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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 82'11 St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
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<br />DATE RECEIVED
<br />
<br />I ~/;Y~l/
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<br />PHONE CONTACT FOR PERMITTING
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<br />OWNER'SNAME
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<br />JOB ADDRESS
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<br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
<br />PARCEL ID ff '].LI_ :!5'- :J.l- OjJO-OIry)f)- tJI)~1'J (ORTATN FROM PROPERTY TAX NOT I r.E1
<br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INST~L
<br />OSIGN 0 MOVE 0 DEMOLISH
<br />
<br />..
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<br />PROPOSED USE:OSGL FAMILY DWELLING
<br />fJ:cOMMERCIAL
<br />
<br />OMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />Off OF UNITS
<br />o SWIMMING POOL
<br />
<br />. . 0 MOBILE HOME
<br />o ~THER
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<br />. I]:J RES~AURANT & HEALTH DEPARTMENT APPROVAL ~
<br />DESCRIP'lIllN OF lfORK ~~ ~ lA.HJJl &t-\. ~
<br />BUILDING SIZE , SQ ARE FOOTAGE HEIGHT
<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 />& ( 1 ) SilET ENERG.Y FORMS.
<br />FORMS.
<br />-'C)
<br />D Z. <:> ~LDG
<br />
<br />o BUILDING
<br />o ELECTRICAL
<br />
<br />$ I(~~ ~
<br />
<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 />o PLUMBING, j
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<br />o MECHANICAL
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<br />VALUATION OF MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />o GAS
<br />
<br />o ROOFING 0 SPECIALTY
<br />
<br />TYPE OF CONSTRUCTION: o BLOCK
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<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
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<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
<br />
<br />BUILDER
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<br />C~!l'()lf~~SB'CTION
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<br />SIGNA
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