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<br />CITY OP ZEPHYRHILLS PERMIT APPLICATION <br />BUILDXNQ DBPARTMBNT 5335 8~ STRBBT ZBPRTRRILLS, p~ 33540 <br />Phonet813-780-0020 Paxt813.780-0021 <br />DATB RBCBIVBD <br />PLANS RJlVllIIf PBB <br /> <br />OWNBR'S NAME n I~'" " I T p~, I. <br />JOB SITE ADDRBSS 5 ~ '10- 0-?t:Y ;;{T <br /> <br />PHONE CONTACT ? 'I ~ .. 'I J" t <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D ADDITIqN <br /> <br />~ALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~L FAM~LY DW~LLING <br /> <br />D MOVE <br /> <br />[JMuLTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOMB <br />[J OTHER <br /> <br />o COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />o RBSTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />/C~ )tCaF <br /> <br />S.~~/<'I <br /> <br />VPJ.I~~E lJ~/rJ~WAt: <br />HlUGHT ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGB <br /> <br />RESI'DENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS oir BUILDING PLANS & (1) SET BNERGY FORMS. <br />PROPERTY SURVEY REQUIRBD FOR ALL NBW CONSTRUCTION. <br /> <br />~BUILDING <br />?LECTRICAL <br />[J PLUMBING <br />D MECHANICAL <br /> <br />PBRKITS. RBQUBSTBD <br /> <br />(; 'J )f)e> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARRAO YES 0 NO <br /> <br /> <br />BU:rLDRR <br /> <br />SIGNATURE. <br /> <br />COMPANY <br />~' /I?(? STATE CERT OR REGIBT # <br />~ CITY PROCeSSING # <br /> <br />*** *********** ************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCBSSING # <br /> <br />SIGNATURE <br /> <br />................*.....**.*.....*.*.*....*......................... <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNJ\.TURE <br /> <br />MBCllANlCAL <br /> <br />********..*.......*........................**.....**...****.*....* <br /> <br />COMPANY <br />STATE CERT OR RBGIST # <br />CITY PROCBSSING # <br /> <br />SIGNATURE <br /> <br />.....****..**....*..*..*.~.....*.*.****.**........*......****.*** <br /> <br />OTBIIR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***..*****************.******.*.*****************************.*** <br />