 <br />DATE RBCEIVBD ~~-~6~~~ <br />PLANS RBVIEW rell . <br /> <br />PHONE CON/fACT <br /> <br />/3<u. <br /> <br />:::).+;. <br /> <br />SUBDIVISION <br /> <br />;i:fJo/ I'ArIA &#/ ~ <br /> <br />PARCEL ID # O~ .~~ .:;; I . OJ'lo 'QOOo6 . o-tqQ <br />WORK PROPSEDI DNEW CONSTRUCTION ~Af)DITION <br />DsmN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALl, <br /> <br />o DEMOLISH <br /> <br />PROPOSED U8E:)(SGL FAMILY DWELLING <br />fJ Cm<1MBlRC IAI, <br /> <br />Ot1UL'l'I - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOB U,E HOME <br />D OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SW IMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />"EBCRIP'rION OF WORK ~("\ '="1 on e.\llsJ.'j-SiaG ~J;IIl ttleo/rJ(; . <br />BUILDING SIZE t L x.~ () SQUARE FOOTAGE c9~o HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PLANS <br />ATTACH (3) S~TS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />o PLUMB ING <br /> <br />I )../ ~7..;. PERMITS REQUESTED <br />$~_,- VALUATION OF TOTAL CONS'fRUCTION <br />15Q AMP SERVICE 0 FLORIDA POWER );f <br /> <br />& (1) SET <br />FORMS j <br /> <br /> <br />~GC0 <br /> <br />W.R,El.C, <br /> <br />ENERGY FOR~a, <br />. €{LC.t' <br />(Ct~ ~t' <br />.~ .,,\)~y9 <br />C~.I~~. <br />~. L(,. <br />de..,)'" <br />t.Jl '1''11.>> <br />r.r't<",,1 ~ <br />() LI~ .hl.~ . <br />~y <br />O. <br />ft <br /> <br />~ BUILUING <br />~ ELECTRICAL <br /> <br />o MECHANICAT, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[1 ROOFING <br /> <br />o SPECIAl/TY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME: <br /> <br />o STEEl; ~ OTHER <br />111k.\n . <br />IS PRO':TECT IN FLOOD ZONE AREA DYES 0 NO <br /> <br />FINISHED FLOOR ET,EVATION8 <br /> <br /> <br />BUILOIR -l ILf2-, .,~ ~~~~:N~~V ~~:e~~/11.:t: {f/!q7 <br />BIGNATURE~~ CITY PROCESSING # <br />- ************* *************************************************** <br /> <br />Ir,BlCTRICIAN;-- 35,(:Y-' COMPANya/h4 E4:cA~,; <br />~~~ . ./ STATE CERT OR REGrST # .~~?'t;/3'oo/o?/t. <br />SIGNATURE: ~~_/~u.c..~...~ CITY PROCESSING # <br /> <br />*****************************************************************j <br /> <br />Ii'LUMBBlR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCE:SSING # <br /> <br />SIGNATURE: <br /> <br />MBlCHANICAIJ <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************~************************** <br /> <br />OTHBlR <br /> <br />S H3NATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *"')P*'IIi(:**:IJoVM.tII'w:1irt * * * .....':...r...." <br /> <br />t' ..,::-":"" '.,.....~O!': >1r~ /51. I ~ '\ <br />'I ,.1__)\'ft.;.'"'~'-""1'~"_t-no.....~;. _ to <br />c.;.. .. . ,. . u_ _. "~ ..... <br />~~.;'_c.~J~.~~~~..~~ ~ ~ <br />"i ..' <br />' , '_i)l;ji l/.;.;;:)~1 !~,~'.",t:-:;',j v8 ~JR ~~~_~iI.~' <br />. .... ___ "Ilo- ......... <br />