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<br />, OWNER'S "AMB T'fACLt? t' ..5pl>)r <br />JOB SITE: ADDRESS ')~~ / Gj:{ / f B/ ~, <br /> <br />. /'I..' <br />( t r II Ai' 1 16-0:/ <br />L:.LTY OF ZEPHYRHILLS PERMIT APPLICA'l'ION lLV'J~VJ\ liX - ..' ',G. <br />BUILDING DBPARTMBNT 5335 8th STRIllE'f ZIllPHYRHILLS, POL 33540 ----_~ d~ <br />Ph. one.813-780-0020 FaxI813-780-0021 Ih /--tJZ-- <br />' DATB RBCBIVIlD _..!..t.~=. .::5 -~_ <br />PLANS RBVIBW FBB________. <br /> <br />PHONE CONTAC'(815j ~t6~ -)7/8';Z <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />BLOCK <br /> <br />--- <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />D REPAIR <br /> <br />J8(~NsTAr-,L <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />-0# OF UNI'rS <br /> <br />o COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />IJ15'Ta 1/ r:,,.. B-~J a If PI <br /> <br />CJ RESTAURANT & HEAL'l'H DEPARTMEN'r APPROVAL <br /> <br />k/;r/; m~lJil./!;lr/ht1 <br />-I <br />HEIGI~T <br /> <br />":>V.51~~ <br />/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUIJ.DING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FORMS, <br /> <br />AMP SERVICE <br /> <br />o FI.ORIDA POWER <br /> <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />/.21>~9 <br />./ <br /> <br />>VALUATION OF 'roTAL CONSTRUCTION <br /> <br />IJ PLUMBING <br /> <br />o <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL IN8TALI,ATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />S I GNA'l'URE <br /> <br />COMPANY ___ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S lGNA TURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />)TSBR ~'rWJ <br />SIGNATURE'. ~"p""J;/:;; <br /> <br />***************************************************************** <br /> <br />COMPANyA.DT 5e.c.Uf'iIY 5erVI.ce3, IJ1L <br />_~ STATE CERT OR REGrST # / EF PCJL? //c:(.3 <br />CITY PROCESSING # .:3 0 ~ D <br /> <br /> <br />************************************~**************************** <br /> <br /> <br /> <br />