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<br />OI'lNElR I 8 IlM1E {ry.. A_J (-10_ (1....-J <br />-----.-. --.---. ---------------.-.--~------ --- --7-~-:-.-------- ---------- <br /> <br />,TOB S I'l'E ADlJRBl8S_~.G'_'C1 ~::--J7/t! J---~-19J:!..e._'-___"_______________.____.__q___ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DIllI?AR'I'MBlNT 5335 8th S'fRBlBl'f ZIllPHYRHII,LS, FL 33540 <br />PhoneI81]-780-~020 Fa~1813-780-0021 <br />DATE RIllOlilIVlllD -L:--2g::~3_ h <br />PI,AUS RlIlVIBlW I'IBI_'-_"___~"t!_____. <br /> <br />, . <br /> <br />PHONE CON'l'J\r~'I' <br /> <br />-"--~_.-..-~._._- -'-~-.'-'-' .----..--- <br /> <br />!JElGAL D81SC!RIPTION: LOT(S) <br /> <br />B U)(! K <br /> <br />SUBIllV I S JON <br /> <br />--..--.--------- <br /> <br />PARC1ErJ HI # <br /> <br />--.......-.------.. --....-..-.--.-- <br /> <br />o ADDI'rImr <br /> <br />[J ALTERATION <br /> <br />------~---_.--._----_.-- ._-......_~-----_...- <br /> <br />(OBTAIN FROM PROPER'ry 'I'Al< NO'1'WE) <br /> <br />HrJRK PRnPBED I (]NIlJN c'ONSTRt1C!'I'ION <br /> <br />--_._-------'--~._----------'--- <br /> <br />[J RElPIHR <br /> <br />[J INSTAl,}, <br /> <br />[lsnm <br /> <br />o MOVE <br /> <br />[] DBlMOI,ISII <br /> <br />I?ROl-'081lJIl USE I LlSCHJ F1\MIIJY DWELrJIl%1 <br /> <br />[h1tJUI'I.. FAI-UI,y <br /> <br />fJ# OF UN!'I'S <br /> <br />B MOB I f,El !tolilBl <br /> <br />U C0/1MI1IRC1JAT, <br /> <br />[J INDU81'RIAIJ <br /> <br />[JSWIMMING pour.) <br /> <br />/] OTHER <br /> <br />IlBlSCRIPTION OF WORK <br /> <br />CJ R~8TAURJUIT & HEAIlTlr DEPARTt.1ENT APPROVAL <br />M. (I" <br /> <br />s-d <br />~----~._------- ------'-.------------.-----..--- -------- .-.---- <br /> <br />SQUARE FOOTAGE ______~ HEIGH'r ...____..________ <br /> <br />8t1U,fJIN(~ SIZE <br /> <br />--.----.--- <br /> <br />RESIDENTIAl'1 <br />(~OMMER(nAr, : <br /> <br />A'I"rJ\Cm (:2) I?I,OT PIJIUlS & (2) SETS OF BUIJ,DING PI,ANS & (1) SEl'r ENERGY FORMS, <br />A'I"I;1\T'H (.3) SE'rs OF BUIIJDING PLANS & (1) BE'r BlNElFWY FORMS, <br />PRCl!?B1RTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION. <br /> <br />FERMITS REQUESTED <br /> <br />tJ 811IJ,IJIN<~ <br /> <br />$ ------- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />L1 ElLBlC'I'RWAr, <br /> <br />_._---...-'"'""----~ <br /> <br />At-1P SERVICE! <br /> <br />[] <br /> <br />FI,ORInA POWER <br /> <br />[) <br /> <br />W.R,E,C), <br /> <br />[] Pl,tJtilBING <br />o IIJEUHANIl!ATJ <br /> <br />$--.---.- <br /> <br />- VALUATION OF tlJECHANCIAI, INS'I'ALIJATTON <br /> <br />[] (JAS <br /> <br />f.] ROOFING <br /> <br />fJ SPECJtAUry <br /> <br />[I O'I'HElR <br /> <br />'l'YPHl OF CONS'I'RUUTION I [J Bl,()CK <br /> <br />o FRAMEJ <br /> <br />[J S'I'ElElIJ <br /> <br />[J OTHER <br /> <br />FIN ISHEI) FLUOR EIJElVATIONS <br /> <br />_.-----~- <br /> <br />IS PROLTBlC'I' IN noon ZONEl AREA 0 YHlS <br /> <br />o NO <br /> <br /> <br />BUILOlllR um1PANY <br />...t/..A-/? STATE CElRT OR REGIS'l' # ____.______._______._~.'_'--___ <br />· t GHATIJRO .h/ ~_________ C,I'fY PROCO..ING 1L_..fj..&'-__~._...___.._._._ <br /> <br />****************************************************************** <br /> <br />liIf,JlOTRICIAU <br />SJGlrA'l'IJRE -----.-w--~~n---_-_-__-- <br /> <br />cor1PANY A<:.... <-- <br />_..-L...~____..__.___.,____~_ _._____._.__...._________. __'__ <br />STATE e'ERT OR REGIST << <br />CITY PROCESSING #/-0/7--------------------- <br /> <br />------I---ff.--____. _.__._.__._ ..._....____..____"---_ <br /> <br />* * * * * * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * >I- * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />(!Of>l PANY ---.L!~!..d---._____________.___________ <br />~ STATE CERl' OR REGIST # _ ____~_~____._______.. <br />· I<lHA'1'1JRO -._Jd..~..=L!::.~ ._-=.._ r!I'l'Y PROCO.. ING # --.y1?_____._~___ .___ <br /> <br />PJ,t1MBBlR <br /> <br />****************************************************************** <br />MBlCHA1U CAr, cotv! P ANY ~t:;- ~ ___ . ____._________ ____. u________ <br />STATE ~ERT OR REGIST # <br />.WNAT".. ~ W ~~___ CI1'Y PRO"O..ING #_J5=':'~-=='~~..=~~== <br /> <br />**************************************~************************** <br /> <br />OTIIBllt <br /> <br />..._----------,"---- <br /> <br />----------.. <br /> <br />(~m.1PANY <br />STATE] C'BlRT OR Ri~#------------------- <br />CI'rY PROCESSING # --________.____________. <br /> <br />S WNA'l'tJREl <br /> <br />***************************************************************** <br /> <br />------.__-+-o..-..__..___.____~._______.____....__ .____. <br />