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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUII,nnw IHlll?ARTMElNT 5335 8th STRl!JElT ZI!Jl?HYRHILI,S, FL 33540 <br />Phone'813-780-~020 Fa~1813-780-0021 <br />lJA'rB1 RBcJiJrVI!ID /~-~~~cE~.J.___ <br />Con I '1 N Pl.AHS RHlVIBIW rg..___.__.__. ":_____. . <br /> <br />CMNEJR I S !lAME! ___~ _._~~_.~_~_ _,~_~~.__ ___ ________. _ ___._._____._ PHmm CON'l'1\(~'!.__:2. '~,.:?~.?.~ '11 <br /> <br />,TOB S I'l'El ADDRESS ..Lj_'1_9....$_.. ._L.1L it-g-~e.._._~-t_..____. ___ _____ ... ______'___ ______ _. _. ___. <br /> <br />LEGAL DEJSCRIP'I'IUI1: LOT(S) BU)CK SUBIJlVISJotl W~_f\~_~__~_~...____.__._ <br /> <br />--'------_._-~._._--- <br /> <br />PAR""" III 11_' Lj~:;) 1, ~~ ~L::- ~ ~ eo -~ O~ 0 () - O()..2 \:l ~...t.OBTAI!'~~FROM!~(~P:'~~y ':.. u~".~I"".)~ <br />~~(JRK PROPSEVI [JNBlI1 r.'ONS'l'Rt1CTION [] ADDI'I'ION OAI/I'ERA'I'ION [J REPAIR IJ INSTAT,I, <br /> <br />USfGll <br /> <br />[] ~10VEl <br /> <br />o DElWJl,ISII <br /> <br />PRtWOSEJIl USE: I LlsmJ FAt-lILY DWELI,Ilm <br /> <br />n ['1lJ un, F Af'-1 rr., Y <br /> <br />[J# UF lJlUTS <br /> <br />~MOBII.EJ Hot-1E <br /> <br />[] CClt-1f\1ElRC! fA IJ <br /> <br />[J INDUS'l'RIAT, <br /> <br />fJSNH1MIW) POOL <br /> <br />LJ OTHElR <br /> <br />! <br />~4. F L(;jt {~G\ Q.OO)V\ CJ RE18TAlJRAH'I' & IIElALTIl DElPARTt.1EN'I' APPROVAL <br />IlESCRIPTION OF "OR;-.~ R ~~~-...J.o:!)il~ )efly .Q "J,b..!:L.~_~b_~ l\.~ <br />3 3/ <br /> <br />B!JILTlING SIZE <br /> <br />-------_.-._---~~ <br /> <br />SQUAREl FOOTAGE <br /> <br />RElSIDElNTIJ\TJ I <br />COMMERC!tAIJ: <br /> <br />-.-- --------- <br /> <br />HElIGH'I' <br /> <br />ATTACH (2) PLO'I' PIJAllS & (2) SETS OF BlIUDING PI,ANS & (1.) 8E1T ElNElRny FORMS, <br />A'I''l'AC!H (.3) SE1i'I'8 OF BUII,TJING PLANS & (1) SElT ElNElR(N FORMS, <br />PRoprnRTY SURVEY REQUIRED FOR AI.L NEW CON8TRU~I'ION. <br /> <br />.__.._-~- -'--------- <br /> <br />L1 Blnr.IJINrl <br /> <br />iERMITS REQUESTED <br />$-----1.._'-/ 00__. _, VALtJATJON OF TO'l'AL CONS'fRlJc'rlm~ <br /> <br />L1 EI,ElC'I'RlCAI. <br /> <br />-.----..----_~ At-11? SERVICEI <br /> <br />[] FLORIDA POWElR <br /> <br />D W,R,EJ.n. <br /> <br />[] PI,lJt-1BING <br />o I1BJ<.!HANWAT. <br /> <br />[] (lAB <br /> <br />~ROOFING <br /> <br />, <br />$--~-.._------_. VALUATION UF tIJEC!lANCIAI. UIS'l'AIJIJATTON <br /> <br />LJ SPEC!IAL'l'Y <br /> <br />[J OTHER <br /> <br />'l'YPEl UP' CON8'I'Rl1L!TION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[] STEEl!' <br /> <br />[J OTHER <br /> <br />F 11\1 ISBElll FLOOR ElI,ElVATIONS <br /> <br />------~-- <br /> <br />IS PRO,TElC'I' IN FLOOD ZONEl AREAD Y'H!S <br /> <br />o No <br /> <br /> <br />****************************************************************** <br /> <br />.11 <br />Ji! <br /> <br />Cot1PANy__IA.!b'._!'f~L J.~----'_H~.~~c..b-i------ _'. <br />STATE: CFJRT OR REGIS'!' # '-'-C;::-b~.QuCd.-.J._....____ <br />CI'l'Y PROCElSSING tL_.--~-~9__L__________._.._.n_.,___. <br /> <br />Er.B1C'rRICIAN <br /> <br />"... ...-..----.----..------.-.-.- "'--..-.--.--. --- _."._--_.~---_._-. <br /> <br />CO~1PANY ____.. .__ .._._.___._____._._____.._.__.__._...._.._. '__ '___ <br />STATEl CBRT OR RE~TS'l' # <br />CITY PROCESSINll # <br /> <br />--~_._<-- ----....- ~ .-.-...-..---..-.--- ...--..-.--. -. .- <br /> <br />S JC3l1A'l'IJREJ __'" <br /> <br />p r .UMB B1R ( ~(jt-1 PAN Y ___________ ._______ _______.____.,__.._.. ___.._______.._ <br />STATEl CBRT OR REGIS'I' # ________'__._____,__._~____. <br />SI(mA'I'lJRBl (;J:'1'Y PROCESSING # <br /> <br />* h * * * * * I< * * h * *. * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />---.-.----...-. --. ._..~~_._._..._.. ---. -"-_.--"---,,"-,-~- <br /> <br />MECHANICAl. <br /> <br />***********1.****************************************************** <br /> <br />COI',1PANY ________.___ .________________...__..____ <br />STATE (~HlR'r OR REGI ST # <br />CITY PROCESSING # <br /> <br />-------.-------.-- ._.-._-.~--_ ..~__._._u~ <br /> <br />SWl'lA'I'tJREl <br /> <br />-.----.--.----..------..------.----.....-----------..--.---- <br /> <br />**************************************~************************** <br /> <br />_.__..._--_.~--_.__.__.._------~- <br /> <br />OTUBlR <br /> <br />----.-------------. <br /> <br />..---- <br /> <br />(;Ot.1 P ANY <br />S'1'A1'El CElRT- OR - RElmsT#----------------.-.------- <br />CITY PROCElSSING # ------__._____._____,_______. <br /> <br />S WHA'l'URE <br /> <br />._-------"-~------ <br /> <br />***************************************************************** <br /> <br />--~--~-_.._.._-_._----~---_....._._-~---~. --- <br />