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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33~40
<br />PhonaI813-780-Q020 Fa~le13-780-0021
<br />fJA'fBl RBC!lI!VSln ~-~l:t?~_
<br />PI,ANS RBlVIEW 1l'1lIBl_'-_____ ~c' ____.
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<br />OWNBR' B IIA"E-.12o.ll~Ii5._D~c:.f\ !'L____.__ _____ __ PHONE CON'1'Af"r~13_:71~=i6.lf
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<br />,JOB BITEl ADDRESS ._S.3J-L___S~__~.L__;____________________ ---------------.---.--___h_ ___'__
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<br />LEGAL DESCRIPTION: LOT(S}
<br />
<br />BIJOCK
<br />
<br />SUBDIVISION
<br />
<br /><<.:-:~.i;~~l' If) Ii') 11- ~- _,:If: CJO 10 - P "/00.:- 0 (7LI'?'A~I_FRO~~~"""':-"-"".K~<l'!"eE_'_
<br />HlJRK PRnpSBllll [JNBlN I'ONS'rRtJCTION 0 ADDITION OAL'I'ERA'rION [] RElPAIR LJ IN8TJ\TJI,
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<br />-"._---~'..'.....,--..._---._--,._---
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<br />[]SHm
<br />
<br />o MOVE
<br />
<br />~ DEf10LISII
<br />
<br />PROl:'OSElIl USElI l~mJ FAMILY DWELIJIl'1G1
<br />[] CCJt1MBlRC! IAI,
<br />
<br />rJ~1Ul/I'I - FAfvtILY
<br />
<br />[J# OF mUT8
<br />rJSNH1MING POOL
<br />
<br />[] MOBII.11l 1I0f1BJ
<br />[J OTHElR
<br />
<br />o INDUS1'RIATJ
<br />
<br />Im8CRIPTION OF WORK
<br />
<br />o RB18TAURANT & IIEAI,TH DEPARTf1EN'I' APPROVAL,
<br />----1) E!::'!~.Il__:=____5G ~-rt'?I1..~~__E/2t2J11 F......__._________________
<br />
<br />BUILDING SIZEl
<br />
<br />~---_._-_.__._~-~-
<br />
<br />SQUARE FOOTAGE
<br />
<br />HEIGHT ._____________.___
<br />
<br />RESIDIllNTIAIJ I
<br />COMMElR(!IAl, :
<br />
<br />A'I"rACH (2) PI,OT PI,A1l8 & (2) 8E1TS OF BtJII,DINl1 PI,ANS & (I) 8E1'l' E1NEJRrJi' FORMS,
<br />A'I"l'AC!H (J) SEiTEI OF BU!LDING PLAN8 & (I) 8El'r ElNEIWY FORMS.
<br />PROPERTY SURVEY RElQUIRElD FOR ALL NElW CONS'l'RUCTION.
<br />
<br />~ERMITS REQUESTED
<br />
<br />[] BllJLIJINf~
<br />
<br />$
<br />
<br />----.-----------, -...
<br />
<br />VALUATION OF TOTAIJ COHSTRlJC'I'ION
<br />
<br />L1 E1LBlC'l'RWAI,
<br />
<br />----.------_~ NiJl? SERVICEl
<br />
<br />o FIDRIDA POWER
<br />
<br />[J W.R,EJ.C,
<br />
<br />[] l?I.Ut1sum
<br />o 1.1HJUHANTCATJ
<br />
<br />$--
<br />
<br />'h__ VAIJUATION OF MElCHANCIAIl U18TAI,IJATTON
<br />
<br />[) GAS
<br />
<br />[J ROOFING
<br />
<br />LJ SPEntAI/I'Y
<br />
<br />[J OTHER
<br />
<br />TYPE OP' CONSTRUCTION: [J Br.OC!K
<br />
<br />[] FRAIiJEl
<br />
<br />[J STElElL
<br />
<br />[] OTHER
<br />
<br />FIN'ISHEJIJ FI,O(>R EJIJElVATIONS
<br />
<br />--------.-----
<br />
<br />18 PROtTElC'I' IN FTJOo/J ZONEl ARElA 0 YES
<br />
<br />o No
<br />
<br />
<br />BUILI181a Jd52~ u2 CDtiJPANy______ _-L~-------___..__..._____________
<br />.I"l 8TJ\TBl CElRT OR REGIS'!' #. _ _____.. __ ___ _____ _______
<br />8lGNATUREl _ ;__.___. 6.L ~__ CITY PROCESSING IL__ __________________________.___.___..
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<br />***** ** *** *** ** *** * *** * *** ** * *** * ** **** ** * **** *** ******* * *** **** *
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<br />BlI.JIlC'rRIdIAN
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<br />S TmTA'I'(JREJ ____
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<br />'.'--.---. ..._--'----"-------_.~_._-,--. --'--,._-'-------
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<br />CO/o1PANY --_____h________'_~_____.________.__,__ ____
<br />STATE CElR'I' OR RE:C,lI 8'1' #
<br />cI'ry PROCE1SSIN(1 #
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<br />'-~-_.- -----.---- .~--,--.,.- '_~_.._ ~h_..__~,_.,_~
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<br />******************************************************************
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<br />-._--"-_._-~~-----,--_.~,.._..-.. -'-~-"---,.---------
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<br />PI, UMB III R COM PAN Y ___________________ ____ ___________ ___..__.. ___ _ __.. ___._______
<br />STATE: CEJRT OR REGIST # ___._______.__________.____.
<br />SIGNA'rIJRE CI'rY PRQCESSING #
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<br />MIllC!HANldAT,
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<br />co/l1 PAN Y______________.... "__.
<br />STATE cmRT OR REGIST #
<br />CITY PROCESSING #
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<br />S WNA'l'URIJl
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<br />**************************************~**************************
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<br />OTHBlR
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<br />.-.-'--.-----.---..----------------------.----
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<br />---------------~---
<br />
<br />C!OlvIPANY
<br />S']1A1'E cmRT-OR-Ri~-#-------_.--.~-------. ---.-.--.----... ._w. ___
<br />cI'ry PROCESSING # ___m_~~___.__.______~..___._.___._,__._,
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<br />SImlATlJREl
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<br />*****************************************************************
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