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<br />~- ,;l-t};;L ~ <br />CITY OF ZEPgYRHILLS PERMIT APPLICATION ____~ <br />BUILDJ:NG nBPART!bmT 5335 8th STOBT ZBPHYRRXLLS, PL 33540 <br />Phone.813-780-0020 Pax. 813-780-00:U . ,J -1CJ _ ~ <br />DATB lUICBIVBD ~ ,.. Z> 0 <br />PLANS RBVIIIIf PBB . . <br /> <br />OWNER'S NAMa /Ylltf/./ iH 0 S <br />JOB SITE ADDRESS 3 t zj K <br />, <br /> <br />PHONE CONTACT <br /> <br />s~'"f"A /hi e <br /> <br />LEGAL DBSCRIPTION. LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSBD: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITIO~ <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />ttINSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o MULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMB <br />[J OTHER <br /> <br />o RBSTAURANT & HBALTH DaPARTMENT APPROVAL <br />PESCRIPTION OF WORK /A/5~tl /4-IJSlILL hV ~lllltR$j/.,ppt) ~~S~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET BNERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS RBOU.STBD <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BLBCTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />o PLUMBING <br />~CHANICAL <br /> <br />$ ~ CJO <br />r <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOF;r:NG . 0 SPECIALTY <br /> <br />o OTHBR <br /> <br />too. 5jD-62-3 0 <br /> <br />TYPE OF CONSTRUCTION: 0 BLQCK <br /> <br />o FRAMa <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARBAO YBS 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CURT. OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********A****************************************************** <br /> <br />lILBCTR.IC.IAH <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATB CERTOR RBGIST # <br />CITY PROCESSING # <br /> <br />*********.******************************************************** <br /> <br />PLUJlBBR <br /> <br />COMPANY <br />STATE CERT OR,REGIST # <br />CITY PROCESSING # . <br /> <br />., ", SIGNATURE <br /> <br />IIBCllAHICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATB CBRT OR RBGIST. # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br /> <br />'COMPANY~l/7VIjD;:;~ ~~ <br />. STATE CERT OR REGIST #I 5'/75"'05000 1/9 ? <br />. CJTY PROCESSING # _ 93 J/ <br /> <br />*******************************..***********~~ ~~~ <br />~ <br /> <br />SIGNATURE <br />