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<br />mINER'S HAHE 13~)( ~\___ <br />,JOB SITE ADDRESS Lcl Is \) <br /> <br />~J.'l'Y OF ZHlPHYRHILLS PERMIT APPIJICATION <br />BUILDING DBPARTMENT !S335 8th 6'rREE'1' ZEPHYRHILLS, FL 33540 <br />~hon.1813-780-q020 FaxI813-?80-0021 <br />DA'.l'E RBCliIIVilD ~___"_____.___.__ <br />PJ.ANS RilVIilW FIB________ <br /> <br />PHONE CON'fACT <br /> <br />J ;d I 'vI Lr;c(;, r~_"_..s.~.... -c_~~.(1-;:r~ ~7i.e_q~.Klt <br />BLOCK SIJBDTVISlON /J1 rl;S~ ..) il..... OA ~ <br /> <br />---------- <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />PARCEL ID # <br /> <br />WORK PROf/SED: []NEW CONS'I'RUCTION <br /> <br />(OBTAIN F'ROM PROPERTY TAX NOTICE) <br /> <br />[] ADDITION <br /> <br />[] ALTERA T I ON <br /> <br />[] REPAIR <br /> <br />[] JNSTAI.I. <br /> <br />[] SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROJ:lOSED USE: nSG/L FAMILY DWELLING <br /> <br />o MUL'I'I - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />CtMOBH,E HOME <br />fl O'!'HER <br /> <br />[] COMMERC JAI, <br /> <br />o JNDllS'l'RIAI" <br /> <br />llESCRII?'rION OF WORK <br /> <br />o RESTAURAl'1T & HEALTH DEPARTMEN'r APPROVAL <br />tf'1";--(<' )v(.. J, ( <br /> <br />BUILDING SIZE <br /> <br />II..J I\:J j.. <br /> <br />SQUARE P'OOTAGE <br /> <br />RES IDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUII.DING PLANS 6< (1) SET ENIilRCJY FORMS. <br />COlvJ!vJERCIAL: A'1"l'ACH (3) SETS OF BUILDING PLANS 6< (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEWH'I' <br /> <br />~ERMITB REQUE~TjQ <br /> <br />o BUILDING <br /> <br />9 <br /> <br />VALUATION OF To'rAL CONS'rRuc'I'JON <br /> <br />o ELEC'I'RIC'AL <br /> <br />AMP tSERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o I1ECHANICAI. <br /> <br />$~ <br /> <br />VALUATION OF MECHAl'1CIAI, INS'I'ALLA'I'ION <br /> <br />o GAs <br /> <br />o ROOF'IlK) <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />fl OTHER <br /> <br />FINISHED FLOOR EI.EVATIONB <br /> <br />IS PRO,TECT IN FLOOD ZONEl AREA [] YElS <br /> <br />o NO <br /> <br /> <br />BunOBlR <br />SIGNATURE ~~-"J~ <br /> <br />COtlJPANY ,(3 <br />STATE CElR'r OR R <br />CITY PROCESSING <br /> <br />IllI.B1CTIUCIAN <br /> <br />""*""""""'****'*'**"***"""**"**'****'***'*"'t*'t'*** <br /> <br />S TGNA'rURE ___'_ ~ ~ <br /> <br />--;;h-/li2 <br />~ - <br /> <br />CQtIJPANY C/V"NC'-t. f <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />--- <br /> <br />----------...----.------- <br /> <br />PLUMBilIR <br /> <br />*"**'*'*"*"'*'***""**'**'*******"*"'*""*****'****"*****t <br /> <br /> <br />COMPANY ~~ ____. <br />STATE CERT OR ftEGIST II <br />CITY PROCESSING # <br /> <br />SIGNA'l'IlRE__ U_~~_ <br /> <br />MBlCHANICAI, <br /> <br />*'*"'*"*"******'*"'****'**'*****"""'*"*"'*'"***'**"'*" <br />CO/vJPANY L?_.t,..... _ <br /> <br />SIG/NATURE <br /> <br />LJ~~ <br /> <br />STATE CER'f OR REGIS'I' # <br />CITY PROCESSING II <br /> <br />OTHER <br /> <br />**********'**"*********'*"*'**'*'*"~"*""*""******"****'* <br /> <br />SIGNATURE <br /> <br />CO/vJPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING # <br /> <br />*****'*******'**'**'**'*******""'*"**'*""*"**'*'""***"" <br />