<br />OI1NER I S HM1El
<br />
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />auu,DING DEPARTMENT 5335 8th 8'rRElBlT ZBlPH'iRHII.r,S, Il'L 33S40
<br />PhOneI813-780-Q020 'a~1813-780-0021
<br />tH\.'rBl RECIIlIVllln ,--'~ ~,k:.,f/2_.
<br />I?J,ANS RlIlVIIIlW JJ'IlIJ'-,-,~"._.._.tl.____.
<br />
<br /><:>~~ 1Z-oD~'2...S
<br />
<br />---_.,---_._-"...._-'--_.._---_._--------,...~----------,.-------------------------
<br />
<br />,mB SITE ADlJR!ll88 -3.7.2.C..2__~5...!1? ----~f--,WE:?:r_.,_,______,_______________._._..
<br />
<br />PHONE! C()N'l'Ar~'I'
<br />
<br />- ---"-...-~.~--.....- ".,.. - _~___u_
<br />
<br />LElJAL IJHlSClUPTlOtl: LO'I' (8)
<br />
<br />B UX' K
<br />
<br />SUBIJIV IS Jotl
<br />
<br />-~--.._-.~-_._._._--
<br />
<br />PARCEll, I D It
<br />
<br />-------~-----.,----..._-_..-. ......--.-
<br />
<br />[] ADDITION
<br />
<br />o A l/rEl RAT Hm
<br />
<br />--_._-------------_...._~-_._._------_._----.,...-
<br />
<br />(OBTAIN FROM PROPElR'I'Y 'I'1\)( NO'l'WEl)
<br />
<br />HURR: PROPSEl[J I ~mw t'ONS'I'Rt1CTION
<br />J(S WIT
<br />PRO!,lOSEIl USE I rJSr3IJ F1\MI!;Y DWELIJINGl
<br />
<br />-,._---*---_._--~~._------,.~....-
<br />
<br />[J RElPAIR
<br />
<br />[] INSTAl,!,
<br />
<br />o MOVE:
<br />
<br />o DE:MOI.ISH
<br />
<br />[h1tJUI'I.. FM1Il,Y
<br />
<br />[J # UEi' UN ITS
<br />[J SWH1MING POOI.J
<br />
<br />(J Mc)8II.El HOHIlJ
<br />[] OTHER
<br />
<br />[J CfJt1f\1ElRC! JAT I
<br />
<br />[J INDU8TRIAL
<br />
<br />~ ".seR! "1' ION
<br />SUII..DIN(! S1Zm
<br />
<br />OF 110RK
<br />
<br />o RBJ8TAURlINT & HElAlml DE~ARTt1ENT APPROVAL
<br />J N ~l,(...
<br />
<br />.--..-.--.--
<br />
<br />POl(& ?l6 ~ () N__,~XJ sri tJ ~...--~L~....__ ..."___
<br />~ , "
<br />SQUARE FOOTAGEl ~. -.- 0 SQ..!<-Fr: HElWH'r -,.l~..~~_..;..__
<br />
<br />RE8IDBlN'I'IAJJ I
<br />COMMIllRC!IAlJ:
<br />
<br />A'I"I'ACH (;3) PI,OT PIJANS & (2) SETS OF BUII,lJINlJ PLANS & (1) SEl'I' ENElRrn' FnRMa,
<br />A'r'liJ.\(~H (3) SEiTS OF ButIJDIlm PLANS & (1) SElT ENElR(~Y FORMS.
<br />PROPERTY StJRVH:Y RElQUIRElD FOR ALL NEW CONSTRUCTION.
<br />
<br />IJ ELBlCTRH!AI.
<br />fJ PI.tJt1BING
<br />lJ fIJBlUH1\.N WAIJ
<br />
<br />FERMITS REQUESTED
<br />;:{"~-.-Ll7~#OC?___" VALUATION OF TOTAL CON8/rRlJCTION
<br />
<br />'-~"'"
<br />
<br />~L2:tl~l\t1P 8ERVICE 0 nORIDA POWElR 0 W. R, E. n.
<br />
<br />~~/;I 1 IIJI Nc3
<br />
<br />$,--,
<br />
<br />..------.
<br />
<br />VALUATION OF tIJEC!l1\NCIAr. UISTAI.I,ATTON
<br />
<br />(] (lA8
<br />
<br />L]ROOFING
<br />
<br />[.I SPEC!! AI/I'Y
<br />
<br />[J OTHER
<br />
<br />')'YPEl OF COl~8'I'Rt1c.:TION I [J BI,()CK
<br />
<br />[] FRAJIJEl
<br />
<br />[J S'I'ElI!lr.
<br />
<br />[J OTHER
<br />
<br />F IlH SHEIn FI,UOR IlJI,EVAT IONS
<br />
<br />----------
<br />
<br />IS PRO,JElCT IN FLOOD ZONE AREA 0 YEla
<br />
<br />o NO
<br />
<br />~
<br />
<br />
<br />BUILnSlR
<br />
<br />******************************************************************
<br />
<br />COtlJP ANY .___..______..___. .__________..__...__.________.____ .._.
<br />STATE CElRT OR REGIST # __'________.__.___._____'-._'-_,_
<br />CITY PROCESSING L____.,.__._______,_________.____.__.____
<br />
<br />SIGNATURE
<br />
<br />. .
<br />-~~..__.M_.......~___".._____________.____
<br />
<br />B1f,mOTRICIAH
<br />
<br />S1 C31TA'I'[IREl _,__
<br />
<br />.----..... ._-'~._.._------_.__..__._-,--- -- ."-.._..._.,-~---
<br />
<br />COf'1PANY _._____.___________..,_______.__ ____
<br />STATE CERT OR REGIS'!' U
<br />CITY PROCESSING #
<br />
<br />-- ._- ~_.-._- - ---..__._.~._,_.- --_. ._-.. ---" ,-
<br />
<br />******************************************************************
<br />
<br />-------._0_- __._ __._. _.__._.... .. _ ______,,_____~_,
<br />
<br />PfJtIMBBlR
<br />
<br />-~~"-_._.~--.._-.........- -~--
<br />
<br />C~OMPANY--_______,____~______._____..__.__..______.____
<br />
<br />STATE CERT OR RElJIS'r # _______________,_....
<br />CITY PROCESSING #
<br />
<br />8IlJNA'l'lJREl
<br />
<br />******************************************************************
<br />
<br />----_..._~-._--_._--_._-_..-._------- ".~,-
<br />
<br />OTR.. ~C(S ~-,-_LINe2- ~ ~_ (!OMPANy,M'PLf!; <316"" ,&~W~~J.t~_
<br />· ['lHATIJR. ~--E7---~ ~ ~;~~. P~~~~.~~ir~Ij_~~~___J~~( ~=~~:
<br />
<br />
<br />******************************************~~(~**********~*****
<br />
<br />*****************************************************************
<br />
|