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<br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING DBPART!bmT 5335 8th STRBBT ZBPHYRBILLS, PL 33540 ", ~ . <br />Phono.813-780-0020 0'"".813-780-0021' ,/J <br />DATB illICB.IVBD L - S-- 0 :2. <br />[ PLUS RBV.I1IIf I'B. <br /> <br />OIINER'S NAMB /)~/ '~ PHONR CONTACT <br /> <br />JOR SITR ADDROSS df? /~l {j J~uJ.;; ~~~ XyJr<A.tJfv/ d'./. ,i~S~i) ~ <br /> <br />LEGAL DBSCRIPTIONI LOT(S) BL0CK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPBED: ONEW CONSTRUCTION <br /> <br />o ADDITIO~ <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMI~Y DWELLING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ k.-'f ~-K-{1)hW-('<"-.'/N / X.2 ~ <br /> <br />HOUARB POOTAaR HRIGHT <br /> <br />PESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET BNERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />IJ!/J ~ i' PBRMITS RBQUa~TBD <br />J( _h4 J,~ ~ VALUATION OF TOTAL COllSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.B.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 BLQCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPAN~ ~...-L-" <br />STATE CERT.OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTR.IC.IAH <br /> <br />***********A****************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERTOR REGIST # <br />CITY PROCESSING # <br /> <br />PLUJlBBR <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR,REGIST # <br />CITY PROCESSING #. . <br /> <br />. '. SIGNATURE <br /> <br />IOICIlAHICAL. <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATB CERT OR ~GIST. # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTBBR <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />