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<br />/6/,6 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZBlPHYRHILLB, FL 33540 <br />PhoneIB13-780-Q020 FaxI813-780-0021 <br />lJAtfBl RBelllIVl!ln ~_.__c_"~. ______ <br />inANS RIllVIIlIW Il'I!lBi_ H___. _._____ <br /> <br />l)\'-1NElR I El HM1EJ_.____ Vt2AU__k.c. L ~.___ .--___u_________ ___ <br />,lOB SITE ADLJRBlS8 ) L.J- / ? -- <br />.- D_ -0---.----___._____...5_1_.________ __ _____________ <br /> <br />PHONE (~()N'l'M~'r_ZZ<>?~ar4_L~._. <br /> <br />.' - --~- --.-. '---..-.--.-..- - --- -.----..- . --", '---~_... -.-- <br /> <br />LElflAL ))H18CRIP'!'IUll: LOT(S) <br /> <br />BU)CK <br /> <br />BUBIJIVISJOtI <br /> <br />PARCEll, H) It <br /> <br />HURK PROPSHlfJ I [JNBlW CONSTRUCTIOl.l <br /> <br />~.~-------~--._._-----~--_.._._.._._--~._-~.- -._---~---------.._-_._~------.,--..._-----_._--_._------.".. ~---~..... ._._-,--"~-------.-.. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl) <br /> <br />~l\nDrTION <br /> <br />[J ALTERATION <br /> <br />rJ RElPAIR <br /> <br />[J !NSTAIJ!' <br /> <br />[J SIGN <br />PROPOSED USE: I ~(.:lL P'l\IvIILY DWELI,UIG <br /> <br />[J MOVE!: <br /> <br />[J DEll>10I,ISII <br /> <br />[h1 tJl/I ' I . FAI"lU.v <br /> <br />[J# OF UNITS <br />[J SVI H'IMING POOL <br /> <br />IJ MOBII.E IKH11ll <br /> <br />[J Cm1f1'1ElR(~ JA I, <br /> <br />[] INDUSTRIAL <br /> <br />IJ O'rHHlR <br /> <br />IlllJ8CRIP'I'ION OF NORK <br /> <br />o RgSTAURANT & HElAIJTlI DElPARTt1ElN'I' J~PPROVAL <br /> <br />_IdL!f~ / .!.c!!L~42~~~~LY.!_w,:tZL_@L;t(<f2.____.___._~n <br /> <br />8t1Ir.DIN(~ SIZE <br /> <br />----_._-..~._--- <br /> <br />SQUAREl FOOTAGEl <br /> <br />-.-.-.------.-.-- <br /> <br />HEJ! GII'1' <br /> <br />RI1lSIDIlINTIl\I'1 <br />CO"1ME!lR(~IAI, I <br /> <br />A'I"l'ACH (2) PI~OT PI"Al1S & (2) SElTS OF BtJILDINlJ PLANS & (1) SElT ElNElRnY FORf'.1B, <br />A'I'TACH (3) SElTS OF BUILIJ1NG PLANS & (1) SEl'!, ENER<lY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ERMITS REQUESTED <br /> <br />U BlJJLIJIN(~ <br />1~(EJ!JElCTRHJAII <br /> <br />$ <br /> <br />-~ - ----.._--~_._-- <br /> <br />VALUATION OF TOTAL CONSTRlJCTIOll <br /> <br />. ..v <br />--_.j'"~-,_. AttlP SERVICE <br /> <br />o FLORIDA POVlER <br /> <br />[] VI.R.E.C. <br /> <br />[] PLtJttl8 INr.~ <br />LJ lIJHIUHlIN I<..!AIJ <br /> <br />$ --'-_.~ <br /> <br />. VAI.UATION OF tlJElCHANCIAI, UISTAI,I,A'I'TON <br /> <br />[] ems <br /> <br />[] ROOFING <br /> <br />[.I SPECHAU!'Y <br /> <br />[] OTIIER <br /> <br />'l'YPEJ UF' CON8TRUC!TIOI-J: [J BLOCK <br /> <br />[J FRAMEl <br /> <br />[) STElEL <br /> <br />f] OTHER <br /> <br />F INISIIElIJ FI,OOR El!JElVATIONS <br /> <br />18 PRO,TElC'I' IN FLOOf) ZONEl AREA. [J YIllS <br /> <br />[1 Nu <br /> <br /> <br />BUgnBlR <br /> <br />--~-'--_.__.._--~.._---~------_._----- <br /> <br />CottlPANY --.-------__.____________.___ ___._. ____0__ _______ '_ <br />STATE CElR'I' OR REGIS'!' # .______.____..____._______._._____ <br />CITY PROC!EJSS ING 1L__.__._.___..____._______p ___'_"__"___ <br /> <br />B IGW\'I'tJREJ <br /> <br />* * * * * * * * * * * * * * ~ * * * * * * * * * * * * * * 'I. * * * * * * * * * * * * * * * * * * * * * I< * I< * * * * * * * * * * ~ * <br /> <br />IIII,IIlC'fRICIAN <br />81 mT1\'l'IJRE: ~-u)~~_ W_.&____.__________ <br /> <br />****************************************************************** <br /> <br />COl1PANY _I! t:f.e.._LL~_~~~.____..______ ____ <br />STATE ('ERT OR RErnS'l' iI~.::::--:6~~~~~--2:<1__ <br />(TI'Y PROCEl8Snm #_! d 6________._ _.._.._.. ~____.____.___ <br /> <br />PI.t1MBBlR <br /> <br />...~ "-''''~''______'4~__._..._~___ _____.._ <br /> <br />(~OI.,l P ANY ------------.-.---,--____u_______.~_. .._..____...______.._ <br /> <br />STATE CER'l' OR REGIf3T # ---------...---.--.._.____.0 <br />CITY PROCESSING # <br /> <br />SIl3N1\'l'IlREl <br /> <br />MBlCHANICAl. <br /> <br />****************************************************************** <br /> <br />.__.._-..._-_.._-----------.._"---~_._-_._--- <br /> <br />------_._------..<<._----~----.~..._-_._---- <br /> <br />COI\1 PANY __..__________.,.___.____.______..___...___._.._ <br /> <br />STATE CERT OR REGrST # <br />Cl'1'Y PROCESSING II <br /> <br />--------_.._-~--_._-_._._._...._--_. --. ~_..._. <br /> <br />S TCH'lA'l'IJREl <br /> <br />**************************************~************************** <br /> <br />---~~--,--~--------,-----_. ...----.--,- <br /> <br />OTHER <br /> <br />SWIIA'l'UREl <br /> <br />(~OlllPANY <br />S'J'l\'I'E CElRT OR RE1lGIST tr---------...-----------...-..- <br />CITY PROCE1lSSING # -----.---------------.______ <br /> <br />~--...__._..._--~_..__._-------_._------ <br /> <br />***************************************************************** <br /> <br />-~-..-.._-- .._---_.._----~.,--.-.-_.,-_._..~..-._- -. -.---.-- <br />