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<br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILDING DBPAR~ 5335 8~ STRBBT ZBPHYRRILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021. <br />DATB lUICBIVBD /O-lf-tJY <br />PLANS RBVIBIf I'BB . <br /> <br />C/Or <br />ZejJhljrnl lis - 00/1/ IL. <br />{; fiu- t3LVD <br /> <br />OWNER'S NAME 8 v'T W (J <br />JOB SITE ADDRBSS 7'-f 4 q <br /> <br />PHONE CONTACT t,J' a - 5" It; () - 0 Idl 7 <br /> <br />LBGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> <br />.611 D/5o <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br /> <br />OADDITIO~ <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />o INSTALL <br /> <br />[] MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK I nsfa/ / A-ns~ .r;~ Sl1.f1fJreSS/()Y7 S '!f:"...Ju-n <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ~TTACH (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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQU.STED <br /> <br />41~- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PLUMBING <br />~ECHANICAL $!J.- ~ f0"-- VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BI.,QCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA [] YES [] NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE. <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAH <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />******************~*****~~k*************************************** <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # . <br /> <br />SIGNATURE <br /> <br />****************************************************~************* <br />IOICIlAHICAL "'\.. COMPANY .5, rrplc'>t On nne..ll <br />.1M . (/ , _ ~_ \ . STATE CERT OR REGIST # 8L/D~ ~qOD';/ I~O()~ <br />SIGNATURE C\A:J 1 A 1 ~eu..A M. ~C~TY PROCESSING # ~q 3Ct <br /> <br />***************************************************************** <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />