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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUlunNG DIllI?AR'I'MElN'f 5335 8th S'fREIll'f ZIllPHYRHII,LS, ll'L 33540 ... <br />PhoneI813-780-n020 Fa~1813-780-0021 <br />DATBI RBl<HIlIVlllD _____~c.~ .:.~-'-'" <br />PI,AUS RlIlVIBlW I'BlBl_'-_~~"__'~:d_____' <br /> <br />OWNBR' B !lAMB_'V ~",-,~-JL~"c2-i::'~__________,___ P"ON" CON'J"C'~2!1':?c,::Z!!''[_c <br /> <br />,TOB B 1'1'9 '''''R'9B_ ____315 ?-2/_____J! 'fJe<!c!:'____ _"-_'!~~.._ _-2o/"f.;:r..;( ,,/Is: ___ __ _ <br /> <br />IJEJCJAL 1J818t~RTP'rlON: LO'r(S) ____________ BUK'K ________ SUBfJIVISroN f/JI'37--~_._C;e:<!?~_'5:... <br /> <br />PJ\ROIllI, In # <br /> <br />WJRK PRnpSEllJ I [JNBlN r'ONS'fRt1CTION <br /> <br />o J\DIJ!'rWN <br /> <br />o AUfElRATION <br /> <br />------.---------.-~-----.-----.--.-. .--.-.._ "4...__________..__ <br /> <br />(OBTAIN F'ROM PRnPElR'l'Y 'I'1\){ NO'l'H~m) <br /> <br />.-------.-.--.-- <br /> <br />[) 8 mu <br /> <br />[] RElPA I R <br /> <br />U TUBTJU,I, <br /> <br />o MOVE <br /> <br />[] DElMOI,ISl/ <br /> <br />I?ROI:'tlSEJI1 USBll (Olsen, F1\MIIJY nWEIJIJING <br /> <br />fl r1Ut/rr . F Ar1I I I Y <br /> <br />[)# (IF UN!'I'S <br />[JSWINMING POUI, <br /> <br />[] MOB!I,Bl llorilllJ <br />[J OTHER <br /> <br />f] Cm1MElRC! IAI, <br /> <br />[J INDUSTRIAT, <br /> <br />o R&:8TAURANT & IlElAlmr DBlPARTlilElN'f APPROVAL <br />"EBeRIP'I'WN OF WORK ---c{c/d.~_-j2/~s i- L-l-Fi,L__<;??-"-'i_~ -Jf------ <br /> <br />BIJH,DIN(1 SIZE! <br /> <br />--------- <br /> <br />SQUAREl FoO'rAGEl <br /> <br />RElBIDBlNTIAJ'I <br />(JOMMElR(!IArJ: <br /> <br />1\'I'TJ\r!H (2) PI,o'r PTJAI1S & (2) SElTS OF BtJ!JJnnm PLANS & (1) 8ElT ElNII1ROY FORMa. <br />A'r'1'Atm (.3) sElni OF Butr.rnNG PLANS & (1) SElT ElNBlR(N FORMS, <br />PROPElRTY SURVElY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />HElJGH'r ______~__ <br /> <br />FERMITS REQQESTED <br /> <br />[) Bll rr,IJINC~ <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONS'rRlJC'rION <br /> <br />!J BJLBlCTRlCA/, <br />!] PI,tJMBING <br /> <br />-.------------- <br /> <br />MtfP SEJRVICE <br /> <br />o <br /> <br />Fr,cJRIOA POWER <br /> <br />o <br /> <br />W.R.H1.C, <br /> <br />o ItfBlUHANrc!1\.TJ <br /> <br />$---_.' <br /> <br />~ VALUATION OF ItfECHANCIAL, HISTAr,IJATTON <br /> <br />(] GAS <br /> <br />f.] ROOFING <br /> <br />[J SPEC1tAl,'fY <br /> <br />[) OTHER <br /> <br />'1"tPEl OF C!ONB'I'RtJc'rWliIl [J BLOCK <br /> <br />D FRl\MEl <br /> <br />!J S'1'ElIllTJ <br /> <br />[) OTHER <br /> <br />FINISHEllJ FLOOR ElTJE1VATIONS <br /> <br />IS PRO,TE)CT IN FLoon Zen-TEl ARBlA 0 YES <br /> <br />D l~() <br /> <br />~ <br /> <br /> <br />SUII,OBlR <br /> <br />Bly,mOTU 0 IAN <br />BlllNA'J'ilRE 4:])~_V:<~____ <br /> <br />****************************************************************** <br /> <br />COlil PAN Y --- -"----_______. ______________ _m______._ _____.________ ._ <br />STATE CERT OR REGIS'!' # ____________________'-- _~____ <br />C I'l'Y PROCESS 1NG #l_.____________..______________.________._ <br /> <br />SIGNATUREJ <br /> <br />. . - <br />_.._-_.._'~._-----'-.._.._---~----------_._-~- <br /> <br />COI'1PANY (1wh o A/" <br />-,.--C,l...~---~.~____ ____ _._________.. '__. <br />STATEl CElRT OR RElGrs'!' #I <br />CITY PROCElSSING # <br /> <br />---~'--"---' ---..--- <br /> <br />._-._-,..~------,~ -..-..---.---- '~-"--. _. ...- <br /> <br />PIJt1MSBlR <br /> <br />****************************************************************** <br /> <br />._-------~--_._------_. -'---"-'.' - - ~-------. -'-"~--- <br /> <br />_..._.._-~~._-~.~...-.._--- -~---- <br /> <br />.----.----- <br /> <br />(~OM P ANY --_____.__________-,-____________.._.._______".__ ._.___________.__ <br /> <br />STATE CElR'l' OR REGIST # _____~_.______..._ <br />CITY PROCESSING # <br /> <br />S WNA'l't7RE <br /> <br />****************************************************************** <br />MIIlC1HANICAf, cotvJPJ\NY ______________._______________.______._ <br />STA'rEl ('I1lRT OR REll3I8'r # -----.------------~----_"_u_. <br />ST<1N1\1'tJ~El CITY PROCESSING # <br /> <br />-~._-+..~--------------.----____u..._ <br /> <br />O'I'HBlR <br /> <br />**************************************~************************** <br /> <br />------~--_._-_..__._-- ---------- <br /> <br />""'----"""----~-~---- <br /> <br />---._-_._---------~ <br /> <br />C!()~1 P ANY <br />STA'I'El C!};JR~RElOIST <br />CITY PROCElSSING # <br /> <br />r------------.----------.------ -- <br /> <br />S WIl1\T1JRE <br /> <br />-----------,---------~.-...~--- -, <br /> <br />***********************************************************~***** <br /> <br />--....._--~-~-,._-_._---~--------.,-_.._-_._--- <br />