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<br />ONNEJR I S l1M1El ..JO,/J to. ~W <br />-------------.-.-'f:-U~_____________ ...__________.________ <br /> <br />l108 S I'rE ADnRBl8S_~?_ttl_s..~/,m()/!~___!?f._______________ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DIllI?AR'I'MEl~r 5335 8th STREBlT ZIllI?HYRHILLS, FL 33540 <br />PhoneI813-780-~020 Fa~1813-780~0021 <br />tH\.'I'1ll RIllOJllIVlllD _.__"_ c~~~_ __.__ h <br />PI,ANS REVIBlW rEBl_,",_"_"__ t:___. <br /> <br />... ,. .. <br /> <br />PHONEl CON'1'Ar!'!'..Zlfl_-:-f.i:>_.2.7" _______ <br /> <br />LBlGAL D81SCRIPTION, LOT(S) <br /> <br />.----.--.--- .~--------_._------- -----.-- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />--..__.~~_._---- <br /> <br />PARnEll, In It (OBTAIN F'ROM PROPElIVry 'I'AX NOTWIll) <br />WJR' PROP8..'~[JN.N '~;J~-;;';"C;:;;)~-~O ~;);J rr Im;-o ^;";.R~~ IO;..- ~;;'-;---.IJ u;;;1'~r:r-:-.- <br /> <br />-...-.....-------.. ... ~.__.~..._- - <br /> <br />[J S re3N <br /> <br />o MOVE: <br /> <br />[] DEW)1,ISII <br /> <br />PROPUSFJIl USE I nSGIJ FAMIlJY DWElLr~Ul(~ <br /> <br />[J~1UUI'I - FAMIl,Y <br /> <br />0# OF UN I'l'8 <br />[] SW!tiJMING POUL <br /> <br />I~B II,Bl lIorilBl <br />[J OTHBlR <br /> <br />f] C0/1MElRc! TAl, <br /> <br />[J INDU81'RIAIJ <br /> <br />CJ R~8Ti\lJRANT & HElA1,TH DElPAR'n1ElNT APPROVAL <br />))EJSCRIP'l'ION OF I'WRK (flR'?-M_t!lM-e!__.-5C7t!v.!..~~;p-,vrL <br /> <br />_._.~----_.. .._--------_._.~- -----_.~._--~_._.-.._- -.--~ ....-- -- <br /> <br />BlJILfJINtJ 81 ZEl <br /> <br />.---_..~-._----- <br /> <br />SQUARE F'OO'rA<JE <br /> <br />RE8IDElNTI1\l'1 <br />C~OMMElRCIAr~ I <br /> <br />HEl1l1ft'r ___________ <br /> <br />A'r'rJ\CH (:3) PIDT PI"1\llS & (:3) SElTS OF BUU,IJINI] pr ,ANe & (1) SEl'f ElNElRny FORMS, <br />A'r1;ALm (.3) SETS OF ButLDING PLANS & (1) SET E1NElfWY FORMS, <br />PROPERTY SURVElY RElQUIRElD FOR ALL NEW CONSTRUCTION, <br /> <br />iE~ITS REQUESTED <br /> <br />[J BIII r IIJINr~ <br />P.fELBlCTR 1 CAll <br /> <br />$ <br /> <br />.joo <br />------- <br /> <br />VALUATION OF 'rOTAI~ COl\fS'rRlJCTION <br /> <br />--f.QQ-----c... J\t.1P SElRVlCEl <br /> <br />o FI,rJRIDA POWElR <br /> <br />o W,R,E,n, <br /> <br />[] pwrilBING <br />o lilBlUHI\NWA1, <br /> <br />, <br />$----"- <br /> <br />- VAI,UATION OF MElCHANCIAr, INSTAlJIJATTON <br /> <br />[J r3A8 <br /> <br />f] ROOFING <br /> <br />[J SPElC!tAI!l'Y <br /> <br />[) OTHER <br /> <br />'l'YPEl OP' CONS'I'R{J(!'rWN I [J BLOCK <br /> <br />[J FRA1i1FJ <br /> <br />[J S'I'EIllL <br /> <br />[J OTHElR <br /> <br />FINISHElIJ Fr.oOR ElI~EVl>:TIONS <br /> <br />------- <br /> <br />IS PRlXTECT IN FLOOD ZONEI ARElA 0 YES <br /> <br />o Nu <br /> <br /> <br />BunnBlR <br /> <br />Blr'BlCfTRICIAN~J J <br />../rI . <br />S j GlT1\'I'lJRE __ ___ '__ ___.~___~_________________ <br /> <br />****************************************************************** <br /> <br />C!orilPANY ----.---_____u_.__________..___ _____________.__.____.___._ <br />8TA'I'E CElRT OR RElt3IB'I' # ___.______ _______________, ________ <br />C lTY PROCIll88!NG iL___________________________ _______________ <br /> <br />SlGNATtJREl <br /> <br />- - <br />_.~'_._-'---._---".........._------_...------_._----- <br /> <br />Cm1PANY~~!_tv,$~_M~L~.5:._~_~~____ _______ <br />STATE CElRT OR REGTST # <br />._~-,.__. --.--... ~ .------ ---.--------..----- -- <br />CITY PROC!ESSINlJ #__2J>~_________.__ ______._~___ <br /> <br />PI,T1MBBlR <br /> <br />* ** * ** ** * ** ** A** '" "'***** * ** * * * '" * *** ** * ** * *********"***** ** ** **** *** <br /> <br />---~__v_._.__..._____.___ <br /> <br />._---_._~_._-- <br /> <br />C! 0 1>1 PANY --___________-:--______________~_______ <br />STATE CElRT OR REGrST # --------~----___h. <br />CITY I?ROCElSSING # <br /> <br />S Ic3HA'l'tJR EJ <br /> <br />MEdHANI CAT., (!OIVlPANY ____________.____________ __________ <br />STATEl (!I1lRT OR RElGIS'r # ___________________________ <br />STGN1\'I'tJt:l.El CITY PROCESSING # <br /> <br />~***************************************************************** <br /> <br />---_..._._~----,---+----_._._-----_.- <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />..--.._--~_...,----'-----._---.._--------- <br /> <br />(!{)~1 P ANY <br />STA1'BJ cERT-oRREOIST #1 <br />CITY PROCESSING # <br /> <br />SI<m1\TtJREl <br /> <br />. ---_.__.__.-._.,--_..--'~.._- <br /> <br />__.4__.____.___.....__.____ ___ ~ <br /> <br />***********************************************************~***** <br /> <br />--"._----_.._......._._.----_._._-----,-~.,--_._--- <br />