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<br />C.L'J.'~ 01f ZEiPHYRHILLS PERMrr. APPI.lICATION <br />BUILDING Dlill?ARTMEN',[' 5335 atl, S'IREET ZBlPII'fRHILl,13, E'L 33540 <br />Jilhonlilll 813.,7 EIO -oo:a J li'axl 813. 7IH'" oo:n <br />DN.L'B: F:BC1UVBlD ____._____._____ <br />Pl"UiI~ REVIIllW rBIll <br /> <br />mlHER I SHANE <br /> <br />PH\)t\ EJ CONTACT <br /> <br />.JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(8} <br /> <br />BLOCI< <br /> <br />SlJBDIVIS roN <br /> <br />PAR~EL ID # <br /> <br />(UBTAIN8'ROM 1?1'WI?ERTY TAX NDTICEJ) <br /> <br />WORK I?HOi:'SElD: []NEW CONS'fRlJCTION <br /> <br />OSICm <br /> <br />n AnDI'rrON o AUI'E:R.~ T I ON [J RE:IlAIR o mS'I'AI,l, <br />o JI10VE 0 DE:MQl,ISH <br />o MUI/l' I - FAMII"Y [)# DB' maTS [] MOBII.E HOMEl <br />o INDUS'l'RIAL [)SWU1MING POCll" IJ OTHER <br /> <br />PROJ:lOSED USE:: DSGL FAMILY DWELI,ING <br /> <br />f] COMMERCIAl, <br /> <br />D RESTAURANT & HEALTH DEPARTMElN'l' APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDINGl SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HErm!'f <br /> <br />RESIDENTIAL: <br />COl>1MERCIAL: <br /> <br />AT'rACH (2) PLOT PLANS & (2) SE'rs Of' BUIIJDINCl P{,ANS /~ (l) S,ElT ElNElRr~y FORMS, <br />A'r'l'ACH (3) SETS OF BUII"DlNG PLANS & (I) SElT ENERGY FOR~1S, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONElTRUCTION. <br /> <br />I?B:RMI'f~ REQUB:8'l~EIJ. <br /> <br />0 BlI ILDUj(3 <br />Ll ELEJC'I'RICAL <br />0 I?LUI'.18 ING <br />0 J.1ECHAHICAIJ <br />0 GAS o ROOFIHG <br /> <br />$ <br /> <br />VALUATION OF 'I'O'l'AL CCJNS'fRlJC"rrON <br /> <br />AMP ~ERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.k.El.C. <br /> <br />~--_. <br /> <br />VALUATION OF MECHJU1Cj:AL INS'l'AL.l,Nl'ION <br /> <br />o S~ECIALTY <br /> <br />o OTHEJR <br /> <br />TYPE: OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRANE <br /> <br />o STElEI" <br /> <br />[] OTHER <br /> <br />FINISHED FI.OOR EI,EJVATIONS <br /> <br />r s PRO~JECT IN FLOOD ZONlil ;~REJA 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDIilR <br /> <br />COt~I?ANY_______.___________.__ <br />STATE CI~R'I' OR REGIS'l' H ______. <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />**""*'**"'*"*'*""*"**"""'*""*"""""'"*"*"tt**" <br /> <br />lill,BlCTRICIAH <br /> <br />S lGNATUREJ __. <br /> <br />COlvJPAHY_____________.,--__,__ <br />STATE CElRT OR RElGIS'!' # <br />CITY PROCESSING # <br /> <br />""'t't*"**""**""""*""***'*""*"**"""*'""""*'*' <br /> <br />:E>LUMBBlR <br /> <br />COMI?ANY------- <br />STATE CERT OR REGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNh'l'URE: <br /> <br />***""*"""**"*'*'**'*""***"""*'*"*""*'*"'**""**'*' <br /> <br />MI:IlCHJUl'ICAIJ <br /> <br />SIGNhTlJRE <br /> <br />COI"lPANY--- <br />STATE CERT OR REGIS'!' # <br />CITY PROCESSING # <br /> <br />""'*"""'*'*'**"**'*****'***'**'*~"**w*'*'******""""'** <br /> <br />OTHER <br /> <br />eXlf\1I?ANY <br />STATE CER'!' OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*"""**""""****'*"'*"""'*""""'*"""'"*t""."., <br />