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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBlI?ARTMBlNT 5335 8 th S'rRBlBl'r ZBlI?H'lRHILt,S, rL 3 3 ~.O <br />PhoneI813-780-Q020 Fa~le13-780-0021 <br />IJA'n RJJCJllIVSlD Jll::13,~::~L2 <br />I?J,ANS lUllVIJlJW 1'11II-,-,~;.._,_.tL_______ <br /> <br />ol'lNBJR / S IlM1E _flf?:Lk~YLlJ{~iLJ:I_I{~.Lf-;a_~~~'-____________ PHONE CON'l'J\f!'L_______~____=:~ _______ <br /> <br />,JOB BITBI ADDRBlSS ---1~_?~n__~~J___~/~~ <_________________ _________________________ _______ <br /> <br />IJBlllAL !)BlSCRIP'rIONI LOT(S} <br /> <br />BI,OCK <br /> <br />SUBDIVISION <br /> <br />----~.__._.~--.....--.-._._..__.."_*v__ <br /> <br />PAIWElIJ rn It ___3t.f - ~6 :.~_L::..tJPOO- P() 300 -=- CJD._'J- ~____~~~TJ\n~__~Ro~.!.~~=_~_RT~___:~~~_.__~~~!_(~F~~__ <br />WORK PRnl?8BllJl UNIllI'l l'ONSTRt1C'rIOU [J ADDITION DALTERAirHm [) Rl!IPAIR [J INSTAl,!, <br />~-m 0 MOVIll 0 DElf101,ISlI <br /> <br />PROJ,108EIJ USBII Clsm, FAMILY nWELI,IHGl <br />f~f1MIllRl!rAr, <br /> <br />[Jr1UUJ'I.. FAMIl,Y <br /> <br />0# OF l1NI'l'S <br />[)smMMING POOL <br /> <br />fJ MOBII,El IWf1Bl <br />(]OTHIllR <br /> <br />o INDUSTRIAT, <br /> <br />D RalSTAutt1\NT & ItElAlmI DEPARTt.1BJN'r APPROVAL <br />)lElSCRIP'rION OF NORK ';;;''71" 1/ _~gj__ J~-ife~ on '5_-/ct-::e _.~_______________________'________. <br /> <br />8tJn,nINl~ SlZBJ <br /> <br />SQUAREl FOOTAGE <br /> <br />UEllOHT -'______________ <br /> <br />RlllBIDillHTIAT'1 <br />(~()P1MBlR (! I A I, I <br /> <br />AT'rACH (2) pr,oT PIJAIlS & (2) SElTS OF BUU,IHNG PLANS & (1) 81l1T IllNElROY FORMS, <br />A'ttAC!H (.J) sEnl OF BUtLDING PI,ANS & (1) SEl'r ElNBJRClY FORMS, <br />PROPElRTY SURVEY REQUIRElU FOR ALL NEW CONS'!'RuC'rION. <br /> <br />J <br />~ <br /> <br />,1' BlIT LIJI NC~ <br />[~LI!JCTRWJ\f1 <br /> <br />~ <br />$__2...3~_____----, VALUATION OF TOTAL COlIJS'rRUC'rION <br /> <br />PERMITS REQUESTED <br /> <br />Q <br />R <br />~ <br /> <br />~ <br />~ <br /> <br />- -----__---'< AMP 8 ElRV ICEI <br /> <br />o Fr,oRIDA POWER <br /> <br />[J W.R,E.n, <br /> <br />o J.jElCHAN WAI, <br /> <br />1- <br />$------: <br /> <br />VALUATION OF MIllCHANCIAI, HT81'Al.l,ATTON <br /> <br />~ <br />~ <br />~ <br />"" <br />" <br /> <br />~ <br />~ <br />D-.. <br />I <br />If) <br /> <br />'- <br />~ <br /> <br />c;: <br />CS <br />'Y <br />\(\ <br /> <br />[] PLUMBING <br /> <br />[J (JAS <br /> <br />[1 ROOFING <br /> <br />(J SPEorAUry <br /> <br />[J O'I'HER <br /> <br />'J'YPE OF (~(JN8'l'RtJ(!TroN I [J BIl)CK <br /> <br />[J FRAl-1111 <br /> <br />[J STEElL <br /> <br />[J OTHER <br /> <br />FINI8HllIIJ P'U)OR I1lI,EVATIONEl <br /> <br />------ <br /> <br />IS PRO,TEC'I' IN noon ZOHBJ ARllIAO YBlS 0 NO <br /> <br /> <br />IUILnBlR <;? cOr"PANY___~e~f.--C~j/l _. ~~-.._"?~i. )1_~___________ <br /> <br />RlGHATtIR" ~;L~ _ ~--=--____ ~;~~R P~~~:8~~H~.~~.TI~=_'t~~~;-p~ <br /> <br /> <br />***************************************************************iK; ~ ~~~p <br /> <br /> <br />[AN .((...~ CmlPANY___~tlI2t~-b..__L~_/s.r..~___.____~~' <br />~ ~ ~"", S'rA'rEl C'BJRT OR. REGrST #--~~L____________ <br />::':::~::'H _/ --=---~_f"~~~~ "I'fY PROCR..",,, #-----L72s.______~______ <br /> <br />***"'****'**'*"'*'*****'***"****'*'******'****'*'*'**********'* <br /> <br />PJ,UMSlIR <br /> <br />._----~......._...-..----....._._._. <br /> <br />(~(JM PANY --.----________________.___~______.____ <br /> <br />STATE CElRT OR REGIST It ________________._. <br />CITY PROCESSINO # <br /> <br />8 WHA'I'tJR III <br /> <br />MHlCHANI CAlI <br /> <br />******"*'**'***'******'*********'*******'****'*************'***'* <br /> <br />_.._.__.~.._-------...__.-.__._._------ <br /> <br />"""---------...-----.....--- <br /> <br />ColvtPANY___ <br />STATEl ('ElRT OR REGI8T # <br />CITY PROCESSING # <br /> <br />._._'~'-~'---_._---.. _._-_..~..._---_.- <br /> <br />SHJNATtHHll <br /> <br />-----_.._.._-.._--_..__.__.__.------~---, <br /> <br />------------.--- <br /> <br />*************"**********'*********'**~'*****'*********'***"**** <br /> <br />OTHER <br /> <br />..---.... _._i.._---.:..-_--...._... <br /> <br />(~OMPANY <br />STATE CElRT OR RElGIST # <br />CITY PR(~ES8ING # <br /> <br />.--..-----.---.---- .__. --...~-- <br /> <br />8WNATlJRE <br /> <br />..-------.---.-..------ <br /> <br />----_._--,--.---~-...--._---_.- ~ <br /> <br />""*'*****'*****"******'**********'**'***"'***""**'****"*'* <br /> <br />-____~-4-._'___.___"-~.,__.__-...- ___ <br />