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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br /> <br />{ <br />JOB ADDRESS 21-0 <br /> <br />DATE RE CE IVED Z - to -- () (0 <br />.---- <br />PHONE GONTACT FOR PERMITTING I e( I <br /> <br />PHONE <br /> <br />g 16- 7~- 54t/ D <br /> <br />Lew,'s <br /> <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # 3LJ -'l5-21-0J70-<::DCDD--22.00 <br /> <br />WORK PROPSED; DNEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br />DALTERATION 0 REPAIR ~STALL <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WO.RK mobi \e. \10Ml2- <br />BOILDING SIZE 2, X 50 <br /> <br />5E t-LCP <br /> <br />15 \2- <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (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 />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. REVlEVVDATE: <br /> <br /> <br />o BOILDHJG <br /> <br />$ '65 oc:p . <br /> <br />I)~ <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />mVllD f\T:'l (1f"\)"lomnT1n/TIT{\l~l. n TIT ",.-.u <br /> <br />n 1<']:) 11MI<' <br /> <br />pedmE~S ~O pe~u1~d JpadA~ amEN <br /> <br />~uam6pa1MOU~OE 6U1~E~ uos~ad JO a~n~Eu61S <br /> <br />l{~EO UE a~E=+ ~OU PH1] P1pD Ol{M pm~ <br />U01=+EJ1JT=+uaPT JO adA=+) <br />paJnpo~d SEl{ Ol{MO <br /> <br />~O Jam O~ UMOU~ AllEuos~ad S1 Ol{~ <br />(pa6palMou~OE uos~ad JO aWEU) <br /> <br />OZ J <br /> <br />Aq <br />JO AEp----- s1l{~ em a~oJes <br /> <br />n Cl']1J;'RT. <br /> <br />n O'T'HF'.R <br /> <br />padmE=+S ~o pe~U1Jd JpedA~ amEN <br /> <br />=+ualli86palMOU~OE 6U1~E=+ uos~ad JO e~n=+Eu61S <br /> <br />. l{=+EO U12 a~E=+ ~OU P1P 0 P1P DOl.{M PUE <br />(U01~E01J1=+uaP1 JO adA=+) <br />paonpo~d S12l{ Ol{MO <br /> <br />~O Jam O~ UMOU~ AllEuos~ad 81 Ol{MD <br />(pa6pB1Mou~oE uos~ad JO BlliEU) <br />Aq <br /> <br />0(; J JO AEP -- sTl{=+ am eJoJes, <br />e~__.._______ ___u _<W-Y,!"""'n'l'"Y"\7I",corrT hTTTnn;::LTOT aU.T, <br />