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<br />mmlilR' 8 HAJI1El ~L~_ <br />,JOB SITE ADDRE8S_l:.::0~ <br /> <br />C~TY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUII,DING PBPARTMBlNT 5335 ~t:h S'l'RBlEl'f ZBlPHYRHILI,S, FL 33540 <br />Jilhon. I B 13 ~ 7 B 0 - 0,0 2 0 Fax I 813 -7 80 - 00 2r;A'rB1 RBCJIlIIVIID t 0 )L~LOk: .~__._ <br /> <br />fI,ANS R!IIVIJIIW '11I111___.____ ____ <br /> <br />PARUElL If) # d-4-..,) (..- ~(-oocv- OOf 00.- 009 () _~_(~~~_IN ~'ROM.~~~:IiIR'l':_..:A~.~n'q~:Bl).__ <br />WCJRK PRCWSIlIIJ I ~w CONS'l'RlJC'rIOH (J Af)DTTIm~ 0 AurERATlON [] REPAIR IJ IwhM,I, <br /> <br /> <br />PHONE r'.ON'rAcT&fJ:i___c:l~-" <br />--- S -------- ()' z:< \) f rd'vIJ.. ~ f <br />___3_j23J,I2_______~~---JJlq--- ___._____ .______~. <br /> <br />LEGAL DBJSCRll?TIONI LOT(8) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />DaWN <br /> <br />[J MOVE <br /> <br />o DEMOLISH <br /> <br />I?ROJ:lllSElil USE I [JSGl, FAMII/t DWELIJING <br /> <br />o MtJI/1' I - F AM n,y <br /> <br />0# OF {lNI'l'S <br />DSWIt1MING POOl, <br /> <br />[] MOB n,Bl 110MB! <br />D nTIlE~ <br /> <br />(]CDt1MBlRCIAI, <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEJ\I.'l'H DEPARTMENT APPROVAL <br /> <br />BUn,DING SIZE <br /> <br />_--12 y 5o__C1tjueLJ~ ~'--/J1t~1 . <br />SQUARE Il'OO'rAGE __.(p 2-q__ <br /> <br />OE8CRIPTION OF WORK <br /> <br />HBllllH'r <br /> <br />RES IDBlNTIAL I A'1"I'ACH (J) PL,O,!, PLAlIS & (J) SE'l'S OF BUIl,IJING PI,ANS 6c (1) sHI'r i1INHlRI1'i FORMS. <br />cUMMBlRmAI~ I A'l"l'A<m (3) BETS OF BU!LnING PLANS & (1) SElT ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NBlW CONS'l'RUC'l'ION. <br /> <br />F.~ITS RBlQI1J1.a.T1D <br /> <br />[] allILIHl'lG <br /> <br />L_ r 33c?rOO <br /> <br />VALUATION OF 'l'O'l'AL CONs'rRtJC'l'ION <br /> <br />L1 BlLBlC'l'RlCAI, <br /> <br />____ AMI? /3ElRVICE <br /> <br />[] FLORIDA POWER <br /> <br />o 11,8,8.(1, <br /> <br />o Pl:tJNBING <br /> <br />o i'1BlC1HAU WAI. <br /> <br />$ <br /> <br />_ VALUATION OF MBlCllAl'1CIAI, INSTAI~LA'l'ION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />[J SilECJIAl/f'l <br /> <br />o OTHER <br /> <br />'l''iPE OF CON8'l'RtJC'!'lON I [J BLOCK <br /> <br />o FRANE <br /> <br />o 8'l'E1ElL <br /> <br />[J OTHER <br /> <br />l!'INISHElJ FLOOR 1l11,ElVATION8 <br /> <br />IS I?ROtJECT IN b"LOOn ZONIll AREA 0 YUle [] NO <br /> <br /> <br />BUlLnlllll <br /> <br />CC)ti!PANY <br />STA'I'Bl CERT' OR RIllGIST # _,._~____ <br />CITY PROCESSING # <br />--------------..--- <br /> <br />a J IJNA'TlJRE <br /> <br />********.*........******.*.*************.*..*..*************.**... <br /> <br />HI,lOTlUCIAH <br /> <br />COHPAlW <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S] GIH\'l'lJREJ ___'___._______________~_ <br /> <br />.----.-----. ----------.-.---.....- <br /> <br />-~-----_.__..._..._-,-- <br /> <br />*..*.**.*.*******.***.***.**.********************.**********.*.... <br /> <br />PLUMBBR <br /> <br />-------..._----------------~.._-- <br /> <br />COMPANY __~_.._____ <br />STA'!'E CERT OR REJGI8T II _________. <br />CITY PROCESSING # <br /> <br />8IGNA'l'IIRBl <br /> <br />.*..*.*.*.*********.********************************************** <br /> <br />MBlClHANI CAI, <br /> <br />COlvlPANY <br />STATE CElR'f OR RElGIST # <br />CITY PROCESSING # <br /> <br />SIGNATUREl <br /> <br />----_....-------~-_..- <br /> <br />***************.**********************~*****************,....**** <br /> <br />OTHBlR __r; ~ ~ CVh +L.tlc.f oft... <br />SIlmA'l'UR~_ _._~~___,_____ <br /> <br />COlvlI?ANY'& JC-(l..;"'c C(f)~~...t'!.-'''''-.L.L~ <br />STATE CERT OR REGrST # -, _ J/ . ~7 <br />c lTY PROCEl8 SING #. ;J.J1..J.5JL...rt::..__J?.!?.____~=z-_._._ <br />2. - I-IIL-( ~ _ :L.. C' 0 c- <br />---.---..--____::::....v__.....f)__~_.__.__._.___ <br /> <br />**'**************'*********'****'*'*******'*'******.,*******.,*** <br /> <br />-- <br />