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<br />C~TY OF ZEPHYRHILLS PERMIT APPLICATION <br />:aUII,DING DBPARTMBlNT 6335 ~~h E1'rRBlEl'l' ZBlPHYRHILI,S, Il'L 33540 <br />Phon.1813~780-~020 FaxIB13-780-0021 1/ J <br />DA'L'B1 RIlIOBlIVIID ~d!R._ .9.~___ <br />PI,ANS RBlVIJilW i'1I._______ _. _.__ <br /> <br />Ol'lNBJR'8 HAJI1E1 & - ~ ,)~ PHONEl CON'l'AC'LfR.9_~-!3C[~ <br /> <br />,JOB S I'l'E ADDRESS ____.~~Q '-=-1-4:=.-- ~3;,'5 4 Q--fu1JLi:t""L tvo.r~qn~____J{b.__:h____h________ <br /> <br />LEGAL DESCRIPTION, LOT(B) ~()-r..Q_ Bf,oCK ______._ SlJBlJIVISIOlI __. _ <br /> <br />I?ARUEIJ In # 24--2~-L{ - OOOO--OO(CO-ooQO (_[)BTA.~~'RO~~~~.PE1R'1'~_.::~~___~nTf~!E)__ <br /> <br />WORK I?ROPSBlIJ, ~Vl CONS'l'Rt1C'fION <br />[JSIGN <br /> <br />(J ADDI'l'I0l1 <br /> <br />o AlJl'ERA T ION <br /> <br />o REPAIR <br /> <br />, <br />o !N8'1'$H,I, <br /> <br />[J MOVE <br /> <br />o DEMOI,ISII <br /> <br />I?ROPIJSElIl tJ8Ell nSG/I. FAMII,Y DWELLING <br /> <br />o MOW' I - F AM UN <br /> <br />0# OF UNITS <br />o S\'ntIJMIl~G POOl, <br /> <br />[] MOBIlIIlJ BOMB! <br />[J O'fIlHlR <br /> <br />fJ CDtIJMBlRCIAI, <br /> <br />o INPUS'l'RIAL <br /> <br />BUIIJnrNfi SIZE <br /> <br />CJ RESTAURAl~T & HIlIAW'H DEPARTMENT APPROVAL <br />___l?-x 6~___ ~l0e-U~-:.L~~_:1j5__ <br />SQUARE B'oO'rAGE C, LO ___ IlBlmH'I' <br /> <br />lHiJSCRIPTION OF WORK <br /> <br />RESIDBlHTIAL I AT'rACH (:a) I?l,DT PI..AllS & (J) SETS OF BU!I,IHW3 PLANS & (1) SBI'!' BINIiIRQV li'ORMS. <br />COMMBlR(!IAIJ I A'l"l'ACH (3) Slil'1'8 OF Burl,PING PLANS & (1) sBI'r ENERGY FORMS. <br />PROPBlRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o Bll r LIH l'If3 <br /> <br />F~RMITS REaUEa1BD <br />1330, 00 VALUATJDN OF TU'l'A!. CONS'l'RUC!'l'ION <br /> <br />$ <br /> <br />L1 BlLE)(J'I'RICAI, <br /> <br />AMI? ~ElRVICEl <br /> <br />o FI,f)RIDA POWElR <br /> <br />o W.fLl3l.n, <br /> <br />o PLm1SING <br /> <br />o HBlCHANrCAI, <br /> <br />$ <br /> <br />VALUATION OF MBlCHAHCIAI, INSTALLA'1'ION <br /> <br />D GAS <br /> <br />[J ROOFING <br /> <br />[] SPECJIAL'rY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUC'rION I [J BLOCK <br /> <br />o FRANE <br /> <br />o STElEL <br /> <br />[] OTHER <br /> <br />F'INISHHlIJ Fl,OOR El,EVATIONS <br /> <br />IS PRO,J Elc'r IN l<"LOOfJ ZONEl ARElA 0 'VBlS Cl NO <br /> <br /> <br />BUILDml <br /> <br />CmlJPANY __._ <br />STA'I'El CERT OR RElGIST # _____._. <br />C1'I'Y PROCElSSING L-__________ <br /> <br />SlGNATUREl <br /> <br />**.********..**..*....*..*..*..*..***.**.****.*.**.*****.*..*..*.. <br /> <br />liII,JII0TIUCIAH <br /> <br />cm1PANY <br />STATE CERT OR RElGTST # <br />CITY PROCESSING # <br /> <br />8 J GNA'l'llREJ _._'_____________________~ <br /> <br />.~-.....__._._--, ------~-------~--- <br /> <br />~~~_._,_.---_._. ..------.--.----- <br /> <br />************..*..*.******..**.**********************..****.****... <br /> <br />iLUMBJIIR <br /> <br />cOMPANY----- _______..__.__._____ <br />STATE CE!RT OR IUilGIST # ________.____._____ <br />CITY PROCESSING # <br /> <br />S IGNA'1'IJRHl <br /> <br />-_._-------~-~.__._--- <br /> <br />MBlClHANI CAr, <br /> <br />*k**.*.*.****.**.*******************..*********,******.**t****.*** <br /> <br />(!OIViPANY __________________________._.__._____,_ <br />STATEJ CElR'f OR REGIS'!' # _________~______._______ <br />CITY PROCESSING # <br /> <br />SIG/NATtJRE <br /> <br />*******.******************************~..*.***~*******.**...***** <br /> <br />OTH~R _r:::~c..~ L(1\-] I-L..tc+-O'L COI-lJPAN~SC( (c...-o ('c.JkcR-ob( f:-tlv1':!.JCft-?-5:t_~S-. <br />~ ~ /J/7 8TA'1'El LEJRT OR RElGI8T # /1~.k A.oIL 0 t:) 9 77 '/ <br />SIlJHA'l'lJR _r~ CITY PROQESSING # r--~~---'---'-'----,,---,--- <br />- - ----~-----_._---- :?:--.:.!1(!=.~.L#-___ ;?-_~~~.___ <br /> <br />**.*.*****..****.*****.****.**********.*******.******.*.**.****** <br />