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<br />CITY OF ZEPHYRHILLS PERMI'J.1 APPLICATION <br />BUILDING DEP1\R'rM8NT 5335 eTR St, Zl'=!phyrhills,FL 33542 <br />013-780-0020 FAX: 813-780-0021 . '. 3 0/t'L / <br />DNl.F. RECEIVED -.:...'I---Z-L-1___. <br /> <br />PHONE CONTAC1' FOR PERMI'ITING ~L <br />> .,,,. ~} ~4~D~7J-'-- <br /> <br />OW"':", S NA"" =:J).&f>.""--^-eL-,"j_ S~ ~__________ Pllm,>: 8/J r La, ~oo~______ <br /> <br />JOB J\VDRESS__~3.j-_.--._L~~ S~__..____._.___._._____.__._._..__~_____________._____, <br /> <br />1..EG1\1.. UE;SCRIPTION: 1,0'1' (8) -DQ.::LtL__ RL,OCF; _03 '?Q9 SlIBDJVIS fON_____OO1L....___.______. <br />F 1\RC F. LID II -lL:alP--=-~L~.-~-QJ.'D-~.D.~"J.Q'O'__:..._Q{).J_Q_'_QB1'AIN _.EJ1UI1.J:RO.P..ER1'.Y_TM._N.0TICF~L_._ <br /> <br />WORK PROPSEU: [I NEW CONS TlUJCI' ION <br /> <br />[J 1\UDL'J' ION <br /> <br />U 1\ 1,'1''';1'7\'1' I ON <br /> <br />[J nF.Pl\lP. <br /> <br />[J LNS'I'AI,T, <br /> <br />Os I GN <br /> <br />[J HOVE <br /> <br />LJ flF:rWLJ:':i1l <br /> <br />PROPOSE~D USE: []S(;r, FAMILY DWI!:LLING <br /> <br />L!r'1UI ,'1' I _n F'Nn I, y <br /> <br />LIft OF lJlHTS <br /> <br />[J 11()8 I LF: IIC'~m <br />[) OTHF:P, <br /> <br />o COHl1ERC 1AL <br /> <br />o INDUS'J'rU AI, <br /> <br />[] SW l.MI1U'IG ['1)01, <br /> <br />[ J RESTAURANT & HE0l.'['H UEFAP.THENT 1\PPROVl\l, ID~"i 3.3 I <br />DESCRIPTION OF WORK ~~~ WLA-""I~t..,.__"!~~M~___~_ <br />BUILDING ST7.E ---..--_______ SQIJ1\RE: F'OOT7\GE: ___________ HEIGHT __..__.___________.. <br /> <br />RESIDF.N'I' Il\[,: 1\T'l'1\CH (2) PLOT PL,7\.NS r.. (2) SETS OF BUU,DHIG PL7\NS <br />COMHERCIAL: J\TT1\CH (:3) SETS OF BU I LDING PI,7\NS & (J) SET ENERGY <br />IF SIGN Pf~RHIT ONLY (2) SETS OF' F.NGINEERED PJ,1\NS REQUIRED. <br />PROPERTY SURVEY REQUIRED F.'eJR ALt, NEW CONSTRUCTION. <br /> <br />[J BUII,l.llNl; <br /> <br />PERMITS REQUESTED <br />$.11.._M:l:t~_~ VJ\LU1\TJUN OF" TO'I'7\t. C()NSTRrrr::TTnN <br /> <br />r.. (1) SF:T ENEf~GY <br />FORMS. <br />25~ c~ <br /> <br />JS.uC <br /> <br />'.....'::> <br />-3)" - '-' <br /> <br />FORt,!S. <br /> <br />'b-i)~_ <br /> <br />ii-ui( , <br />?l~l-~ <br />) <br /> <br />o EI,EC'l'fUCJ\ l, <br /> <br />AMP SF:nVICE <br /> <br />o F~On11.l7\ POWER <br /> <br />[] W.R..F:.C. <br /> <br />o PLUMBING <br /> <br />LJ HECHANICAL <br /> <br />$. <br /> <br />VM,UATJON OF HECHANCTAL rNSTJ\Ll,ATION <br /> <br />[J GAS <br /> <br />[] ROUF'ING <br /> <br />[J SPF:CI1\LTY <br /> <br />[J <br />OTHER <br /> <br />TYPE OF CONSTl\lICT10N: f] BLOer'; <br /> <br />[] FRAN!'; <br /> <br />[] STKEJJ <br /> <br />[] OTHER <br /> <br />fINlsm,:u FLOOR ELF:Vl\TIONS <br />.. <br /> <br />IS FROdECf [N FLOOD ZONE ARE7\O YES 0 NO <br /> <br />:::::"" ~]~_SO:M?~~:'::h~:~E~'~~)I\ ""GIST---~7;;o{~~ <br /> <br /> <br /> <br /> <br />.. * * * * * ~ * * '* * * * '* * * * * * * * * * * ... * .+ * * k * ... ., * '* ... .~ * '* '* '* ~. '* '* * * .. '* ~ * * * * ** * ~ * * * * * * * ~ * <br /> <br /> <br />ELEcTRICI~_ '" _ J Cm'rh~~"=--___ ____ <br />SIGNAT!)"" - r'Cf / ~ STAT" CEnT "R HE:'" ST ff L;;'1?vIJ I~~_____ <br />********************************************~******~************** <br /> <br /> <br />PLUMBER <br /> <br /> <br />C()MP7\N~~rz~'D/S '/ ~f.(.l?::-___ <br />ST1\TE: CEl-l.T OR Rr~:-;~~l.cfS~7..s._______ <br /> <br />.s I GNATUR F: <br /> <br />MJ!:CHl\NI CAL <br /> <br />COMP1\N'{ <br /> <br />S I GN7\TUI\E: <br /> <br />STATE: C8RT OR RF.GJST II <br /> <br />O'rHER <br /> <br /> <br />------------.-____.. S T <br /> <br /> <br />, I <br /> <br />****~**********~* <br /> <br /> <br />~ C:Ol <br />