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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII,DU/(~ IHlJl?ARTMIllNT 5335 8th S'fREE'f ZEPHYRHILLS, rL 33540
<br />I?honeI813-780-n020 FaxIS13-780.0021
<br />DATBl RlIOmrVl!ID .I-:J?.l:p.~__
<br />PIJANS RmVIBlW rBlBl '...
<br />OI1I1B.'. IIAMO<::::jf;6E~{ J ~ ~h,>---____u. PHONB coN'j'^"1'i'~~~;i~~_~_
<br />,T08 8 ITEl ADl)RFlJ88V'~___2'lP~_el_h.2_~A~~________________________h___________,______ ____
<br />
<br />IJEJrJAL DESCRIPTION: LOT(S)
<br />
<br />BfJOCK
<br />
<br />SUBDIVISl'ON
<br />
<br />--.._~_._--
<br />
<br />PAROB', It> #:112'-& z: CQQ?-1li2 ~~ c>.C> &cJ 10 .._..I_O~TA:"_FROM PROP.RT~T.~X_~~~"'8!__
<br />HURl\: PROPSElIlI [JNFlJN c'ONS'fRt1CTION [J ADDITION rJAL'I'ElRATION [J RElPAIR IJ INSTAL!I
<br />
<br />--~_.-.._..."-~,..._.,_.<_._---
<br />
<br />[JSH;tl
<br />
<br />o MOVE
<br />
<br />o DElf.10I,ISH
<br />
<br />PROI,IOSEll USE I CJ8GI, FAMILY DWEJLIJING
<br />
<br />[]t1lJUI'r. FAt"'U.Y
<br />
<br />[] # OF UN n'8
<br />rJSWIMMING POUL
<br />
<br />[J MOB!I,El HOt1El
<br />IJ OTHElR
<br />
<br />rJ COMMIlJR(!lAI,
<br />
<br />[J INDUS1'RIAL
<br />
<br />~,,']~.TAtJRAHT & 118",1'11 DmPARTMo,,'1' APPROVAL
<br />Ilm.ORIP'1'WN OF 110R~~<J"IL"'.':I:" <;C~ ~ ~ ~~.il.A--"'~__~___
<br />B!1Ir.rHNH SIZE -~-- SQUARE FOOTAGE
<br />
<br />.------~_.__.._--
<br />
<br />REJSIDENTIAL!
<br />(~OMMI!lRC!IAI'1
<br />
<br />.....--- --------,..-
<br />
<br />HElH3H'r
<br />
<br />A'r'rT\CH ( 2) PIlOT
<br />A'I"liA(~H (,]) BE'fS
<br />PROPElRTY SURVEY
<br />
<br />PIJAlrs & (2) SETS OF BUIT/DUH) PLANS,&- rn- sEI'r ENIllRO'lFORMS,
<br />OF BU!LIJING PLANS & (1) SElT IllNEla.ffYFORMS,
<br />RElQUIRIllD FOR ALL NEW CON8TRUc.rimr,
<br />/
<br />
<br />._--"'--~-'--........._-
<br />
<br />)6"'!3tJ IJ,lJINc~
<br />)${'ElLmCTRICJAl,
<br />
<br />, #:
<br />$_LQ/l7 -
<br />
<br />FERMITS REQUEST
<br />
<br />
<br />C!.,dL
<br />~ {'f- --~ 3 Z- f
<br />
<br />
<br />._--.-::.~ VALUATION OF 'fOTAIJ CONSTRt ~
<br />
<br />- ------...-------
<br />
<br />m1P SElRVICEI
<br />
<br />o FLORIDA POWER
<br />
<br />o
<br />
<br />W,R,EJ,(!,
<br />
<br />[] PI,UMB 11'1[3
<br />o I1ElUHAN WATJ
<br />
<br />.
<br />$----,,-
<br />
<br />VALUATION OF ~-1E:CHANCIAL, IHSTAI,lJATTON
<br />
<br />[] (JA8
<br />
<br />LJ ROOFING
<br />
<br />[J SPIllOIAI/l'Y
<br />
<br />[] OTHER
<br />
<br />'l'Y'Pl3l OF CONS'I'RtJC!TION I [J BLOCK
<br />
<br />[J FRAMEJ
<br />
<br />[J STEEL
<br />
<br />[] OTHElR
<br />
<br />FIN ISHElll FLOOR IllfJEV^TIONS
<br />
<br />------..----
<br />
<br />18 PRO,JECT IN FLOOD ZONE AREA 0 YIllS
<br />
<br />o NO
<br />
<br />
<br />Bt1ILnIllR
<br />
<br />SIGNATUREl
<br />
<br />CDt1PANY___\ ---~--___u,______ '___.___________
<br />STATE UEJRT'-rm REJ(]tST # ___"'__________________,__,_~____
<br />CITY PROCESSING L.,_________.__________ ____,____.._____
<br />
<br />.1'.<1TRI~:~ ~ C#I- COMP.NY_~ttLV~____.______
<br />
<br />81 "ll^'1]JRp-~C_ ___~_= _____.._ ~;~'~. P~~~~.~~,,~B~ r:~#_=::.=====.=..:::~
<br />
<br />******************************************************************
<br />
<br />PIJt1MBlIIR
<br />
<br />._-....~---~------.........- -~~
<br />
<br />-.---..---
<br />
<br />COMPANY_________-._______________.._
<br />
<br />STATE CElRT OR RIlJ(]tST # _______.-----'_____..
<br />CITY PROCESSING #
<br />
<br />SWNA'I'lJRE
<br />
<br />Ml/lCHANICAf,
<br />
<br />******************************************************************
<br />
<br />--_..._..---------.-....-__._-_.~--
<br />
<br />-----.---------------..-----.
<br />
<br />(!olvJ PAN Y ____ ._.__._.___________,______..____
<br />STATE ('EJRT OR REGIS'f #________________._________
<br />CITY PROCES8IN(] #
<br />
<br />SIGNA'I'l1REl
<br />
<br />OTHBlR
<br />
<br />*****************************************************************
<br />
<br />---..-----.--.-----
<br />
<br />--__.c.-__
<br />
<br />---'---------..-
<br />
<br />-....----..
<br />
<br />(~m.1PANY
<br />STA1'E1 cmRTQ'R REGIST #I
<br />CITY PROCElSSIN(] #
<br />
<br />S ImrA'l'URE
<br />
<br />--...------..--.....-.-.-~.__. 'M__ .___
<br />
<br />-----~-- .--- ---___00;_____.__ __ _.
<br />
<br />*****************************************************************
<br />
<br />______.._._M~.. _.......__.__._--~-.._.__._-a....... ___~'. ____.. ____.
<br />
<br />,-
<br />
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