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<br />L:l'l'Y OF ZEPHYRHILLS PERMIT APPIJICATION
<br />BUILDING DEPARTMENT 5335 ~th S'l'REE'1' Z.IllPH'iRHILLS, :FL 33540
<br />~hon.,813-780-~020 FaxI813-780-0021
<br />nA'.l'llI R.IllCEIYllID
<br />~I,ANS RllIVUIW i'IB_
<br />
<br />mINER '8 NAHEl-B..e.- ( -, ~\ ~1..W PHONE cmn'Ac'~f) -0 '16-Cfi'1f'
<br />JOB SITE ADDRESS 1::0 --r JO G 9I-!tt/~--j2/ / MF(ji!II;:' ()~ Jljtl__LJ/f..e..!I_
<br />LEGAL DESCRIPTION: LO'r(S) ) 00 BLOCK SUBDIVISION
<br />~4- 'I I .J ( ~ _ /L')o,..,(OBTA.U1 r'ROM PROPER'!'Y TAX 1\l("J'T, C",)
<br />,--;r- - CT"" -(7 -c.tX)()-CX:)/OO - t./V/v' .,. +, WI
<br />
<br />PARCElL ID #
<br />
<br />WORK PROI?SED; IBful:w CONS'fRUCTION
<br />
<br />o ADDI'l'ION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o IN8T~I,11
<br />
<br />DSWN
<br />
<br />DMOVE
<br />
<br />o DEIV'lOLISH
<br />
<br />I?ROPOSEr) USE; OSGL fAMII,Y DWELI,ING
<br />
<br />o COMMIilRC IAI,
<br />
<br />DMULTI -- FAMIlN
<br />o INDUS'!'RIAJ"
<br />
<br />0# OF UNITS
<br />
<br />o SWIMMING POOL
<br />
<br />D MqB I ~,E HOMEl
<br />D O'fHER
<br />
<br />BUILDING SIZE
<br />
<br />D RIilSTAURANT & HEALTH DEPARTMENT AI?PROVAL
<br />J,~ x SO /J/] 11# VR1
<br />SQUARE FOOTAGE &(:)0
<br />
<br />BEllaH'f
<br />
<br />DElSCRIPTION OF WORK
<br />
<br />RES IDENTIAL: AT'rACH (:a) PLOT PLANS Co (2) SETS OF BUII,DING PI,ANS " 11.) SElT fiJNijliiQY FO}\MS.
<br />COMMERCIAL; A'l"l'ACH (3) SEl'rs OF BUILDING I?LANS & (1) SET ENERGY FORMS,
<br />I?ROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />~ERMIT~ REQUESTED
<br />
<br />o BlJILOINC3
<br />
<br />$
<br />
<br />/33C)-4J
<br />
<br />VALIJATWN OF TO'!'AL CONS'l'RUc'rroN
<br />
<br />Ll ELEC'I'RICAL
<br />
<br />AMP ~ERVICEl
<br />
<br />o Fr,ORIDA POWER
<br />
<br />o W,R.lll.C.
<br />
<br />o I?LUMBING
<br />
<br />o I1ECHAN I CAI"
<br />
<br />$
<br />
<br />VALUATION OF MECHAl'lCIAI, INS'l'ALLA'i'ICm
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />o SPlllCIAW'Y
<br />
<br />o O'l'BIj)R
<br />
<br />TYPE OF CONS'I'RlJCTION: lJ BLOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />FIlUSHEO Fl.QOR EI,EVATIONS
<br />
<br />IS PRO,JECT IN FLoon ZONE AREAO YiiJS D NO
<br />
<br />
<br />BUILD.IllR
<br />
<br />CDtIJI?ANY
<br />STATE CER'L' OR REGIS'l' # _.._
<br />CITY I?ROCESSlNG #
<br />
<br />SIGNATURE
<br />
<br />*..*.,...,.*,.**.*.*********,******,*.**.*.*************'.k'..**..
<br />
<br />111l,1lI0TRICIAN
<br />
<br />COMI?Al~Y
<br />STAT~ CERT OR RiiJGTS'I' #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE: __.
<br />
<br />_._---------------_.~.-...-
<br />
<br />**.***,..,***,.**,*,**.,**.***********,**,,****,*.**.*********....
<br />
<br />iLUWB.IllR
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #__
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />SIGNATURE
<br />
<br />******,******************.********.**********..*******,**.*****..,
<br />COMPANY
<br />STATE CERT OR REGIS'!' #
<br />CITY PROCESSING #
<br />
<br />MIIlCHANICAL
<br />
<br />***********.******.***.**.***.**..****~******.**************.****
<br />
<br />OTH~R -C?d11 cAe J-L {~I ,(,4-C fv~
<br />SHmATURE /2""-<""1 ~<.~~
<br />
<br />COMPAI'Y ~s, o<~ C' _~ .t--"&.r~ .0:-
<br />STATE CERT OR REGIST # /)/Jrc.,# 06 727
<br />Cl'rY I?ROCESSING #-z-Z~ #= .;2;5<:>2,"""
<br />
<br />***...**......**...*..."***********.,******.**,*,,,**"*"'*****
<br />
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