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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33S40 <br />PhoneI813-780-~020 FaxIS13-780-0021 <br />IH\.TBI RIllClllIyJiJo <br />----.--- .~....... ,:...-...."'-~.. <br />PJ,ANS RIlIYIBlW B'BlIli_o_____'Ud <br />OWNER' 8 IIA".----6C:Rdld;>~~? ~lS (} E-1Yr;- ~ c _~ _~_ ~__ _ _ ~~ _~_, ~_ P 1I0N8 "ON'j' A"',_2 ;ZCf-9~1"f <br />,J08 8 ITHl ADDRESS .. -.~-l8--:;).....'7- .--2..c:;t-'_M.:.______.___.____..______.______ . ..________.__ <br /> <br />LBl(]lIL J)Jl]SCRIPTH)/o), LOT(S) <br /> <br />B U)(~ K <br /> <br />SUBD IV I 8 lotI <br /> <br />---.--..-.------- <br /> <br />P AR'lIDL rn '1_ / <( - :A \,: d- '-=. Q ~oLq-",ill 'f 0 0 ~ 1Lo ~ 'i)~~O~ :",nl_~ROM--",,~ P8R"_'I_ ~':.K ..~":~H"_I ~.. <br />HURK PRnpSEfll [JNBlH C'ONS'I'RlJCTION [] AflDI'l'ION o AUrERATION [) RBlPAIR ~ INSTAJ,!, <br /> <br />--.--------.--.~..----....--._-_.__...,._ 0__- <br /> <br />[]SHm <br /> <br />o MOVE <br /> <br />[J DEMOI,ISII <br /> <br />PROI:'OSFJIl USEJ I p\fs r:H , FlIMILY DHEl,IJI11G <br />f:.J Cot'1MEJRC! lA r, <br /> <br />[J ~1tJI,'r I . F At>1 I I, Y <br /> <br />0# UF lINl'I'S <br />[J SHn1~HNG POUL <br /> <br />{] M08 II.El IfOf11ll <br />f] OTHER <br /> <br />o INDUS'l'R1AfJ <br /> <br />C:J RE18'fAlJRANT & HElAI,TII D@PJ\RTf1ENT APPROVAL <br /> <br />!JBJ8CRIP'I'rON OF NORK <br /> <br />---_._--._--_._--~-- <br /> <br />J N~7":.~_.2-~r Cer-lll..~ 4-/c---'LIi.~dt~_.~.!t~ ' __._____....__ '______ <br />SQUARE FOOTAGE ___.______ HEIGH'r -"..___._____ <br /> <br />BUILDING SIZEl <br /> <br />RESIDENTIAL, <br />COMMBlRCIAf, : <br /> <br />A'I"rllCH (2) pI,o'r PI"AI18 & (2) SElTS OF BtJIftlJING Pf,ANS & (1) 8El'l' ElNElRrn FORMS, <br />A'I"l;A(!!l (J) SElTS OF BUILfJING PLANS & (1) SEl'r ENElR(N FORMS, <br />PROPElRTY SURVEY RElQUIRElD FOR ALL NEW CONS'I'RUCTION, <br /> <br />~ERMITS REQUESTED <br /> <br />r:J B I J TI./JI Nc3 <br /> <br />$ <br /> <br />-.. - ~------------ <br /> <br />VALUATION OF TOTAL COHS'rRlJC'rION <br /> <br />ik1 BlLBlC'l'RICAI. <br />[] P LIlt/18 1NG <br /> <br />- --------------'.. A~1f P S El R V Ie EI <br /> <br />[) FIl.1RlfJA POHER <br /> <br />[J W,R.EJ,n, <br /> <br />~ HBlUHANH.!ATJ <br /> <br />[J (3A8 <br /> <br />[] ROOFING <br /> <br />$-_.?- '39~~__ VAI,UATION OF ttlE:C'IlANCIAI, INSTAI1IJATTON <br /> <br />[J SI?ElC!1AI/l'Y <br /> <br />Cj OTHER <br /> <br />'l'Y'PEl OF' CON8'1'RUC!'fWN: 0 BLOCK <br /> <br />[J FRA1t1El <br /> <br />[J STEEL <br /> <br />[J OT!lER <br /> <br />FIN ISHBln FLOOR EJIJEVATION8 <br /> <br />--------- <br /> <br />IS PR(XTElCT IN nOOf) ZCJl-TEl AREA. [) YElS <br /> <br />[) NO <br /> <br /> <br />BUIUH!lR <br /> <br />Blr.J1Cl'rRlc:r: <br /> <br /> <br />****************************************************************** <br /> <br /> <br />C()r1PANY_~'~n_____ <br />STATE CERT OR RE(HS'l' liE ~ CJo CJ ~.s- 70 <br />--'--..-- ....---------- CITY PROCESS IN(~ II__?~~~---=-.~-~~.~-.--=~=..~.______ <br /> <br />COftl PAN Y---..-.-__.__.______.__.. '_'_d__.__ .. _.___.__.____.____ <br />STATE CEJRT OR RElf3IB'I' # --.-.--.----...-_d________, .______ <br />CITY PROCElSSINf3 L..___._..__.__._______._____._______ <br /> <br />81lJNATtJRE <br /> <br />~...._-_._-'-~_.._--".._---_.----_........._----- <br /> <br />8 JC3lTA'l'tJREJ <br /> <br />PI,UMBER <br /> <br />~*~**~~**~***********"'************************~******** <br /> <br />--- ._'---_.--~-"--"-_...._-- ----- <br /> <br />_.---_._-~._--_._--- <br /> <br />COM PAN Y -.-..--..-----.--..----.,---___n____....._. "__'__. ._____________..._ <br /> <br />STATE CElRT OR REJf3IST # ________..._._______.._____.. <br />CITY PROCEl8SINf3 # <br /> <br />S WHA'I'tJR EJ <br /> <br />------.- ~--_.----..._--~----- <br /> <br />... ............. .................. ;!~~~;;,~'..:..~L11~~-.-~-~_"'~-~.. __ " <br />STA'rEl (!ElRT OR RElGIS'r # -----.-.-fI2.6~_?:.._____.._._ <br />CITY PRUC'ESSINc3 # /..@. <br />....---..-------- /" --~....:._--~._-_.__.~_._-_._- -_.__..._~_.- <br /> <br />* '~ * * * * .. .. * * * * * '" * * '" * * * '" * * * '" '" .. ~ * '" * '" * * * * * *.* * * II ~* r * * * * * * II * ~ * * .. * * '" <br /> <br /> <br />(.!OIvIPANY <br />'--- <br />S'l'lI'I'E CElRT OR REGIST # <br />CITY PROCESSING # <br /> <br />_.._.__.._-------~._----_.- -----._._-_.~.._---..- <br /> <br /> <br />OTUlllR <br /> <br />S WIIATURE <br /> <br />n---..__.._.____._.___~.n ~_." ._... .___ __ <br /> <br />-------------- <br /> <br />--'-- ._-"_.._------_.~._~-_._- --.. - <br /> <br />*************************************************"'*************** <br /> <br />----------..-.-------.-- ~.,----.."--------. <br />