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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMBNT 5335 8th STREET ZEPHYRBILLS, VL 33540 ~= <br />PhoneIB13-780-0020 rax.B13-780-0021 17 <br />DATil RRCBIVIID <br />PLANS RBVIBK VBR . _ <br /> <br />OWNBR'. NAMB Z,(j'h'-yl h; & h . ~ (;(1 CO/kVl.e <br />.TOB SI1'E ADDRHSS 3'1,Jl.(? 13 ~ . <br /> <br />PHONE CONTACT 8/3- /fi'/ -.3:).8/ <br /> <br />LEGAL DESCRIPTION, LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEIJ ID If I 3 -C).,f..p . a 1.-OOloD 4 D'DgOD _ 00 I , <br />WORK PROPSED: []NEW CONSTRUCTION 0 ADDI'1'I0~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[]ALTERI\TlON <br /> <br />[]REPAIR <br /> <br />o INSTALl, <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMUW'I - FAMILY <br /> <br />[]# OF UNITS <br />[]SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURI\NT & HEALTH DEPARTMENT APPROVAIJ <br /> <br />. / '1(1 Q . <br />J '1 c> .,J,""t1 {Y\~rJ /_ ~o (~+'7ch A'6'~. lkf) <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RES IDEN'rIAL: <br />COMMBRCIAL: <br /> <br />~TTACH (2) PLO'f PLI\NS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH ( 3 ) SETS OF BUH,DING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR AIJL NEW CONS'fRUCTION. <br /> <br />o BUIl.DING <br /> <br />$111 PRt;. tJi> <br /> <br />PBRMITS REQU8SIBD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELHCTRICAL <br /> <br />AMP SERVICE <br /> <br />o FIDRIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECIIANICAIJ <br /> <br />$ <br /> <br />VALUATION OF MECIIl\NCIAIJ INSTALI.ATION <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 Bl.(~CK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELBVA'f!ONS <br /> <br />IS PROJECT IN FI.OOD ZONH ARE.!\.[] YES <br /> <br />[] NO <br /> <br /> <br />SIGNATURE. <br /> <br />COMPANY~ 1.(r~"A7oo~~ <br />STATE CERT OR RE(HS'l' # C ~ - (' :1 <I <br />CITY PROCESSING # ~~ <br /> <br />BUILDBR <br /> <br />~**********.************************************~***************** <br /> <br />ELECTRICIAN <br /> <br />COMPANy <br />STATE CRR'f OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLtJHBRR <br /> <br />COMPANY <br />STATE CERT ORREC.HST # <br />CITY PROCESSING # <br /> <br />.. '. SIGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHE. <br /> <br />SIGNATURE <br /> <br />COMPANY . 1 ' <br />S1'ATE CERT OR REGIST # <br />CITY PROCESSING If <br /> <br />*****************************************.*********************** <br />