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<br />elTY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUII,DING DEPARTMENT 5335 8th 8'rRlIlEl'r Z.IllPH'iRHILI,S, rL 33540 <br />Phon.1813~780-~020 FaxIS13-780-0021 <br />DA'!'Bl RllunVlBD <br />lJr,ANS RBVIJi/W 'BJII"_~:======-= <br />OI'iNBJR' 8 HAMID --&..<2L!t!!_~k/.:!!77:i __ PHONE CON'j'AC'r 3 ~_3-Z.sy &/$'0 <br />,10. sn. AnnR.S. -~~rr_ U; /J L <-_ B/.!/O .'_ 2' -8'/-"'.(_0___ 3:3 ~V ___._~ <br /> <br />LEGAL DBlSCRIPTION, LOT(S) <br /> <br />Br,ocK <br /> <br />SlJBDIVI8 ION <br /> <br />'-.---..."'1----__~__ <br /> <br />-----.-- <br /> <br />PARCEL ID # <br /> <br />(OBTAIN P'ROM PROPBJR'l'" TAl( Nu'qf!B1) <br /> <br />.-----------.-.-..--.-.......-.---.---...-...- <br /> <br />WORK PROl?8BlD I [Jl~EW CONS'l'RlJC!TIOH <br /> <br />[J AOnr'l'IOH <br /> <br />, <br />o AI/rERA'flON [] REPAIR /] lN8'I'$UJ!' <br />o DEMOLISH d/P6' /foo?= <br /> <br />[) SIGN <br /> <br />[] MOVE <br /> <br />PRClJ:lOSElD tJSElI [lSGI, FAMIl,Y DWELLING <br />~()MMBlRC rAI, <br /> <br />DMUl/l'I - FA""I!''' <br />o INPUSTRIAL <br /> <br />0# OF ONI']'S <br />o SWIMMING POrn, <br /> <br />D MOB!lJ1lJ HOME <br />nOTHBlR <br /> <br />DESCRIPTION OF WORK <br /> <br />D RBJSTAURANT &. HEAI/l'lI DEPARTMENT APPROVAL <br />I?~ ROOr <br />306.~~~_ <br /> <br />/V 0 7' /Y 1:Y-5. <br /> <br />cLS(_ <br /> <br />----.-..---....- <br /> <br />BUnnING 8 IIloE <br /> <br />SQUAREl FOO'I'AClE <br /> <br />RElSIDENTIAL I <br />COMMBJR[!IAJ~ I <br /> <br />-------- <br /> <br />HIilWurl' <br /> <br />AT'I'ACH (;a) PLOT PI~AllS &. (J) BElTS OF BUIl,lJINt1 PI,ANS & (I) sHI'r 8lNllIRQV FORMS, <br />A'l"1'ACH (3) SETS OF BUILDING PLANS & (1) 8E1'I' ENIlJRGY FORMS. <br />PROP.IllRTY SURVEY RElQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />."-~_.--.-._~-~- <br /> <br />flilRl4IT S RBlOIlllITJID <br /> <br />[] BllILlJJNG <br /> <br />$ <br /> <br />~;?OD <br /> <br />VALUATlON OF 'l'O'l'AL CONS'I'RtJC'rION <br /> <br />L1 ELBlC'I'RWAI, <br /> <br />AN)? I3ElRVICEl <br /> <br />o FI,ORIOA POWER <br /> <br />o W.n,SI.p., <br /> <br />o PLUMBING <br /> <br />o I>1ElCHAlHCAr.. <br /> <br />$ <br /> <br />VALUATION OF MECHAHCIAI, INS'!'JU..LA'l'ION <br /> <br />o OAB YROOF'WG [] SPECIALTY <br />'l'YI?El OF CON8TRUCTION I [J aLOCK <br /> <br />o O'I'HElR <br /> <br />o FRANE: <br /> <br />o S'l'EEI.. <br /> <br />o OTHER <br /> <br />F'INIBHEl1J FI,qOR EI,EVATIONS <br /> <br />IS PROllElCT IN In,oon ZONEl AHEAD YES IJ NO <br /> <br /> <br />**********....... .*.****..*..*.**.........*..................... <br /> <br />..l 5'~ i r ... <br />STA'I'El CltIRT OR R.IllGIBT # ~_,__.__.. .___ <br />CI'l'Y PROCBl8BING L-___________.____ <br /> <br />cOrIiPAN'i <br /> <br />lllf.IOTRICIAN <br /> <br />S] GlNATUREl ____'_____.____________~ <br /> <br />COMPANY ________. <br />STATE CElRT OR RElGTS'!' # <br />CITY PROCESSING # <br /> <br />----...--~._-_.- <br /> <br />'~__'H___._ ________.__..___~.__ <br /> <br />*t***.***.*...*..**...*.....*.**...*.***.*.*******...........*.... <br /> <br />---_.._-..._~-----.__.- ~._-~-......_,.----- <br /> <br />PLtIMBIR <br /> <br />------------- --- <br /> <br />COMPANY--. __.__.._..______ <br />STATEl CElRT OR j'tEGIST # _________.______.__ <br />CITY PROCESSING # <br /> <br />SWNA'l'IJREJ <br /> <br />M.IllOHANICAI, <br /> <br />.*....*...**.....*.....*..***.*****..**.*..***..*.*.**....**t***** <br /> <br />CO(vJPANY________________________ <br />STATE C!EJR'f OR REGIS'I' # ________,_____,_ <br />CITY PROCESSING # <br /> <br />SIGNATUREl <br /> <br />*~********************.***************~*******~**********.*,.**** <br /> <br />OTHBiR <br /> <br />-----..-,- <br /> <br />COlvlPANY <br />STATE C!ERT OR REGIST # <br />CITY PROC~SSING # <br /> <br />------..._~-,_.- <br /> <br />SIlWATURE <br /> <br />-----~-_.-.~---.__.---- <br /> <br />------_.-....._._-~~......-...._-- <br /> <br />*.t.******..****************************.*******************.**** <br /> <br />---.--..------------------- <br />