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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~-~/-Of! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />1-') KJrD <br />T <br /> <br />~\3 - <br />PHONE J..aJ - J (j.~ 1 <br />~ ~ <br /> <br />LEGAL DESCRIPTION: LOT (S) 5 -t- ~ <br />PARCEL ID # ) J :;;; (p ...:J! 00 I 0 <br /> <br />BLOCK ~ SUBDIVISION <br />D lo 3 {)O DDl~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL <br /> [J SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />CjL} <br /> <br />T"0 t-Ci) \ <br />;fL/O <br /> <br />me to. ~ RObf <br /> <br />~ <br /> <br />h D(Y) e <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />.' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br />o ELECTRICAL <br /> <br />$ ..J L) {'1o. dD <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. ' <br />///-----_._~ " <br />/~ c. 9 gL(i <br />PERMITS REQUESTED (~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br />o MECHANICAL $ <br />o GAS ~ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />JNI1:>>MJnSNI N1YlAOIH11HJ. OilON08 . : :II.~~,. <br />900Z 'ZZ A1DnJq8:1 i : . . .~ <br />~eitli9uW I~~~,wl~e '''ff6UIeN <br />puDU......S . Of! <br /> <br />padUIe~s ~o pa~uT~d 'padX~ aUIeN <br /> <br /> <br />~uaUIa6paTMou~Je 6uT~e~ uos~ad JO a~n~eu6TS <br /> <br /> <br />'aUI o~ UMOU~ ^11eUOs~ad sT 041] <br />oU~Je uos~ad JO aUIeu) <br /> <br />. 4~eo ue a~e~ ~ou PTP 0 PTP DOYM pue <br />(uoT~e~TJT~uaPT JO ad^~) <br />pa~npoJd se4 04MD <br /> <br />~o 'aUI o~ UMOU~ ^11eUOs~ad sT 04MD <br />(pa6paTMou~Je uos~ad JO aUIeu) <br />Xq <br />OZ ' JO Xep - sT4~ aUI a~oJa8 <br />pa6paTMou~~e seM ~uaUIn~~suT 6uT06a~oJ a4~ <br />