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<br />CITY OF ZEPliYRHIIJLS PERMl'r APPIJ!CATION <br />BUILDING DmPARTM~NT 5335 8th STREET ZEPHYRHILLS, FL 33~40 <br />PhoneIB13-780-~020 FaxIB13-7BO-0021 <br />llA'rB RmnnVl!lD -1...~,/q .-=f2,2~ <br />PI,ANS RBlVIBlW Jl'BlB_'-_____ 'IL..____ <br /> <br />UNtlEJR I 8 lTA~lEl t-,....~J 11 0 AI "L ~ <br />.--____._.~.,.______._"__._.. ______..LI_____... ___..___,_ ~._. <br /> <br />PHONRJ CON'l'lV!'I' <br />w___ ____ ~..n_.______..~ h_..__~. <br /> <br />,TOB B ITEl AD[)REl8Suty::z../~_f____.___.___________.___ ____.__. <br /> <br />LHlGAL DBJ8CRIP'I'I0l1: IJOT(S) <br /> <br />BLOCK <br /> <br />SUBIllVISJOll <br /> <br />/' - i>.A~J If..,... ('l. ~..... <br />~'_"lJ:.2":.._.__.._.... .__'_~'___. '.. .,.__.~_~...___ <br /> <br />PARr!Ell, I/l 11 <br /> <br />(OBTAIN FROM PROPElR'ry '{,AX 1'10'1' WBI) <br /> <br />._---.._~-----_.__._----'--------_._-_..._-_.._._---~-~.._~---_._......_.~ _.__.._....__--._.._----~--- <br /> <br />WORK PROWSEI) I LJNBll'l C'ONS'I'RUCTION <br /> <br />[] ADDI'rrON <br /> <br />o A L'I'Hi RA'I' ION <br /> <br />[1 REJPAIR <br /> <br />1.:.1 !N8TAT,I, <br /> <br />[]strm <br /> <br />[J MOVE <br /> <br />o DEMOl,ISII <br /> <br />PRO!?OSFJIl USE: I L.lsr:)], FAfvlIIJV DNELllllm <br /> <br />[] COM~1EJR(! JAI. <br /> <br />o INDUS'l'RIAT, <br /> <br />[]# UF mUTS <br />[J SI'HtlJMING POOL <br /> <br />HT4c)'BIlJEl ItotlJl1l <br />[] OTHBlR <br /> <br />[h1UW'I" FAMJI,Y <br /> <br />CJ REi8'I'AlJRANT & HElAW.'H DEPARTt1ENT JI.PPROVAI..J <br />)JElSCRIP'!'ION OF 110RK ._ M .A...____~___._____~_._____. <br /> <br />~---_. ._._------_._-........-.~....------~ ---......----~ <br /> <br />BUIr.nIN(3 SIZE SQUARE FOOTAGE <br /> <br />/I EI H3H'I' <br /> <br />RES IDElHTIATJ I <br />COf\1MBJRl!IAL, : <br /> <br />A'I"rACH (2) PLo'r PIJAllS & (2) SElTS OF BUUIHNG PI,ANS & (1) SElT ENElRnV FORMS, <br />A'I'tAC!H (.3) sEl'I'S OF ButLIJING PLANS & (1) SElT ENElIH~Y FORtiJ8. <br />PROPH1RTY SURVEY REQUIRED FOR ALL NEW CONSTRUC'I'ION, <br /> <br />iE~TS REQUESTED <br /> <br />C1 8lJILIJINf1 <br /> <br />L_.______,__._. VALUATION OF TOTAL CONSTRuc'rrmr <br /> <br />L1 BJl,8JC'I'RlCAI, <br /> <br />_ ___________.____~ AtiJ P ~ Hi R V I eEl <br /> <br />[J FIDRIDA POWER <br /> <br />[1 vl.R.E.C. <br /> <br />[] PLtJtlJB ING <br />U IIJEiUHlI.NH.!AI, <br /> <br />$._.... <br /> <br />--- VALUATION OF tiJECHJ\.NCIAL HIS'I'AI,IJATTON <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />LJ SPEC!1AL'l'Y <br /> <br />[] OTHER <br /> <br />frvpm UF Cot18'I'RUC'rWN: [J BLOCK <br /> <br />[] FRAlIJEl <br /> <br />[] S'I'EElL <br /> <br />[] OTHER <br /> <br />FIlUSHHlIJ FT,OOR IlJIJEJVATIONS <br /> <br />IS PRO,TEC'I' IN FLOOD ZONEl ARElA[] YEla <br /> <br />o NO <br /> <br /> <br />BtJIU)BlR <br />81GNATtIREl _.._~~~________.__.____ <br /> <br />CotIJPANY_._Ll. _____.______.__ _. <br />STJI.'I'E C!'JR1' OR RElGIS'1' # -------___m.m___. ____ <br />CITY PROCElSSING L.m___._______________._ ,',_"_,..___.. <br /> <br />"**"**'*"'**"**"'*'*******'******'******'*'*""**'*"*"'*'* <br /> <br />BlUlC'rRIC!AN <br /> <br />S] mTA'1'tJREl _____ <br /> <br />~--_.- <br />W' - -.. <br />. ....--.-..,. ..... .-. -._-_.,-~-~ -..-.._~-_. ".....-.---..---.' .-_..- -.. -.---.-------..--- <br /> <br />CO!'1 P AN Y_ ,A~~__ __ ____~ .~___ ___.____. <br />STATEl CERT OR RElnTS'!' # <br />CI'I'Y PROCESSING # <br /> <br />0-_.-__- ___.._~.~__. __.'_____.._ _. + _. __.,._.,.._.__~______ <br /> <br />SWNA'I'\JRIil..__._~.~~ <br /> <br />***'**'******"*******************"*"*********'**"**""""**' <br /> <br /> <br />(~(jfY1PANY-'-"~-___.._____._..__.__,______m______ <br />STATE CElRT OR REGIST # ________.___.._____._____. <br />CITY PROCESSING # <br /> <br />PI,UMBER <br /> <br />.._--._-~..._~-.----~--_.-._._._._~------_.._- <br /> <br />MBlCHANICAJ. <br /> <br />~-_.._-_._._._.- <br /> <br />SmUA'l'IJREl ". ) ..jf. J II. /iJ) <br />_..~-~ - ~-----_._--- <br /> <br />***'**'*'*'***'*********'********"'*""""'*'*"'**""*'*"'" <br />COI'1J P ANY_......L1. '::':::=:::u.___.__.____ '___.u___ __ __..___,.___._ <br />8TA'rE CE1R'r OR REG I 8'1' # <br />CITY PROCESSING # <br /> <br />~ -----...._------_..._._-----_..._-._,._._~-- <br /> <br />*"'*****'*'******"***"'**'*****'***~"*****"******'*"*""*' <br /> <br />OTUBlR <br /> <br />--_._----~--------_._. <br /> <br />CCJ!.1PANY <br />STl\TE CElRT- OR RElC1I8T -r-------.-------------. <br />CITY PROCESSING # --..-.---.--,----------------- <br /> <br />--..__~_____..o...__~___._____'____._.______~ <br /> <br />SWNl\'l'IJREJ <br /> <br />**"*'*"***'*"**'*******"'*"*'*"*****'*'*"**'*****"*"*'" <br />