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<br />L: 1. '!' ~ <br />BUILDING <br /> <br />01" ZEPHYRHILLS PERMrr APPIJICATION <br />DBPARTMEN'l' 5335 ath S'fREE'!' ZEPHYRHILLS, Jj'L 33540 <br />PhoneI813-780-~020 FaxI813-760-0021 <br />DA'rBl RBlCEIVBlD <br />------- <br />PI.A1'lS RBlVIBlW Filll <br /> <br />A t>>g,,,,c <br />C a ,,{;)fJ.~<P\. (p -0 2.J <br />ID-~_-Bi) <br /> <br />OHNER' 8 HANE tU//I/!~ <br />JOB SITE ADDRESS ,J,;' Q &' <br /> <br />/~;< ~ -I- <br />lilt ~________ <br /> <br />BLOCK V <br /> <br />PHONE CONTACT //3 - ?I.:tro~ <br /> <br />LEGAL DESCRI~TION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />TV50.lll <br /> <br />PAIWEL 1D # <br /> <br />(OBTAIN B'ROM PROflER'l'Y TAX ND'l'ICEl) <br /> <br />Os IGll <br /> <br />~ ADDITION <br />o lVIOVE <br /> <br />WORK I?ROI?SED: []NEW CONSTRUCTION <br /> <br />DAIJTERATION <br /> <br />o RElPAIR <br /> <br />o INS'l'AI,I, <br /> <br />o DEIYJOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELl,Il'lG <br />[] COMMERCIAl, <br /> <br />OMUW'I - FAMILY <br /> <br />[J# OF UNITS <br />OSWIMMING POOL <br /> <br />[] MOB r I,E) HOME <br />IJ O'l'HliJR <br /> <br />o INDUS'l'RIAL <br /> <br />DESCRu'rION OF WORK )( <br />~Dx~ <br /> <br />D RESTAURAHT & HEALTH DEPARTMENT APPROVAL <br /> <br />~0A1'1 1/)), <br /> <br />SQUARE FOOTAGE <br /> <br />t/6u <br /> <br />HErmiT <br /> <br />BUILDING SIZE <br /> <br />RES IDENTIAIJ: <br />COI"lMERCIAIJ: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUIl,DING PLANS & (1) SE'r ENElR("1Y B'ORMS, <br />A'f'l'ACH (3) SETS OF BUILDING PLANS & (1) SET ENEIWY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />'BUILDING ",,- <br />~LEC'I'RlCAL J ( <br />c(' PLUMBING <~Sf <br />[] I-1B:CHAN r CAL 3' S ~ <br />o GAS ~OO~Ilm <br /> <br />fERMITS REOUESTED <br /> <br />$ ~ tJi)O <br /> <br />(l()() <br /> <br />AMP SERVICE <br /> <br />VALUATION OF 'l'OTAL CONS'fRUC'fION <br />~FLORIPA POWER <br /> <br />o <br /> <br />W.R.E,C, <br /> <br />VALUATION OF MECHJU'1CIAI. INS'l'ALLArrICJN <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAjvjEl <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />~. <br /> <br />FINISHED FLOOR El,EVATIONS <br /> <br /> <br />BUILnlilR <br />SIGNATURE ~_~~ <br /> <br />C(W1PANY_ ~ ~,v-r ~ <br />STATE CENT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />****.*****..*..*.*.********.**.*.****.**.*.***.*.*...*.......,.... <br /> <br />.,.BCTftICIAN ~ <br />SIGHATURE _~ ./.( . <br /> <br />COMPANY t!i' U/ j{./ E /Z-.. <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />-------.---~---..........-- <br /> <br />..*.*...*.**********.*.***.*..***********************.**.**..**... <br /> <br />SIGNA'l'IJRE <br /> <br />uJC <br /> <br />---~---- <br /> <br /> <br />CDMPANY--- q W Jl/ E~ <br />STATE CERT OR ~EGIST # <br />CITY PROCESSING # <br /> <br />fLIIMBER <br /> <br />MllJCHANICAL <br /> <br />SIGNhTURE <br /> <br />********'*'**"*'*****'*"**~*"*********'**'**i""*** <br /> <br />OTHIilR <br /> <br />COr'1I?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGHATURE <br /> <br />*....*....*.***...*..****.*...**.........**..*.*.**.,..i*........ <br />