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<br />I OWNER'S lifAME L.es tf'/' <br />JOB BITE ADDRESS ~~/~ <br /> <br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILI>ING IJBPARTMBNT 5335 8th STRBlB'r ZBPHYRHILLS, P'L 335fO <br />Phorte'813-780-0020 FaxI813-780-0021 <br />DATa RICBIvao <br />PLANS a.VIR" rl. <br /> <br />, <br /> <br />).. ~X <br />Lft!1 ~-I. <br /> <br />PHONEl CONTACT <br /> <br />LEGAL DESCRIPTION, LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED f ONEW CONSTRUCTION <br /> <br />(OBTAIN Ii'ROM PROPI!IRTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o AL'fIllRATION <br />o DEMOLI SU <br /> <br />o REPAIR 0 INSTAI,Il <br />1?1'f'b()F <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE I OSGL FAMILY DWELLING <br /> <br />(J COMMERCIAI, <br /> <br />OMlJLTI -FAM!LY <br />o INDUSTRIAL <br /> <br />On OF UNI'rS <br />o SWIMMING POOL <br /> <br />o MOBII~lll HOMIll <br />OOTIIER <br /> <br />o RESTAURANT & HllIALl'U DEPARTMElN'I' APPROVAL <br />D08CRIP1'ION OF NaRK .:I/.a- rer'/)/).F ...s h; "i k $ <br />BUILDING saE SQUARE FOOTAGE -'--!l"IJ <br /> <br />"mIGHT <br /> <br />RESIDllINTIALI <br />COMMERCIAL I <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF Bun/DING PLANs & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF Burr,DING PLANS & (1) SET ENERGY FORMS. <br />PROPER:TY SUitvEY RBlQUIRllID FOR ALl, NEW CONSTRUCTION. <br /> <br />o B(JIMlING <br /> <br />~ERMITS REOUmSTED <br />$a; y7S, '(YO VALUATION OF TOTAL ConS'l'RucTION <br /> <br />[] EI,EC'l'RICAL <br /> <br />AMP SERVICE <br /> <br />o FI.ORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBINf1 <br />o MECHANICAL $ <br />o GAS ~OFING <br /> <br />VALUATION OF MECHANCIAI~ IN8TALI1ATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'l'YPIll OF CONS'I'RUCTION I 0 BLOCK <br /> <br />o FRAME <br /> <br />o 8'1'EEIJ <br /> <br />o o'rnER <br /> <br />FINISHED Fr~OOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIBT # <br />CITY PROCESSING ft <br /> <br />B IGNATUREl <br /> <br />****************************************************************** <br /> <br />JlLJlCTRICIAN <br /> <br />S I GNA'l'(}RIll <br /> <br />COMPANY <br />STATE CERT OR REGreT # <br />CITY PROCESSING # <br /> <br />----- <br /> <br />. <br />. , , _,* 1\'.* * * '* * * * * * * * * * *"* * .. ,,*', * .. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * '" * * * <br />~ '.... ';t ~ ~ <br /> <br />PLUMBIIt <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBC8ANICAL <br /> <br />~***..*.***********************************"'**************i*",***** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********"''''********'''***'''*********'''*********''''''***'''''''''************* <br /> <br />OTHIR <br /> <br /> <br />COMPANY Gc::t'" , Nf<.K'..s <br />STATE CERT OR REGIST # C ~ ~ <br />CI'I'Y PROCESSING # t ~11ffl <br /> <br />*************"'********************************************* <br /> <br /> <br />SIGNATURE <br />