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<br />CITY OF, ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8'1'11 St, Zephyrhills, FL 33542 ~
<br />813-780-0020 FAX: 813-780-0021 I . j a
<br />DATE RECEIVED . .
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<br />PHONE CONTACT FOR PERMITTING
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<br />OWNER,S'NAME
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<br />~ ADDRESS
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<br />LEGAL DESCRIPTION:'LOT(S) BLOCK UBDIVISION
<br />PARCEL ID fl.' '2 ).1_ 25" ~ :;2.'/- CJo 10- (J I 71)0- {t~e~ FROM
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<br />PROPERTY TAX NOTICEl
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<br />WORK PROPSED: ~W CONSTRUCTION
<br />,OSIGN,
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<br />o ADDITION
<br />o MOVE
<br />
<br />OALTERATIO~
<br />o DEMOLISH
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<br />o REPAIR
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<br />o INSTN:.L
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<br />PROPOSED USE: OSGL FAMILY DWELLING
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<br />, , ~COMMERCIAL
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<br />OMULTI-FAMILY
<br />o INDUSTRIAL
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<br />0* OF UNITS
<br />o SWIMMING POOL
<br />
<br />. ,,','
<br />o MOBILE HOME
<br />o OTHER . .,' ,
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<br />.' ~:':'~TH DEPARTMENT APPROVAL
<br />DESCRIP~ION OF WORK
<br />BUI~DING SIZE; 28 I 75 X bot ~ t SQUARE FOOTAGE I t ~9CJ
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<br />HEIGHT --1JIj.A
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<br />& (1) SET ENERGY FORMS.
<br />FORMS.
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<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 />~ BUILDING
<br />~ ELECTRICAL
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<br />PERMITS REQUESTED
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<br />$ 3~6&tJ ~ VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />I( FLORIDA POWER
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<br />W.R.E.C.
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<br />~l?LUMBING"
<br />~ MEC~ICAL
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<br />$
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<br />5/ 30 ~
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<br />VALUATION OF MECHANCIAL INSTALLATION
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<br />J GAS . 0 ROOFING 0 SPECIALTY 0 OTHER
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<br />TYPE OF CONSTRUCTION:_~BL09K 0 FRAME
<br />FINISHED. FLOOR ELEVATIONS. 175: ()
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<br />1( STEEL
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<br />o OTHER
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<br />',..,'" "-"",
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<br />IS PROJECT IN FLOOD ZONE AREAO YES . 0 NO,"
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<br />SIGNAT
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<br />COMPANY
<br />STATE CERT OR REGIST fI Cl3e -0/09:1.5
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<br />BUILDER
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<br />BLECTRICIAN
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<br />COMPANY.
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<br />SIGNATURE
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<br />STATE CERT OR REGIST fI
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<br />SIGNATURE'
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<br />COMPANY
<br />STATE CERT OR REGIST * ~c;. J LJ ~l>.?
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<br />MECHANICAL" ...c. _'" '. h.e,.,'), '.' .' , COMPANY
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<br />~;::;;:"~~~,~,~ STATE CERT OR REGIST j
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