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<br />L: l. '!' X <br />BUILDING <br /> <br />Uf' ZEPHYRHILLS PERMIT APPLICATION <br />DlilPARTMEN'I' 5335 8th S'fREE'I' ZEPHYRHILI.S, FL 33540 <br />Phon81813~780-~020 FaxI813-78D-OD21 <br />DATE RlilClllIVBD <br />PI,ANS <br /> <br />--_.._.~._-....~---._- <br /> <br />RlllVIlllW F22_,________ <br />0""8R'. "AHE C ~Dm e." ~ <' ,llN") \1\ PHONE CO"'l'AC'~ ~ 3 '8?l '::t. <br />JOB .m ADDRES. 3"I:J L4.1..\ S~ M'J€- ,-z.._~\1::' FL_______~_ <br /> <br />LEGAL DESCRIPTION; LOT IS) <br /> <br />BLOCK <br /> <br />I?AlWElL In # <br /> <br />SUBDIVISroN <br /> <br />o ADDITION <br /> <br />(OBTAIN <br />j(ALTERATION <br />o DEMOLISH <br /> <br />F'RON PROPERTY TAX NOTICE) <br /> <br />WORK PROPS ED ; ONEW CONS'l'RUCTION <br /> <br />DaIGN <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o /y/OVE <br /> <br />PROJ:lOSED USE: 08GL FAMILY DWELLING <br /> <br />o MlJI/l' I - FAMILY <br /> <br />0#. OF UNITS <br />OSWIMMING POOL <br /> <br />[] MOBtr,E) HOME <br />[J D'mER <br /> <br />[J Cot-1MERCIAI, <br /> <br />[] INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />r hClnCj€> <br /> <br />RESTAURANT 5. HEALTH DEPARTMENT APPROVAL <br /> <br />~ \-\ h_ Ll~ l+- <br /> <br />Ull+ <br /> <br />SQUARE: FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COI-1MERCIAL; <br /> <br />ATTACH (2) PLOT PLANS 5. (2) SETS OF BUILDING PLANS & (1) SET ENEJRC4Y FORMS. <br />A'l"l'ACH (3) SE'l'S OF BUILDING PLANS 5. (1) Slil'l' ENa:RGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEmu'r <br /> <br />o SIJILDING <br /> <br />~ERMITS REQUESTED <br />$~ VALUATION OF 'I'O'I'AL CONSTRUC'I'ION <br /> <br />Ll ELECTRICAL <br /> <br />AMI? SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.r;. <br /> <br />o H,UMBING <br />~-1ECHANICAL <br />[] GAS D ROOFIlW <br /> <br />.:;{) <br />9B6...~) ~ <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] OTHIilR <br /> <br />'l'YPE OF CONSTRUCTION; LJ SLOCK <br /> <br />o FRANE <br /> <br />o S'l'EEL <br /> <br />LJ OTHER <br /> <br />FINISHED FLOOR EI,EVATIOlilS <br /> <br />IS PRO.JECT IN l:'"LOOn ZONE AREA 0 ~IilS <br /> <br />o NO <br /> <br /> <br />BUILDIilR <br /> <br />CDt-1PANY_ <br />STATE CERT OR REGIST # ______ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />lGLIilCTIUCIAU <br /> <br />'***"""""'***"*'****"'***"*"""***"'*'*"*'t*"**'*t.*, <br /> <br />S 1 GliIATURE: __,. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />------------------ <br /> <br />PLUWElilR <br /> <br />"'****"'**"*""*""""'****'***'***"*"'**"'""'*"""" <br /> <br />COMPANY__ <br />STATE CERT OR REGIST if. <br />CITY PROCESSING # <br /> <br />-----~ <br /> <br />SIGHA'I'lJRE <br /> <br />SIGN <br /> <br /> <br />, , , , , * i , , , , i~i , * , , * , * , * * , , , , , , i * , A , , , , * Qjr * , * , * * , * "..} , ~;l ~ ;.;: * * i{'\ \ <br />COMPAN~Olln~~ ~~~__ <br />STJl.TE CElR'f OR RE S'l' #~rYJ~_ <br />. CITY PROCESSING #- c200 _ <br /> <br /> <br />**'****"**"****'********************~******'*******''*'*"****' <br /> <br />OTHIilR <br /> <br />-- <br /> <br />COI-1I?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGHATURE <br /> <br />**'***'*"****'*'**'*'*****"'*'*'*"**'******"'*'*"****"'t", <br /> <br />--_._~.~-....-.-_~ <br />