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<br />L:.1'.l'~ O,Ei' ZEPHYRHILLS PERMIT APPI~ICATION <br />aUILDING DBPARTMEN'I' 5335 8th S'rREE'f ZBlPHYRHILI,S, FL 33540 <br />ihon~1813-780-~020 FaxI813-760-0021 <br />nA'l'B RBCllIIVED --./..t2--:lZ2..-:- O?- <br />PI,AJ.'lS REVIEW Fil(=-____ ~_:..._ <br /> <br />\. <br />Jvofv ~(.N€-/( <br />___siPf-_Jl;J. Jt:______ <br /> <br />PHONE CON'l'AC'~~_~ 7~-cl97r <br /> <br />O\'/l~ER 'S HAl\1E V' <br />,JOB SITE ADDRESS <br /> <br />~------_._----.......---. ._~_.._,_._"..- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISJON <br /> <br />PARCEL 10 #) <br />---- <br />. ~. <br /> <br />WORK PROl'SED; ONEW CONS'j'RUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />o ALTERATION 0 REPAIR ~TAr,~- <br /> <br />Os ION <br /> <br />o lVlOVE <br /> <br />o DEfYJOLISH <br /> <br />I?ROJ:lOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMUN <br /> <br />0# OF mUTS <br />OSWIMMING POOL <br /> <br />(J MOB nEl HOME <br />[J OTHER <br /> <br />fJ COMMERCIAl, <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT &. HEALTH DEPARTMENT APPROVAL <br />.-. <br />~ <br /> <br />,~~m-l~ - 16-0'- 200Ft <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'j' <br /> <br />RES IDENTIAlo; <br />COlvlMElRCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PLAl'lS & (1) SET ENERGy FORMS, <br />AT'l'ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~rLDlNG <br /> <br />$ <br /> <br />~ERMITS REQUESTED <br />/00 - VALUATION OF TO'l'AL CONS'fRUC'froN <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />(] W.R.E.C. <br /> <br />(] PLUMB ING <br /> <br />o j.1H:CHAlnCAI. <br /> <br />9 <br /> <br />VALUATION OF MECHAl'lCIAL INS'l'ALLA'l'ION <br /> <br />o GAS <br /> <br />o ROOFIlW <br /> <br />o SI?ECIAl,'l'Y <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: lJ BLOCK <br /> <br />(] FRANE <br /> <br />o S'l'EH:L <br /> <br />o OTHER <br /> <br />FINISHED FLOOR El,H:VATIONS <br /> <br />IS PRO,JECl' IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />(Ji!1~,z..l!l:il~) C()tt]PANY ,_ /A'.J-7J,,/' <br />, ~/1. L /J LJ ~E CERl' OR REGIST #_. <br />G SIGNAl'URE.._~ ~ ~~CESSING~_ <br /> <br />'----- - .. .. . . . .. . . . . .. . .. . .. . .. .. .. .. .. . .. .. . . .. .. . .. .. . . .. .. . . .. .. . .. .. <br /> <br />JilI,BlCT1UCIAN <br /> <br />COM PAl'l Y <br />STATE CERT OR REGIS'!' # <br />CITY PROCESSING # <br /> <br />SJGHATURE ___h______ <br /> <br />~----------.......---__.~--- <br /> <br />"""""""""""""""*"'****'**"*"**'*'*""""""" <br /> <br />JilLUMBIilR <br /> <br />COMPANY <br />STATE CERl' OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGHATlJRE <br /> <br />MIilCHAJ.'lI CAr, <br /> <br />'***'*'*****"*'********'*****"*'*""*'***~**'**'**''*'*"***'*' <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />"**'*'**********'***"***************~*"******"*'*'.**,******* <br /> <br />OTHER <br /> <br />SI(~HATURE <br /> <br />CO!'1PANY <br />STATE CH:RT OR REGIST # <br />CITY PROCESSING # <br /> <br />'*****'*****"'*'**'*"""'*"*""*""'*'**"*'*'"""""'" <br />