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<br />L:l.'J.' ~ <br />BUJ:LDJ:NG <br /> <br />u.t" ~E1JHYRHILLS PERMIT APPI-lICATION <br />DBPARTMEN'I' 5335 8th S'l'REE'f ZEPHYRHILLS, FL 33540 <br />PhoneI813-780-~020 FaxI813-760-0021 <br />DA'fB RBCEIVED ______._._____ <br />PI,Al-l'S REVIEW i'BE_____,__ <br /> <br />mINER' 8 HAJ\1E .s'h 0.... w ~~ "'" u.. n 1 c.....Gt-;\-r6 1'\ <br />,JOB S I'l'E ADDRESS _ 3.~t? 1.1 J. l,-~ ~ ~ ' <br /> <br />PHONE CONTACT <br /> <br />LEGAL DElSCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN );i'ROM PROFERT'! TAX NOTICE) <br /> <br />WORK PROl'SliJD: [JNEW CONs'rRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATTON <br /> <br />o REPAIR <br /> <br />o IN8'I'1U,I, <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: LJSGL FAMILY DWELLING <br /> <br />DMULTI" FJI.MILY <br /> <br />0# OF UNITS <br />DSWIMMING POOL <br /> <br />o MOBI!,E HOME <br />IJ OTHER <br /> <br />f] COMMERC IAI, <br /> <br />o INPUSTRIAL <br /> <br />D RESTAURA1~T & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEli3H'r <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PI,ANS & (1) SET ENERGy FORMS. <br />A'I"l'ACH (3) SETS OF BUII,DING PLANS & (1) SET El\IlilRGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />FERMITS REQUESTED <br /> <br />o BlJILDIl'lG <br />1'E ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF 'JUl'AL CONSTRUC'I'ION <br /> <br />(,\) <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R,E,C. <br /> <br />D I?LUJl1BING <br /> <br />o J.1I1JCHAlHCAI, <br /> <br />9 <br /> <br />VALUATION OF MECHANCIAL INSTALLA'l'ION <br /> <br />o GAS <br /> <br />o ROOFIHG <br /> <br />o SI?ECIAUfY <br /> <br />o OTHER <br /> <br />TYPIi: OF CONSTRUCTION: [] BLOCK <br /> <br />o FRA1'iJE <br /> <br />o S'I'EEL <br /> <br />o OTHER <br /> <br />FINISHED FU)OR EI,EVATIONS <br /> <br />r S PROeJECT IN !r'Loon ZONEl AREA 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDBJIi <br /> <br />CDtiJPANY <br />STATE CERT OR REGIST #__ <br />CITY PROCElSSING # <br /> <br />SIGNATURE <br /> <br />*****.*****_._..*..........*.*.****.*..*..*.******.*.**.**.*...... <br /> <br />Il1I.BlCTIiI I <br /> <br /> <br />.****.*.****..*.....*...**********.*....*..**............ <br /> <br />CDI>1PAl~yHa.<4-\V'\ ~~c.....- I~<::'- <br />STATE CERT Oft REGIS'I' # e:c... boo 30 4'J. -,- <br />CITY PROCESSING # q 7------ _ --- <br /> <br />PLt1bUlIilR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAl. <br /> <br />.**.*..*.....*..*****.*.*.*..*.*****..**.********.**.......*...... <br /> <br />COMPANY <br />STATE CElRT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.****.******************.*************~*****.************.******* <br /> <br />OTHBIi <br /> <br />COJl11?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********.*..****....**..***..****....*....**.*.***...**.***...*** <br />