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<br />OIOHRS'S HAMIl ~) () (7 e fi;2p Lit ,.J <br />JOB SITR ADDRRSS ~ 9' -> ~ C( _ 8- 11 Oc..r~. <br /> <br />CITY OF ZEPSYRHILLS PERMIT APPLICATION <br />BUILDIRQ DBPAR~ 5335 8~ ST..aT ZBPRTRRXLLS. WL JJ5tO <br />Pbone.81]-780-0020 Pox.81]-780-0021' . /1 1 ~ <br />DATB IUICJlJ:VBD, 'i.-I' _- O.;.L-- <br />PLAKS llBVJ:1Df rBB , <br /> <br />PHORR CONT~f!'-Z-;;'~='?JJ. <br />C.. . <br /> <br />LRGAL DBSCRIPTION: LOT(S) <br /> <br />PARCRL ID # <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSBD: oNBW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPRRTY TAX NOTICR) <br /> <br />oSIGN <br /> <br />oADDITIO~ <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o RBPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: oSGL FAMiLY DWELLING <br />o COMMERCIAL <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING- PboL <br /> <br />o MOBILB HOMB <br />o OTHRR <br /> <br />o INDUSTRlJil. <br /> <br />O'RIISTAURANT & HHALTH DRPAaTMENT APPROVAL <br />.I!RSCRIP'rlOH OP HORR .~~ ~i. ~ <br />BUILDING SIZE 3 ~:7- 5 6 SQUARB FOOTAGB I C? 0 D T <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) ,SETS OF BUILDING PLANS & (1) SET BNERGY FORMS. <br />ATTACH (3) SRTS OF BUILDING PLANS & (1) SBT HNRRGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NBW CONSTRUCTION, <br /> <br />HBIGHT <br /> <br />o BUILDI~G <br /> <br />$ '1302J.~ <br /> <br />PBRMITS RBaU.STBD <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELIllCTRICAL <br /> <br />AMP SJlRVICIll <br /> <br />o FLORIDA POWER <br /> <br />o W,R,E,C. <br /> <br />o PLUMBING <br /> <br />o MRCHANICAL $ <br />o GAS ~FJNG. 0 SPBCIALTY <br /> <br />VALUATION OF MJlCHANCIAL INSTALLATION <br /> <br />o OTHBR <br /> <br />TYPB OF CONSTRUCTION: 0 BI,QCK <br /> <br />o FRAME <br /> <br />o STRRL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELJlVATIONS <br /> <br />IS PROJECT IN FLOOD ZONB ARBAo YHS 0 NO <br /> <br /> <br />BUXLDBll <br /> <br />~ COMPANY DTI'1Il..I?.J.!Bh > . . . _ ...: <br />/I . /7 ~ . STATE CHRT, OR RBaIST 1#. 005(5 Lf..2.~ __ <br />SlGIIATORIl > A ,tt<.LL "-V\. CITY PROCBRsrllQ . ~ '7.1 , <br /> <br />~ ..............................~.................~........... <br /> <br />BLBCTRXCJ:AH <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CIllRTOR REGIST # <br />CITY PROCESSING # <br /> <br />PLUllBIIR <br /> <br />**.*..*.*A**....***...*.*******.*******.*.**..**********.****.*... <br /> <br />COMPANY , <br />STATE CRRT OR,RRGIST # <br />CITYPROGIllSSING # ' <br /> <br />, " " SrGNATURB <br /> <br />IOICIlAHICAL' <br /> <br />******...*.**..*******.*....*************.***...*..**.************ <br /> <br />COMPANY. <br />STATIll CHRT OR REQrST. # <br />CITY PROCESSING # <br /> <br />SIGNATURII <br /> <br />OTaB. , <br /> <br />*******************.***.**************.****..****.****.**....**** <br /> <br />SIGNATURB <br /> <br />COMPANY <br />STATIll CERT OR RIIGIST , <br />CITY PROCIllSSING , <br /> <br />************.*****************************.**.*.*************.*** <br />