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<br />L:.1'.n~ O~. ZEPHYRHILLS PERMIT APPIJICATION <br />aUILDING DBPARTMlllN1' 5335 8~h S'rRlllE'f ZEJi'HYRHILI,S, FL 33540 <br />Phon~1813-780-~020 FaxI813-?80-0021 /01 /,/ ' <br />DA'J.'lll RBCliIIVlllO ---LJt..-_-::_~Z <br />PI.Al'lS REVIEW Ji'BE_":___---..:......;. <br /> <br />miNER '8 NAl\jE f I v,'E: C f-\ 7:--57 mil? L,,/5.5~ <br />,JOB SITE ADDRESS _i:J-3-S _c (<.. SsTD~ ____ <br />1.07 b I <br /> <br />PHONE <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SlJBDIVIS ION <br /> <br />PARCEL ID # <br />WORK PROI?SED; li!J'6EW CONSTRUCTION <br /> <br />(OBTAIN F'ROM PROPERTY TAX <br /> <br />DAPDITION <br /> <br />[J ALTERA T I ON <br /> <br />D REPAIR <br /> <br />o INSTAL,!. <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELIJIlm <br /> <br />OCOMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUS'l'RIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOB Il,E HOME: <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />IJ O'J.'UER /' tj , <br />ff!:> <br /> <br />'} 2- x 30 <br /> <br />C Rf.. fvRT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />J 2:;< -:3 0 <br /> <br />SQUARE FOOTAGE <br /> <br />3'?t:' <br /> <br />HEmHT 8 <br /> <br />· III .o'r O~J(,Y FORI-1 ", 1? <br />FORMS, ..,e 0 'I- <br /> <br />~,;,f{}?-,~~ 4a-4/ <br />;/, <br /> <br />RES IDENTIAI, : <br />COIVJMERCIAI" : <br /> <br />ATTACH (:2) PLOT PLANS & (2) SETS OF Buu,num PLANS <br />A'I"J.'ACH (3) SE'fS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />J?E~ITS REQUESTED , <br /> <br />o BlJILDING <br /> <br />$ <br /> <br />%0.,00 <br /> <br />VALUATION OF TOTAL CONSTRlJC'rI(lN <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />'"\.,.,. .,~~ ,.",..'. .- <br />d'-W~-R . E . C; . <br /> <br />o PLUI\1BING <br /> <br />o 1.1li:CHANICAI, <br /> <br />~ <br /> <br />VALUATION OF MECH1U1CIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o O'!'HER <br /> <br />TYPE OF CONSTRUCTION; 0 BLOCK <br /> <br />o FRAlv'JE <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FI,OOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO 'tES <br /> <br />01'10 <br /> <br /> <br />aUILnmR I ~ <br />SJGNATURE _~ ,,~~__ <br /> <br />****i*******i'k*'*'************************************ . <br /> <br />JilI,JllCTRICIAU <br /> <br />COIYJPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S I GHATURE __. <br /> <br />--------------.....----- <br /> <br />A'***"'***A*****'***A*******'*************************,**.*****.. <br /> <br />i'LUMBIilR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MIllCHANI CAl, <br /> <br />****************************************************************** <br /> <br />CO!v'JPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />------------ <br /> <br />SIGNATURE <br /> <br />**************************************~**.*********.**.********** <br /> <br />OTHIllR <br /> <br />SIGNATURE <br /> <br />COl>1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*************************.*...**..*...*****************'****'**** <br />