|
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ~
<br />BUII,IJUW DEPARTMENT 5335 sth STREHI'r ZIlIPHYRUIIJI,S, Fl, 33540
<br />PhoneI813-780-0,020 Fa~1813-780..0021 -"7._.1'''7._ . <..
<br />IJA'rBI R1ll01!lIVllID ~_ {~_",o.._~
<br />PIJANS RHlVIBlW Jl'1ll1l_ ~.._.."L' __...
<br />
<br />Oi'll'''' '8 IlAN' _~TQ~,\_ ~~.I[Le~'-LQ;CiJ'- _(2 ~ Yl~'T-- PHONO CON'J'",'''. ~~~~. .... . '..~__
<br />
<br />,JOB S I'l'El ADlJRBlSSS'.2tr)..___ 3" r:..':!.__ s-t--________________h_____________.__________...
<br />
<br />IJEl(]1\L DElSeR I P'r ION: un (8)
<br />
<br />BfJOC'K
<br />
<br />SUBDIVISION
<br />
<br />w___._______~______
<br />
<br />-- -.----------.... -._._.....4'____.
<br />
<br />PARCEll, III It
<br />
<br />-,._-----~._.~--------_.__._._--
<br />
<br />-----.---.-- ~--..-.._----_..- -------------.------------- _._._~... - -- -,-- .----....-
<br />
<br />(OBTAIN F'ROM PROPER'I'V 'PAX NO'l'H'Bl)
<br />
<br />HORK PROPSBllJr [JNElN l'ONS'I'RUCTION
<br />
<br />[JSWN
<br />
<br />[] Arm I'r ICJN [J ALTERATION LJ RBJPA [R U ] NSTA!,!,
<br />[J MOVE [) DElltlOI,ISH
<br />[lr-1tJI.'I'I. FAI"lII.Y 0# OF UNI'l'S lJ MOB Ir.Bl II ot1 III
<br />[J INDUSTRIAL [J SN n1MINr~ POOL [] OTHi!JR
<br />
<br />PROPOSEIl USE: I [JSGl, FAtvlI!JY DWElLI,ING
<br />
<br />[J Cm/lfl1ElRl!IA {,
<br />
<br />1lE18CRIP'l'IClN OF
<br />
<br />D RE18'I'AlJRANT & HEALTH DEPAR'n1EN'I' APPROVAL
<br />
<br />I'1ORK ,~~_~.~__ --'---__n_~___,____.____.__.._.___
<br />
<br />612 1.:>L..8-L-'----_ SQUAR. FOOTME __ --'i1'6-_ "OlOlI'f .,-I.6~___.
<br />
<br />A'I"rACB (2) PI,OT PIJAllS & (2) SETS OF BlJII,DINt] PLANS & (1) 8E1'I' E1NElROV FORMS,
<br />ATtACH (3) S~TS OF ButLDING PLANS & (1) SElT ENEROY FORMS,
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONS'I'RUC'I'ION.
<br />
<br />BUnnING SIZEl
<br />
<br />RElSIDElNTIAJJ I
<br />COMMBlR(!IAI'1
<br />
<br />VBIJII'IJINO
<br />
<br />FERMITS REQUESTED
<br />
<br />$ -_.,~-
<br />
<br />VAI,UATTON OF '1'O'1'AL CONS'fRlJC'I'ION
<br />
<br />L1 ElLI!lCTRWAI,
<br />
<br />-.-----.-------
<br />
<br />AltlP SElRVICI!l
<br />
<br />[]
<br />
<br />FI,ORIDA PONER
<br />
<br />[J
<br />
<br />VI.R,E.n,
<br />
<br />I] PWI1BING
<br />U ItlBJCHANIC~ArJ
<br />
<br />$.-.-
<br />
<br />VAI,UATION OF MECHANCIAr. U1STALIJATTON
<br />
<br />[] GA8
<br />
<br />fJ ROOFING
<br />
<br />f] SPEC!IAurv
<br />
<br />[I O'I'HElR
<br />
<br />'I'YPEl UF COH8'1'RtJC!'1'TOH: [J BLOCK
<br />
<br />[J FRAt-1EJ
<br />
<br />[] STEEll,
<br />
<br />[J OTIIER
<br />
<br />FINISHEI) FI,()OR ElIJEVliTIONS
<br />
<br />------~---
<br />
<br />IS PRlXJECT' IN FLOorl zemEl AREA [J Y!!IS
<br />
<br />[] No
<br />
<br />
<br />Bt1UOI!lR
<br />SIGNATURE ~&,
<br />
<br />
<br />COltlPANY-=_~_._d~:~.__ _ ...'.___.__._____..._.___.. .__
<br />S'I'A'I'BJ CEJRT OR REI(]18'I' # ._.nn___.._...._. .____.....___.,__..
<br />CITY PROCESSING #____, ___..______.__.___._ .... "__..___ _'_
<br />
<br />ml,BlC'rRICIAH
<br />
<br />S ImlA'l'IJREJ __"._
<br />
<br />. ..------..-- _._,--~ --- -~---'--,..-,_._-._._-- --'----------
<br />
<br />cor'1PANY _'_...________ _.___. _...___.._._.__.._.
<br />STATE e'ERT OR REtH ST II
<br />CITY PROCESSING II
<br />
<br />.---- ---_.-...~..,.,---_._----~.~_._._-._-.~. ---.-
<br />
<br />* k** ** * I< * * * * * **** * ** k* * * * * * * * ** * * * ***** * ************ *** ** * * *******
<br />
<br />-~---...._-_._._- --...-------.--.--. ---_.._-~---
<br />
<br />PI,UMBER
<br />
<br />._.~_.......---....~~...._._--_.- -.---
<br />
<br />(~OM P ANY --.-__..____________________.....__.,_....__..._____.,_
<br />
<br />STATE CERT OR RE(]IST II _____~______.____,_.._....
<br />CITY PROCESSING #
<br />
<br />8IGNA'l'lJRE
<br />
<br />MRlC!HANICAl.
<br />
<br />*"****************l**********************************************
<br />
<br />~--,~-- "'- .-.------------- ._--._----~---.......-
<br />
<br />~-----------___4_______.....___~_____
<br />
<br />CO/v(PANY__u
<br />STATE CElR'f OR RE(]I8T #
<br />CI'1'Y PROCESSING #
<br />
<br />--_. .'-...---.-.-..--..---..--.- - ____h_._,.._
<br />
<br />SWNA'l'IlREl
<br />
<br />.---- - -~--...._-,--- -.-....---..-------------
<br />
<br />*****************************************************************
<br />
<br />-------------.--..----.--.--.-- '.- .-......----
<br />
<br />o'rUBlR
<br />
<br />SWNATlJREl
<br />
<br />(!or:lPANY
<br />S1'1\'l'EJ CEJRT OR -REQIST-r----------'---------....--
<br />CI'I'Y PROCEJSSnm # ---"--_._.__._,__._.___
<br />
<br />~._-'-_._~-_._---_.__.
<br />
<br />***********************************************************7*****
<br />
<br />---------""-- "- ._._~~.._-----~---~.,-- ._~~-------
<br />
|