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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />OWNER'S NAME Dill f::.rw () v,(J <br />JOB ADDRESS ,~ J ~/ t ? fir <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />DATE RECEIVED <br /> <br />~-13-D{I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />C-O,.) /J (J 1t))'bC- <br /> <br />fjAtVyP~ 0'{. <br /> <br />I <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />PG-I2r1tJ r -; () f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED_ <br />PROPERTY SURVEY REOUTRlm "''"'~ - - - <br /> <br />o BUILDING <br />[J ELECTRICAL <br /> <br />$I{'-LJ- J, C <br />/ <br /> <br />[J PLUMl}ING <br />[J MECH~NTCAT. S <br /> <br />padme~s ~o pa~u~~d 'pad^~ <br /> <br />( J-/0 <br />Ll ~ - 1/1" <br />J' "dj <br />i hi/I.' j' ~ /_ <br />/ ,~tS <br />-' 'P <br />I/) /l '. <br />J'{II (j1~ <br /> <br />~uam6paT~ou~oe 6uT~e~ uosJad JO aJn~eu6TS <br />I <br /> <br />l{~eo Je a~e~ ~ou p~ro p~po Ol{M pue <br />(uoT~eoTJT1uap~ JO ad^~) <br />t paonpoJd sell Ol{MO <br />I <br />JO 'am o~ UMOU~ ^TTeuos~ad s~ 0l{1] <br />(p 6paTMou~oe uos~ad ]0 ameu) <br /> <br />- 02: ' <br />pa6paTM <br /> <br /> <br />^q <br />JO ^ep----- s~l{~ am a~oJag <br />seM ~uamnJ~SU~ 6u~06aJoJ al{ili <br />.3:0 J..iliNOO:> <br /> <br /> <br />i <br />,/ <br /> <br />.n'1' T {)!\T <br /> <br />'a~u~Jd 'pad^~ ameN <br /> <br />~uama6paTMou~oe 6uT~e~ uosJad JO aJn~eu6TS <br /> <br />. l{~eo ue a~e~ ~ou P~PO p~p 001.{M pue <br />(uoT~eOT]T~uap~ ]0 ad^~) <br />paonpoJd sell Ol{MO <br /> <br />JO 'am o~ UMOU~ ^TTeuos~ad s~ Ol{MO <br />(pa6paTMou~oe uosJad ]0 ameu) <br /> <br />--cJ 2: I <br />pa6paTMou~oe <br /> <br />^q <br />]0 ^ep ----- s~l{~ am aJo]ag <br />seM ~uamn~~su~ 6UT06aJo] al{ili <br />.3:0 J..iliNOO;) <br />