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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPAR~ 5335 8~ STREET ZEPHYRRILLS, PL 335.0
<br />Phone:813-780-0020 Pax:813-780-0021
<br />DATE RECEIVED
<br />PLANS REVIEW PEE
<br />
<br />..
<br />
<br />'\
<br />
<br />OWNER'S NAME {he. t?ICJ'I':U C'~r1;) i..~~/""::",,,,-
<br />.(./ 3 3 {'-:. ( ff
<br />JOB SITE: ADDRESS, - z:: C .,;; )
<br />
<br />PHONE CONTAC{il ))6 2. j>'2 s'l~
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID #
<br />
<br />WORK PROPSED: []NEW CONSTRUCTION
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />OSIGN
<br />
<br />o ADDITION
<br />o MOVE
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o DEMOLISH
<br />
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />
<br />OMULTI - FAMILY
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOME
<br />
<br />o COMMERCIAL
<br />
<br />o INDUSTRIAL
<br />
<br />o OTHER
<br />
<br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />DESCRIPTION OF WORK aJJ) .J /~ l~olL ~ ~J~ Y--:7~
<br />If (, " ~
<br />BUILDING SIZE SQUARE FOOTAGE HEIGHT
<br />
<br />RESIDENTIAL:
<br />COMMERCIAL:
<br />
<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />PBRMITS REQUESTED
<br />
<br />o BUILDING
<br />
<br />$
<br />
<br />.~ S- r.:, "Z..., t)C
<br />
<br />.
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />o FLORIDA POWER
<br />
<br />o W.R.E.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 BLOCK
<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
<br />
<br />o NO
<br />
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<br />,*11' "I' ",,11' Ii' 'j Ii'. ""I' ("" I' ["" 'I II 1"1. W ' ,',' I '" ,:II. p, jj "1,i1:tH:;fJ'i~: ,rr,kl1,:
<br />~'fjl.' ,~,;.t;1~frftl t1111 ~ _ii! F{r;I!.ff.IJ' ..,pt,'" U~ilft:{r.t0~J'" -"L.~ 1+1 "" ~ tf41~1?t1 ~r-tl~ +.H '
<br />i<,A-L...'"~ ~I :,"1'~~:lJ, I t...:~' <.u..","'" 1,,,-,,',,,'; ,I (t'''", . ~. _~~~ _ ~v .~__+ ___ ~_ ~~"h u~ ,,,,,,,,t:.LJ<.!e.rla;u,3 ~~H_~t;L~''''H..;........_',;,....;......t,~'';'''~'1.1",,;,",,_[lj...i.t
<br />
<br />BUILDER
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />******************************************************************
<br />
<br />ELECTRICIAN
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />******************************************************************
<br />
<br />PLUMBER
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />MECHANICAL
<br />
<br />******************************************************************
<br />
<br />~. *****, **~", **~,* *4*,Jf**.****, ***** **************,***** *************,**
<br />
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<br />OTIi~ ) ;{ ,1:'" / ,o' ft/~ COMPANY U I' '5 ,',J l'&r- /:....( /fL
<br />i~ / V STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />'. . ,t/
<br />-7,./'-'", ..//. I e<:s
<br />
<br />SIGNATURE
<br />
<br />*****************************************************************
<br />
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<br />
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