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<br />, <br />OWNER' S NAME~ ~"" '\'<\ ~~~ f'-... PHONB CONTACT <br />JOB SITE ADDRESS ~~ \ ~ \ S~Q ~ ~., \ \~~ ~ <br /> <br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING DBPART~ 9335 8~ STRB~ ZBPRTRBILLS,.L 33540 <br />Phone.813-780-0020 Fax.813-780-0021. <br />OATH lUIcB.IvaD, <br />JilLANS RBVIIIIf nB. <br /> <br />LEGAL DESCRIPTION. LOT(B) <br /> <br />PARCEL ID # <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPBBD: []NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[]SIGN <br /> <br />..Rl ADDITIO~ <br />[] MOVB <br /> <br />o ALTBRAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USB:[]SGL FAMj~y DWBLLING <br />o COMMERCIAL <br /> <br />[] DBMOLISH <br /> <br />oMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING mOL <br /> <br />o MOBILE HOME <br />[] OTHER <br /> <br />'.. <br /> <br />o INDUSTRIAL <br /> <br />.pESCRIPTION OF WORK <br /> <br />CJ . RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />\ t-:J~D\.r--. <br /> <br />w~ <br /> <br />?~ <br />. " <br /> <br />C!N" J../' <br /> <br />BUILDING SIZB <br /> <br />SQUARB FOOTAGE <br /> <br />RBSIDENTIAL: <br />COMMERCIAL. <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANs & (1) SBT BNBRGY FORMS. <br />ATTACH (3) SBTS OF BUILDING PLANS & (1) SBT BNERGY FORMS. <br />PROPERTY SURVBY REQUIRED FOR ALL NBW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />PBRMITS RBQUI~TBD <br /> <br />o BUILDI~G <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] BLBCTRICAL <br /> <br />AMP SBRVICB <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.B.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOFJNG . [] SPBCIALTY <br /> <br />o OTHBR <br /> <br />TYPB OF CONSTRUCTION: 0 BLQCK <br />FINISHED FLQOR BLBVATIONS <br /> <br />[] FRAMB <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br />IS PROJBCT IN FLOOD ZONB ARBAO YBS [] NO <br /> <br /> <br />BUILDBR <br /> <br />.~~ <br /> <br />COMPANY ~~~ ' ~~v<s <br />STATB CBRT.OR RBGIST # <br />CITY PROCBSSING # <br /> <br />SIGNATURB. <br /> <br />HLHCr.rR.IC.IAH <br /> <br />~**********A****************************************************** <br /> <br />SIGNATURE <br /> <br />'or <br /> <br />COMPANY <br />STATE CERTOR RBGIST # <br />CITY PROCESSING # <br /> <br />PLUJlBBR <br /> <br />*********A******************************************************** <br /> <br />COMPANY' <br />STATE CERT OR,REGIST # <br />CITY PROCESSING #. . <br /> <br />. r", SI<mATUllB <br /> <br />IOICIIAH.ICAL. <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATB CBRT OR RBGIST. # <br />CITY PROCESSING # <br /> <br />SIGNATURB <br /> <br />OTHER . <br /> <br />***************************************************************** <br /> <br />SIGNATUREl <br /> <br />COMPANY <br />STATB CBRT OR REGIST # <br />CITY PROCBSSING # <br /> <br />***************.*********************.*********************.***** <br />