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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhilla, FL 33542
<br />813-780-0020 FAX:813-780-0021
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<br />PHONE CONTACT FOR
<br />
<br />D1\'l'E RECE IVED ---'-'
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<br />PERMITTING '-~Vo"\
<br />35d-qd-~-OJ.ID
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<br />PHONE &'3' n Cj -7 S-CJ J-
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<br />OWNER' S NAME~ f'-(:'V"'-.d(~, ~,C." (f~
<br />JOB ADDRESS '::)'6ot.1 ~ l1. \ 1 )Cl.AA.dC~ L 00 ~
<br />LEGAL DESCRIPTION: LOT (S) 01 \ 0 BLOCK ODCoo SUBDIVISION 0\ 19 [)
<br />PARCEL 10 # i.=i'~LD'ol- {)llrD ~ OODW~ 011 0 lO.B.l'AIN FROH PROPERTY TAX NOTLCFJ_
<br />
<br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o 1NSTAIJL
<br /> DSIGN o MOVE 0 DEMOLISH ~-R. '^OO~
<br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-F'AHILY 0# OF UNITS o MOBILE HOME
<br /> o COMMERCIAL o INDUSTRIAL o SW IMMING POOL o OTHER
<br />
<br />BUILDING SIZE
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<br />o RESTAURANT & HEALTH DEPARTMENT APPROVAl,
<br />\?, c:J >\~}~ Ai.: d \)o~
<br />SQUARE FOOTAGE
<br />
<br />DESCRIPTION O~ WORK
<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 REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />PERMITS REQUESTED
<br />
<br />o BUILDING
<br />
<br />$ ~S9;:}--
<br />I
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />D ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />o FLORIDA POWER
<br />
<br />o W.R.E.C.
<br />
<br />D PLUMBING
<br />o HECHANICAL
<br />
<br />$
<br />
<br />o GAS
<br />
<br />D ROOFING
<br />
<br />D SPECIALTY
<br />
<br />VALUATION OF HECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />TYPE OF CONSTRUCTION: D BLOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
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<br />BUILDER
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<br />STATE CERT OR REGIST #
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<br />Ct.COS8/3tj
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<br />ELECTIUCIAN
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<br />COHPANY
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<br />SIGNATURE
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<br />STATE CERT OR REGIST ff
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<br />******************"*,,,,********************************"***********
<br />
<br />PLUMBER
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<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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<br />***********************************************************"**",,**
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<br />MECHANICAL
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<br />COMPANY
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<br />SIGNATURE STATE CERT OR REG1ST #
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