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<br />CITY OF ZEPHYRHILL8 PERMIT APPLICATION <br />Burr,DING DEPARTMENT 5335 8th S'rREJll'r Zl!JPHYRHII,I,S, P'L 3.Hi40 <br />PhoneI813-780-n020 FaXI813-780-0021 <br />!lA'rs RBeJllIVJl!o _.__ ".__~"=. <br />PJ,ANS R!IIVIIIlW II'IlIBi_,--~_.~ l1- ___.. <br /> <br />Dl'lNBJR f 8 HANE___~e._.~~c:,I1v.::",,"~~_.____________.____ PHONE CON'l'J\.(~'~_________.._.._.__.___. <br />.JOB SITE A.DDRBl88 ....~~?-- ?~-_5~-~~~'-----__,_____u'_"_____'_'__h'_______. ._nu...._. <br /> <br />LEGA.L DESCRIPTION, LOT(S) <br /> <br />BU)CK <br /> <br />SUBDIVISION <br /> <br />~~_.__.._--------- <br /> <br />_.._------_.~,._-_..~----._-,.__.- <br /> <br />PARCEll, ILl # <br /> <br />HURl{ PRnpSBltJ I LJ NBlH CONSTRlJCTION <br /> <br />~. <br /> <br />_.._--_._.-----~.~.__.._--_._---_.._----_._~--------_._--------.--.- --~_._-~~-----~--~..~- <br /> <br />(OBTAIN FROM PROPER'rv 'I'1\!{ Nfl'I'WEl) <br /> <br />[] ADlJI'l'ION <br /> <br />o AUl'ERATION <br />o DElrJJot,IslI <br /> <br />[] RElPAIR <br /> <br />Ll INSTAl,I, <br /> <br />o MOVE: <br /> <br />PROPOSEIl USE, [JSCH, FAMILY DWELfJIllG <br />r~1MBlR(!IAr, <br /> <br />[]~1tJI/l'I.. FAr",rLV <br /> <br />0# UF UlnTS <br />[JSWHilMING poorJ <br /> <br />[J MOB Il,El lfor11lJ <br /> <br />o INDUS'l'RIAIJ <br /> <br />/] OTflHlR <br /> <br />ImSCRIPTION OF WORK <br /> <br />o ReISTAURAN'l' & HEAUl'!I DHlPAR'I'tilENT APPROVAL <br />LJ ~ ~ V\.~u) __. <br /> <br /> <br />--------.-~- .-.---------.---~_. -"-..-.___.0.0. _~___"_4 <br /> <br />BUILfHN(J SIZE <br /> <br />----..--..- <br /> <br />SQUAREl Foo'rAGE <br /> <br />RESIDBlNTlJUJ I <br />COMMER(!IA.IJ: <br /> <br />lIEI TGHT <br /> <br />....:4___...__. _ __ _~~4___ <br /> <br />A'I'T1\CH (;3) PLOT PIJAl1S & (;3) 8ElT8 OF Burr ,[)IN<1 PLANS & (1) 8El'I' ElNElRrJY FORMS, <br />A'!"IiA.C!H (.3) SE'rs OF BUtLDING PLANS & (1) SEl'r ElNERGY FORMS, <br />PROPERTY 8URVHlY RElQUIRElD FOR ALL NEW CON,9TRUC'l'ION. <br /> <br />~aRMITS REQUESTED <br /> <br />[] BlJIr.IJIN(~ <br /> <br />$ ---"---. <br /> <br />---ALA_-"- <br /> <br />---~_.--.;. <br /> <br />VALUATION OF TOTAL COHs'rRUC'I'ION <br /> <br />IJ ElLElCTRlCAl, <br /> <br />AMP gElRVICEJ <br /> <br />o FU)RHJA POWElR <br /> <br />o <br /> <br />W . R , El . () . <br /> <br />f] PIJ{JtilBING <br /> <br />U J.1B1CHANH!Af, <br /> <br />[] (~A.8 <br /> <br />[J ROOFING <br /> <br />, <br />$- .--.-------- VAI,UATION OF r..,ECHA.NCIAI, UISTAIJIJA'I'TON <br /> <br />[J SPE(!tA.Ul'V <br /> <br />[) OTHER <br /> <br />'l'YPEl OF' (~0118'I'Rt1C!'I'IDN: [J BLOCK <br /> <br />[J FRAHEJ <br /> <br />[] STEEL <br /> <br />[J OTHElR <br /> <br />FINI8HElV FI,OOR IlIIJElVATIONS <br /> <br />------- <br /> <br />IS PRlXJEC'I' IN FLoon ZONEI AREA. 0 vms <br /> <br />o NU <br /> <br /> <br />BUIJJfJllIR <br /> <br />****************************************************************** <br /> <br />cor.., PAN Y___._______._ _______... __.__ ________.___.__ <br />STATE CElRT OR REGreT # _____._.__.__._____.___-'______ <br />C!TV PROCBl88ING L_..____._____________________._.__ <br /> <br />81GNA.TlJREl <br /> <br />-_.._-_._----.__._-~_.._------------------_.._--- <br /> <br />tIIl,!l(1'fRICI.I\U <br />131 GNA.'1'IJREJ _...._~~ ~~__________ <br /> <br />COI'1PANY ~.-l2.ee~LGl<QL~~.~.._.______u_ ____ <br />STATE C'E:R'I' OR RElGT8'!' #-~C_t~.cH~~._.____._.__ <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />--~_._..__.-.._+._-~-_.._.._. --.------..-.------- <br /> <br />PI,UMSBJR <br /> <br />._._-........_..-.....~-~'"...-......_-- ---. <br /> <br />COM PAN Y -.--.._._.___.__________..._____. .___.._____..______._ <br /> <br />STATE: e'ER'!' OR REGIST # __________._.___.___. <br />CITY PROCESSING # <br /> <br />SIlJHA'I'tlRE <br /> <br />MIIICHANICAI. <br /> <br />****************************************************************** <br /> <br />----.~~._--._._-~._---_._-----,- <br /> <br />-----~--~_....._---._-- <br /> <br />COMPA.NV.______________.._.__..______._____ <br />STATE CElRT OR REGIST # <br />CITY PROCElS8ING # <br /> <br />-'--.-.,-.+--~-+____.__u____,___+_.......__ _'., '.___.._ <br /> <br />e TGNA.'I'UREl <br /> <br />**************************************~*******************~****** <br /> <br />-----+._--~-,--_._--- ----..------ <br /> <br />OTlIlIlR <br /> <br />-'-~--~...,--_-...-......_--------------- <br /> <br />-------_._~ <br /> <br />(~()rvIPA.NY <br />STATE e'ERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />S WHA'I'1JRE <br /> <br />----_._---_.._._+-~._-._._... ._~,- '- <br /> <br />-_.~-- -- '_.._._-_.._-----~--.~ <br /> <br />***************************************************************** <br /> <br />------~----,.---~._----~...__...__4..__._ <br />