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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />SUII,DING DEPARTMBlNT 6335 ~~h S'l'RBlEl'l' ZBlPHYRHILI.S, FL 33840 <br />Jilhone I 8:13 ~ 7 80 -Q,020 Faxl 813 -780 - 0021 \ 0/ [/- lo'L <br />nA'ra RBOIllIVJlID ~ <br />5lr.ANS RlIIVIBlW J'lilI__~~=~=-=-==~~ <br /> <br />D"N8R'. HAM8_ b~\~~ 5~_____~_~_ PHDN8 mN'J'A(''[(.,'(~-=1~? ~ <br /> <br />,JOB 81'1'&1 ADDRBl8S_~c;L:J~___J~___3_1 S~_~_.____!3-~_~S~__NCt t~~"ttiL _~_-'--__________ <br /> <br />LEGAL DHlBCRIP'rION, LOT(S) Lo,\ l?:' BI.oCK SUBDTVISIOll <br /> <br />----.--- <br /> <br />PARf!WL If) # <br /> <br />'?4- - 2~ - 2 (-0000 - Oolot> --OoclQ (_OBTA_~J:i'ROM~ROPJjjR'l':__.:AK_.~n'l'f~Hll).._ <br />~w C[~S'l'RlJC'rION rJ ADDITION OAIJrElRATlON [] REPAIR IJ TNS'l'M.l, <br /> <br />WuRK PROPSHlD, <br /> <br />[JSHm <br /> <br />o MOVE <br /> <br />o DElMar/ISH <br /> <br />PROPOSEIl !lSEl I [JSC1l, FAMII.Y nWElLI,JNGl <br /> <br />OMtJW'I - FAMIlN <br /> <br />0# OF {JNI'l'S <br />o s~nMMING POOl/ <br /> <br />{] MOB r I,m 110MB! <br />l] O'fIlHlf\ <br /> <br />(] Cot1MBlRC rAI, <br /> <br />o INDUS'l'RIAL <br /> <br />DESCRIPTION OF l'lORK <br /> <br />D RBl8TAURAl~T & HBlAl/l'H DBlPARTMElNT APPROVAL <br />__J'2- X 50.. ~OA.,u.e.~ / l-v ~~'!.4-S <br />SQUARBI Foo'rAGE ~ 20.::.--_ <br /> <br />~ ,---- <br /> <br />BUII,DINO 8IZBI <br /> <br />--.----- <br /> <br />HBlWH'f <br /> <br />RES IDBlHTIAJ, I AT'I'ACH (:a) PLOT PI"A1l8 & (2) SElTS OF BUU,IJINGl PI,ANS & (1) SIiI'f BlNIilRI1Y J.l'ORMB. <br />COMMBlRerAl", A'!"l'ACH (3) SBI'I'S OF BUII,DING PLANS & (1) SElT ENIilRGY FORMS. <br />PROPERTY SURVEY RElQUIRED FOR ALL NEW COH8TRUCTION. <br /> <br />J?lIl!U4ITS RBJQYlJIT>>ID <br /> <br />[] BtlILlHl'lf3 <br /> <br />$ <br /> <br />13:56.oD <br /> <br />VALUATION OF 'I'O'I'Al, CONS'fRUC2'rION <br /> <br />rJ BlI"Bl<J'I'R WAI, <br /> <br />AMI? ~ERVrcE <br /> <br />o FI,ORIDA POWER <br /> <br />o W,R,BI.r.. <br /> <br />o Pl,UMBIN13 <br /> <br />o NBlUHAl:HUAI" <br /> <br />$--- <br /> <br />VALUATION OF MI1JCHANCIAI, INS'1'AI.LA'l'ION <br /> <br />o (jAS <br /> <br />f] ROUP'IlKi <br /> <br />[J BPBlCJIA1,'fY <br /> <br />o O'I'HIiIR <br /> <br />1'\fPHl OF CON8'l'RUC'l.'WN I LJ BLOCK <br /> <br />o FRANE: <br /> <br />[] S'l'ElEL <br /> <br />c;(6THElR <br /> <br />FINISHHlIl Fll)OR BII,EVATIOHS <br /> <br />I S PROd ElCT IN l<"LOClf) ZONBl AREA 0 YEllS rJ NO <br /> <br /> <br />Bunnllll <br /> <br />uor1PANY _____ __._._ <br />STAtI'BI CElR'!' OR RElGIST # _._ ______ <br />CI'l'Y PROCElSSING L-__._______~__ <br /> <br />8 HlNATURE <br /> <br />**.*******..**.***.************.*.***...******.***.********.*****. <br /> <br />~I.laTRIdIAU' COf1 PAN Y__ <br />STATE CElRT OR REGrST # <br />SJGllA'ruREJ -.,-'-.---------____..____~____ CITY PROCESSING # <br /> <br />.~___'R____ __.__~___...___......____.~_ <br /> <br />***********.*************.*****.*********************.************ <br /> <br />--_.--,._.-----.....-~._'..._....._._-- <br /> <br />ilLUMBilR <br /> <br />.._~----~-_...._-_._. <br /> <br />COMPANY-__ _______._.___ <br />STATE CElR'l' OR ftEGIBT # ___~_,_________ <br />CITY PROCffiSSING # <br /> <br />SIGNA'l'IJRffi <br /> <br />8I<3l'lATllRE <br /> <br />*'*"***'."*"*""*'*'*'*"'**"*'*'*"*"'*"*"'*******"*'*** <br /> <br />Co/VJPANY ~____'_________'_______"___,,, <br />STA'l'ffi CIilR'r OR REGIS'!' # ________________ <br />CITY PROCESSING # <br /> <br />---.~-~'-~--------- <br /> <br />MBK1HANICAI, <br /> <br />OTHSlR G"v\_c.~ c....<!'"nS.hL'-l---r,~. <br />SIliHA'l'UR~ ~.r.~~ <br /> <br />******'*"'***'****""'*'***'***'***'~'*'*'****"'*"**,.******* <br /> <br />COr>1PANyL5C~<"" ~ 0-. ~ <:j ~c; 5~ ~.=--.:.... <br />STATE CElRT OR REGrST # 00 . <br />CITY PROCESSING # -:--~~..J}55i::.q:._--- <br />Z~J' ~~____ <br /> <br />**t******************************.**,******************'****t**** <br />