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<br />L.L'.O: Ob' ZE~HYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8lh Str~8t, Zephyrhil1s, FL 33542
<br />813-'780-0020 FAX: 813-780-0021
<br />
<br />DATE RECE IVED
<br />PLANS REVIEW FEE
<br />
<br />"\'r'l"-' ,'. "AME L.,' '\-
<br />'.' 'I ,,_,", ~ ,\ l.l \ ~
<br />
<br />,JOG ADDRESS_b \ \B
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<br />4~&p;JL-______-__ PHONE
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<br />~"'"""~. J 2. 4" ~h 'frhd\ ~. ~\. 3~~'-t2.
<br />
<br />~LEGAL DESCRI?'l'~O~~= L01(S)
<br />
<br />BLe'cr<
<br />
<br />ST}BDIVl'SIO\)
<br />
<br />'PARCEL ID #
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />\'!(iRI< FP,OPSE:i: 0 M;\~ ::O?,l;3TRUC.~T ION
<br />
<br />o AD:;~TION
<br />
<br />OALTERATJON
<br />
<br />ORF:PA:::R
<br />
<br />a:rI t,l~:'lALL
<br />
<br />Os I G~<
<br />
<br />o :10VE
<br />
<br />o [;E;~1(J L I:S F
<br />
<br />?FD~'CJ~;ED US;: O:::GL fAlvlI:..:'{ DiVELl,:i:NG
<br />
<br />Or1ULTI -F,ANTIJ'!
<br />
<br />o Ii OF UNITS
<br />
<br />o tl0BI LE HCr'1S
<br />
<br />~-\iI.\t.1\::"" ~~, r
<br />'..... '.,. .. C'" .r:. !"'_ J.!-L..
<br />
<br />o Hl:)()STRIA:'
<br />
<br />o Svl H1tll N:~ ~'OOI..
<br />
<br />o OT!-;F,H
<br />
<br />CJ R8:3fA.URAN'I' ,~ HEALTH DE?A.f\TMEN7.' APPROVAL
<br />
<br />DESCRIPTIOl" OF WORK '"":L,r\c.f"-t\.(Y-.. ~:-r\-~"",
<br />BUILDING SIZE SQUARE FOOTAGE-
<br />
<br />----------
<br />
<br />H 8 IGHT =__________
<br />
<br />FtES:::OE:'lTIAL: A.TTACH (2) Pl.,OT' PLI-\NS & (2) SETS OF BUILDING PLANS & (1) SET E,NE?,GY ?OR~S,
<br />~ COMMERC!AL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />~~OPERTY SURVEY REQUIR;D FOR A.LL NEW CONSTRUCTIO~,
<br />
<br />!ERMITS REQUESTED
<br />
<br />o !3l1ILC)HIG
<br />
<br />.$
<br />
<br />VA-SUA.TlCiN OF' 'IOT},~L c::)n~;TR,UCTICJN
<br />
<br />o ELECTRI::,n,L
<br />
<br />A.to..lP SEP,VE.:E
<br />
<br />o FLORIDA POWER
<br />
<br />o :'7. R. E.':.
<br />
<br />1.1 ..<, "'l'l'>'lI ":-::
<br />~':.I._t _' J.~_
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<br />o ivJECHP,!LC.A..L
<br />
<br /><.
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<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />
<br />o GP.3
<br />
<br />D i-\OOfH'G
<br />
<br />o SPECIALT'!
<br />
<br />o I)Tf-lER
<br />
<br />Tf?~ OF CO~STRU~TiON: 0 BLOCK
<br />
<br />o FRAl/IE
<br />
<br />o Srp,2L
<br />
<br />o OTHER
<br />
<br />fInISHED :-'LOOR EI,EV.!l.TIOr"S
<br />
<br />r~; PROJECT IN FLOOD ZONE ARF.AD YES
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<br />o :'.)(.1
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<br />C'.
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<br />BUILDER
<br />
<br />X)~~P}\HY
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<br />5 I r31'lA 'T U ~,E:
<br />
<br />STATg CERT OR REGIST #
<br />CITY PROC~SSING #
<br />
<br />A.~~i'~kA~~.****~*~*~..:~*~*~'j'...*******..~*~****.~~***~~**.**~*.~*~**
<br />
<br />ELECTRICIAN
<br />
<br />:):;: G:'!A TURf.
<br />
<br />':01'-] PAHr:
<br />STAT~ CERT OR REGIST ~
<br />':-:'::"{ PROCF;S[:::nc; #
<br />
<br />--------------.--
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<br />**~')'~**~k*~,~~,~****,~*~~~.*.*.~~*~*r***~**.**~**.~****~~~***~***._*~~~
<br />
<br />PLUMBER
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<br />CITY ~'P,OCESSHJ::_; #
<br />
<br />C():1FM~Y
<br />':;T'ATE CERT ::.~)R HE:::lSI ,,______________~_
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<br />S: C:l,ll. T!_'RE
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<br />MECHANICAL
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<br />,~-Ot'J? A),) /
<br />Sf ATE CERT OR REGIST #
<br />CITY P?OCESSING #
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