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<br />L:l'l'Y OF ZEPHYRHILLS PERMIT APpr~ICATIQN <br />BUILDING <br /> <br />DBPARTMEN'f 5335 ~th S'fREE'I' ZEI?HYRHILI,S, FL 33540 <br />JilhonttI813-780-0020 F&xI813-780-0021 \/n / 1 <br />,. DA'l'Bl RBCIllIVJllD ~LLfL Jd '2- <br />I?I,A~S RBVIBlW filB . <br />PHONE CON'I'AC'f roq-S--9-q~ <br />.p ~O( ~ Il j e -Du f) e) -Si------!.-__..__ <br /> <br />OHNER'S HAJ.1E B-e-c -~ ..S'~ <br />JOB SITE ADDRESS ____I-: 0 I 2-3, 3 f1.j <br />LBOAL D.aeKIPTIOtl, LOTlall-o~ aweK <br />PARCElL In # 24-2 c.- 2{- OcDbc9 -0<9 I C){) <br />WORK PR(WSED: @1:rEw CONs'rRUCTION 0 ADDITION <br /> <br />SLJBrHVISION <br /> <br />- 0:::;10 (~BTAIN B'RaM I?ROI?ERTV TAX Ncrq:CllJ) <br />DAI/rEJRATION 0 RllJl?AIR 0 INST~U,I, <br /> <br />OSH3N <br /> <br />o MOVE <br /> <br />o DEMOI,ISH <br /> <br />I?ROi:lOSEll USE: DSGl, FAMILY DWELLING <br /> <br />DMUI/l'I - FAMILY <br /> <br />0# OF llNI'l'S <br />DSWIMMIHG POOL <br /> <br />D MQB;r 1,E HOME <br />IJ OTHER <br /> <br />[J COMMIiJRC TAl, <br /> <br />o INDUS'l'RIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURAl'lT & HEAl,TH DEPARTMENT APPROVAL <br />l'L-y80 ~~.~~ /v-J./J? S <br />SQUARE FOOTAGE c:, 20 <br /> <br />HElWWL' <br /> <br />BUILDING SIZE <br /> <br />RES InENTIAL : ATTACH (2) PLOT PLANS & (2) SIJlTS OF BUIl,DING PLANS iii (1) SET .I1;NijlRGV FORMS, <br />COJ>1MERCIAL: A'L''l'ACH (3) SE'rs OF BUILDlNG PLANS & (1) SEJT ENERGY FORMS. <br />PROPERTY SURVE~ REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FERMITS REQUESTED <br /> <br />o l3lJILDINf3 <br />II ELEC'l'RlCAL <br /> <br />$ <br /> <br />l]3d.<o& <br /> <br />VALl1ATWN OF To'rAL CONs'rRUCTION <br /> <br />AMP ~ERVrcE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.lil.C. <br /> <br />o PI,UMBING <br /> <br />o 1.1ECHAN I CAI., <br /> <br />$ <br /> <br />VALUATION OF MIWHAl'lOIAI, INSTALLATION <br /> <br />o GAS <br /> <br />o ROQl"WG <br /> <br />o SI?ECIALTY <br /> <br />o O'I'HlilR <br /> <br />TYPE OF CONSTRUCTIOH: LJ l3LOCK <br /> <br />o FRAl'>1E <br /> <br />o S'l'EJEL <br /> <br />o OTHER <br /> <br />F'INISHEfJ Fl.OOR EI,EVATIONS <br /> <br />IS PRO,JEOT IN !<'Loon ZONE AREA 0 YES Q NO <br /> <br /> <br />BunnmR <br /> <br />CmiJPANY <br />STA'I'E CERT OR REGIST If ___ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***...***.......**...*.......*.******..*.*........*..****..**...t. <br /> <br />iJ,ilC'ru CI,f>.N <br /> <br />COIIJPAl'lY <br />STAT~ CERT OR REGTST # <br />CITY PROCESSING # <br /> <br />S J (mATURE _'__ <br /> <br />.----------.--------- <br /> <br />***..*.********.**.*...**...*...**...*.**..******...*.**..****.... <br /> <br />~LUWllIllR <br /> <br />COMPANY <br />STATE CER'I' OR RECHST if <br />CITY PROCESSING # <br /> <br />SIGNA'l'lJRE <br /> <br />MilCHANICAI, <br /> <br />*****..***********************.******.**.***.*********.*****.*..** <br /> <br />COIVJPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING if <br /> <br />SIGNATURE <br /> <br />OTH JilR ~6J. (...Q -<.. +-...LC? m,,/-,t tit <:.1.:- a .~ <br />SIGNATURE ~~_ ~,~ "'}""L..e,a::- <br />./ <br /> <br />****.*********.**.*****.**************~**.****.*.*******..****..* <br /> <br />*...*....*..*..*.********.*.....*..**..*.*...*.**......****.*t... <br /> <br />COMPANY ~ I c, ~'-.. C- n. ~-<~ k_ ~J?J ~ .f'01.r '7 -:z, c . <br />STATE CERT OR REGIST # /)a,FCo #- <br />CITY PROCESSING # j'.,L - Q~'".1.2.-7___ <br />7-J-(/u-I#- ;;l So? <br />