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<br />C,l'I'~ OF ZBlPliYRHII~LS PERMIT APpr~ICA'rION <br />BUILDING DB~ARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33840 <br />Pbon. , 813 - '," 0 - 0,020 ..." 13 - "0 - 0 0 ~:;""B .BcsrVBD -lL-:(2::.o~Z-- <br /> <br />PI,JU'iS REVIEW Il'JIlB________._______. <br /> <br />"""ER' 8 "AM8 -6~di Ill'\ ~-12i '1\'1', _____ pliO". CON'I'AC'f~ 13.1_1.9_~ 311 d- <br /> <br />,JOB B ITIlJ ADDRESS ___~_~ ~----lJ -e lj-L__,1Q&+_::thl~____________________,___________________ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLDCK <br /> <br />SlIBDrVISIOl1 <br /> <br />---.--.----- <br /> <br />...._._----_._---~...---------- <br /> <br />PARClilL ID #_9.9- -db -~-L-09&3~ 60--,- 00 _- Dt \0 <br />WORK PROPBIlJD: LJNE~I CONB'I'Rl1CTIOH 0 ADDITION <br /> <br />(OBTAIN FROM ElROI?EJR1''i 'PAX NO'neE) <br /> <br />D s ml1 <br /> <br />o IvlOVE <br /> <br />~Ar<THlRATJON <br />o DEMOLISH <br /> <br />..---...--- "._---~_._--.---..- <br /> <br />[] REPAIR <br /> <br />[I IN8TArJL <br /> <br />PROPOSED USE I }(SGL FAMILY DWELf,nm <br />(] (Jot~MERCJ AI, <br /> <br />Dt~UW'I - FAMU,y <br /> <br />CJ# OF tlNI'l'S <br /> <br />[] MOB J!,Bl lIotiJBl <br />[]O'I'IIER <br /> <br />o INDUSTRIAL <br /> <br />DSWIMMING POOL <br /> <br />-~----,--._--- <br /> <br />o RESTAURANT & HElAlmI DE:PARTMENT APElROVAL <br />P<i J Q - (' ha.l1 CJf' 0 Lt_-+ <br />SQUARE FOOTAGE <br /> <br />IlIlJSCRII?TION OF NORK <br /> <br />BUU,OING SIZE <br /> <br />RESIDENTIAlJ I <br />COl>1MBlRCIALI <br /> <br />lIIuml'!' <br /> <br />A'I"rACH (;3) PLOT PI"ANS & (2) SETS OF BUIJ.DING PLANS &. (1) BE'I' ENllIRrlV Ii'ORI,<,]B, <br />A'!"l'AC!H (3) SETS OF BUILDING flLANS & (1) SElT ENERGY FORMS, <br />PROPIliRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.~-_._-,~---~--_._- <br /> <br />FillU4ITS RBlQUBlBTlnl <br /> <br />LJ B!JILIHNf3 <br /> <br />$ <br /> <br />VALUATION OF TO'l'AL CONSTRlJC'rroN <br /> <br />,I] IilLHlC'I'RICAl, <br /> <br />-----__ AMP SIiJRVICE <br /> <br />o FLORIDA POWER <br /> <br />[) W.R.El,C. <br /> <br />U P!"[Jf\1BIN13 <br />,P-( !.lBJCHAN r C!AI< <br /> <br />U <br />--D <br /> <br />o GAS <br /> <br />[] ROOF'WG <br /> <br />$-~-, 8ft=). O~ VALUATION OF MEJellANCIAI, INSTALLA'l'lON <br /> <br />J'- <br /> <br />rJ SI?BlCIAurv <br /> <br />o OTHElR <br /> <br />'l'YPjjJ OF' CUH8'I'RUCTION: [) BLOCK <br /> <br />[J FRANE! <br /> <br />[J STElElI, <br /> <br />o OTHIJJR <br /> <br />FINISHEllJ F!,()OR EI,HlVA'I'IONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREA 0 VBlS <br /> <br />o NO <br /> <br /> <br />BI1ILnlllR <br /> <br />----------..- <br /> <br />cm~PANY _____._ ..____'____________ <br />STA'L'E CliJR'l' OR REGIS'!' # _.__'____.___________ <br />CITY PROCESSING # <br />------------------_.~,- <br /> <br />SlGNATURE <br /> <br />lllUIO'fRICIAH <br /> <br />*****'********'*****'*'***'**'***'****'*'********'****t****,****** <br /> <br />SJrmATUREJ ---.----- <br /> <br />--------------.- <br /> <br />CO!v) I? ANY _._____._,_________ __________________.___ ___ _.~__ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />---_._____u_______ ....__...,_.___.~__.. ~_ _'.____. _ ___._ _ _ ._._ <br /> <br />PLUHEUlIR <br /> <br />*'********'**********i******************************,***""*'**** <br /> <br />--_.__._~-----.._-.~-. ...------..---.--..- <br /> <br />--.-------..---- <br /> <br />[!OfvII?ANY--_________,-______.________________ <br /> <br />STATE: CERT OR J{EGIST # __________.,_______ <br />Cl'l'Y PROCESSIHG # <br /> <br />S I GHAT! IR E <br /> <br />"****************************************************t****'**'**, <br />MBlCHANICAI, corVJPANy-Efu~-l..~~_41 C. ~'-"____~.__________ <br />k 8TA'l'E CEJR'f OR RElGIS'!' #. c.~Q5..2~t7q_______________ <br />SWl1ATlJREl CITY PROCESSING # "lace:- <br />----------- V () K 0-, ~:...L ..-.____________ <br />*************************************"*'**************t'**'t'***' <br /> <br />-----.-------.--------. <br /> <br />OTEUllR <br /> <br />C()f.1PANY <br />S'J'A TE: cER"TCiR REJiTISTr----------------.---- <br />CITY PROCESSING # -__________,____________ <br /> <br />SWHA'J'IJREJ <br /> <br />'***'******************************'***'**********'*"*"*"***'* <br /> <br />--~-_.....~----------.<---..~--..-----~ <br />