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<br />L:l'.l"Y OF ZEPHYRHILLS PERMIT APPIJICATIOH <br />BUILDING DEPARTMENT 5335 ~th 8'l'REE'L' Z.IllPHYRHI1..LS, i1.. 33-540 <br />~hon.1813-780-~020 FaxI813-780-0021 t;_' ~ <br />DA'.l'E RlICBIVED ~c2...s:.:.~~ <br />PJ.ANS R.IllVI.lllW i'llIl__,_,~__ <br /> <br />JOB SITE ADDRESS <br /> <br />-- <br />MA- )"~S 1(<- <br />LoT <br /> <br />PHONE CONTACT <br /> <br />OI'lNEJR I S HAI'1E <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN B'ROM PROPERTY TAX NQ'l''tCE) <br /> <br />WORK I?ROI?SED; 0 !~EW CONsrrRUCTIm~ <br /> <br />o ADDITION <br /> <br />o AurERATION <br /> <br />o REPAIR <br /> <br />D lNSTAU, <br /> <br />DaWN <br /> <br />DMOVE <br /> <br />o DEJI'lOI,ISH <br /> <br />PROJ:lOSED USE; OSGL FAMILY DWELLING <br />[J COMMERC IAI, <br /> <br />o MUL'l'I - FAMUN <br /> <br />0# OF mUTS <br />OSWIMMIHG POOl, <br /> <br />o IVll~j:i,l r,E UOME <br /> <br />o INDUSTRIAL <br /> <br />IJ OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURAl~T & HEALTH DEI?ARTMEN'r APPROVAL <br /> <br />1<vsd-f <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEmH'r <br /> <br />RESIDENTIAL: <br />COIYJMERCIAL: <br /> <br />ATTACH (:2) I?LO'!' I?LAl1S & (:2) SETS OF BUI!,DING Pl,ANS & 11) SET l;ijNijlRQY FORMS. <br />A'!"l'ACH (3) SE'rs OF BUII.D:nm PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURV.IllY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BlJILlHNG <br />L1 ELEC'I'RlCAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRIJC'rroN <br /> <br />AMP i3ERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R,E.C. <br /> <br />[J JilL[Jj\1BING <br /> <br />o I451CHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAI, INSTALLA'l'ION <br /> <br />o GAS <br /> <br />D ROQFWG <br /> <br />D SPE:CIAL'l'Y <br /> <br />o OTHER <br /> <br />TYPE: OF CONSTRUCTION; 0 BLQCK <br /> <br />o FRiUYJE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />l1'INISHED FI,qOR EI,EVATIONS <br /> <br />IS PROLJECT IN FLOOD ZONE AREA 0 YES <br /> <br />fJ NO <br /> <br /> <br />BUILDlIlR <br />8 IGNATURE W '::;1...-----iJ ~ . <br />**************************************************.***.*.***...... <br /> <br />il'BlOTRrC~IAN ~? .... ? /J <br /> <br />81""A'ruR'/~~"~ <br />?/ <br />******.*.**.*****************.********************.*...***.****.*. <br /> <br />iLUMB.IllR COMPANY !l~ <br />'f} STATE CERT OR f{EGIST #__ <br />SIGNATURE _L..J. ~ -'. CITY PROCESSING # tj'g-_ <br /> <br />*'*******.*********.**"*******'*'*"*****'~**A****.'a**..a**.... <br />M.IllOHANICAI, COlvJPANY ~S. _ <br /> <br />COlVJPAl~y.If:"G.~rj (?"~"1: "-P.'l!/ /.:::- (<,rr, c.... <br />STATE CERT OR REGIS'l' # ,c;.~---L 2..<1/0 <br />CITY PROCESSINl) # CJ? '2... <br /> <br />STATE CER'f OR REGIS'I' # <br />CITY PROCESSING # <br /> <br />SIGNATlJR~ <br /> <br />*..*******.*****************.*****.***~**.*********..*.**..**.*** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****.*.*********..********....****.********..******..**t****.*.* <br />