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<br />CITY OP ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINg DHPARTMHNT 5335 8~h STRHBT ZHPRYRRILLS. FL 33540 <br />PhoneI813-780-00~O l'.xI813-780-00~1 /.~. rI --03 <br />DATH ItHeHIVHD ~ - ~ <br />PLANS RBVIBtf FBB . <br /> <br />OWNER'S NAME <br /> <br />~. r <br /> <br /> <br /> <br />PHONE CONTACT 7goeJ. - 9 ~ if; t, <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> <br />O~ 2 0- 009'0 <br />o ADDl'l'ION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSRD; []NEW CONSTRUCTION <br /> <br />[]ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALJJ <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />I <br />PROPOSED USE: OSGl, FAMILY DWELLING <br /> <br />DMUW'I - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMIN(~ POOL <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />IJ INDUSTRIAL <br /> <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & "RAW'II DEPARTMENT APPROVAIJ <br />/ lp '/3 j/J S h~ A..e -/tOO) <br />SQUARE -:::AGE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGnT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />A'l'1'ACn (3) SETS OF Bun,DING PLANS &: ( 1) SE1' ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF <br /> <br />(i~/~? <br /> <br /> <br />TOTAL CONSTRUCTION <br /> <br /> <br />[] BUILDING <br /> <br />;) <br />$ ;>, 3<<J5. '" <br /> <br />PERMITS REQUBSTBD <br /> <br />[] HLECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FInRIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PI,UMBING <br /> <br />o MECHANICAIJ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALI.ATION <br /> <br />[] GAS <br /> <br />TYPE OF CONSTRUCTION; [] BLqCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />. q!JD <br />! 8'~ _V <br /> <br />D ROOFING . 0 SPECIALTY <br /> <br />o OTIIER <br /> <br />FINISHED FLQOR ELEVA'f!ONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />I ',' ,'II' 'f 'I''',' II 'II":' " r' ,":1'" ',I I :"1 '11 f I' i..m':I~' jell" <br />I It, It, I i I I f 1 J I' I ,; I II ,i, I I I J I I j j \ ~ I' I ~ I ~ l_~ _ <br />f I Ii, 1 ,': I I t I I' l ' I I I ' I ,', I : -I ~ i q I' I ,I ' I , ,,' ,I, I, I I' . <br />" 1.,1 .'. "". , "~ I',..' , , ~ ,. _~" . " _ u,,~. I.,,, "I " I ,J ' <br /> <br />BUl:LDBR <br /> <br /> <br />COMPANY~ '0c0~ 70()~-;;;:' <br />STATE CRRT OR REGIST # C. -((} 5~ I <br />CITY PROCESSING # ~~J <br /> <br />SIGNATURE <br /> <br />.....................**....*....*...********.**.....*...********.* <br /> <br />IlILRCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIS'r # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.*.*.*****..****.**.**..***.....**........*..***......**.*..*.***. <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT ORREGI8T # <br />CITY PROCE8SINg H <br /> <br />"", SIGNATUnE <br /> <br />IIIICIlAHICAL' <br /> <br />............*...*.**.............**.*..*.*.*..*****...*...*....*** <br /> <br />COMPANY <br />STATE CERT OR REGIS'f. # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...*.*.***..**...**...*.......**..*.*.*..*.***.*..*.....*.*...*** <br /> <br />OTSB. . <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING H <br /> <br />SIGNATURE <br /> <br />****.**..***...*********.**.*.****............*.....*..**..*...** <br />