|
<br />---- t
<br />"W"'R '" IIA". -,--.\."" _ ,(',Q.~::_ '..', '_, ... .'.. '...._,_ ',. PHONE {"'N'1' ""I', ',_ .
<br />,TOB SITE AfJlJR!lJ88 --Y2~~------S.$'___S.T~____________ __ _________
<br />
<br />CITY OF ZEPnYRHILLS PERMIT APPLICATION
<br />BUIl,nnw DEJi'ARTMElN'l' 5335 8th S'l'RElE'l' ZEPHYRHII,r,B, FL 33540
<br />PhoneI813-780_~020 Fa~1813-780-0021
<br />IJA'I'E RII(1IilIVllID
<br />---._-- -,
<br />InANE! RllIVIl!JW ll'B1Bi
<br />--
<br />
<br />LElr]1\L lJEJSCRIP'tIUlI: LO'r(8)
<br />
<br />-. - ."---- - --. ---,~ -..
<br />
<br />PAR"E', III "L7'-- .2gf:d!-J..,~_ QJ?-L O~,-,SLJ,SQP:o~~~II':~OM-"~(JP~~1:Y 'I'A' _~,,'I'I,,'I,
<br />W" R' PROP."" t!Xllmw '-'ON.'I'R""T ION rJ A on r T ION CJ AT JI"RAl' r ON /J R, PAt R [j HI","r ,I,
<br />
<br />-.-.--.---------.---
<br />
<br />BLOCK
<br />
<br />__u_..______"._
<br />
<br />BUBTJIV I 8 lOll
<br />
<br />-_. -_._-.-._--_.._--~.-
<br />
<br />[] S rml
<br />
<br />[J ~10VEl
<br />
<br />o DElflJOI,ISI/
<br />
<br />PRO/,lOSEJIl USE) I [Jsm, FlItlJILY nWELJIJIlm
<br />
<br />UCotllM!lJRC!IAf,
<br />
<br />r-lt1lJUl'I FAMIl,Y
<br />
<br />[J # 0 F lJN l'I'S
<br />[J s\<1 !M~lINI) POUL
<br />
<br />LJ M08 II,EJ lfotlJEl
<br />
<br />rJ INDl.1S'l'RIAL
<br />
<br />[] OTHBlR
<br />
<br />IlJiJSCRIPTION OF NORK
<br />
<br />o RJ:J1S'rAfJRANT & HElALTH DEPARTMENT 1\PPROVAL
<br />/32__(=_~ ~-1L'&~0/~.__i~~.~~.Ji~._____
<br />
<br />BUII,TJIN<3 SIZE]
<br />
<br />._-_._-_..----~-". ..-----.---
<br />
<br />SQUARE FOOTAGE
<br />
<br />~--------.-..-------........ __ -.-0._._._. ......__._~.~
<br />
<br />RES ItJIlJN'I'IATJ I
<br />r~OI<1MElRC!IAII :
<br />
<br />A'I''fTlCH (2) PLO'1' PI"AllS & (2) SElTS OF BtJIJ,DING PI,ANS & (1) BBl'I' ElNEJRrJY FORt,'IS,
<br />A'I"liAr!H (3) SETB OF BUiI,DING PLANS & (1) SElT ElNERny FORtIJS.
<br />PROPERTY SURVEY RElQUIREJD FOR ALL NEW CONS'I'RUCTION.
<br />
<br />-.--. -----. ~---
<br />
<br />HEJII)HT ._.~(_~_.~____
<br />
<br />(] BtlILlJINr3
<br />
<br />t._..Y.1:!~Q__ __, VALUATION OF' 'roTAL CONS'I'RUCTION
<br />
<br />I>ERMlrs REQUESTED
<br />
<br />[J ElI,HleTRICAl,
<br />
<br />[J P WtlJB ING
<br />o HB:(JHANI<JAT~
<br />
<br />--------.----_ l\t.1P ~ERVICEl
<br />
<br />o FIDRIDA PONER
<br />
<br />ON. R . EJ . (l ,
<br />
<br />[J GAS
<br />
<br />f.J ROOFING
<br />
<br />$.-....---------- VA1JUATION OF t'1ECHANCIAI, UIS'I'AI"I,A'I'TON
<br />fJ SPElnIAUry [J OTHER
<br />
<br />1'YPEJ up' CONSTRUCTION I [J BLOCK
<br />
<br />[J FRAtIJEl
<br />
<br />[] S1'EElL
<br />
<br />[] OTHER
<br />
<br />FIlHSHElIl FJ,()(),R ELEVATIONS
<br />
<br />-----------
<br />
<br />IS PRO,TElC'I' IN FLOOD ZONE! AREA. [} YES
<br />
<br />o No
<br />
<br />
<br />llII,lIlCTRldIAH
<br />
<br />******************************************************************
<br />
<br />:1~!rr.~rii:iI
<br />l.d~i(r.ii(,'
<br />
<br />C'OtIJPANY~5Czn_~ .-_E.&~~~e._~_
<br />STATE CER'!' OR REr3IBT # ___no _.._..___
<br />C I'l'Y PROCESS ING fL.._.__. ____ __
<br />
<br />BUIUJI!lR
<br />",""ATUR' .~>>...1..2:f: t________~__._____
<br />
<br />..... . --------- ---...-.-.-.....-.---.----.-..- --...------.-------
<br />
<br />cor1PANY --~----_______._ -.--------.----__h_____... __
<br />STATE CERT OR RE~IST #
<br />CI'I'V PROCESSING #
<br />
<br />..------ --. --" "..--. ._.-.,_...,-~._-_....-
<br />
<br />8 TmT1\TUREJ ___
<br />
<br />P """".. {)( ," PAN Y ___ ___ ..___.__.___.__._ _'_ __.__ ______.. '__ . .'__,_.__
<br />STATE CElRT OR RElI)!ST # ________.._..__~.__..____._.
<br />SIl3NATIIREJ CITY PROCESSING #
<br />
<br />******************************************************************
<br />
<br />--...-- - -.--...-- ".- ------. -. _.. - _._---,-_.,~.. -- &,------,--
<br />
<br />MBJC!HAl'1ICAI,
<br />
<br />-.- -- ------.. h___.___.___ -..--- -----------.-.-______ __..__..__ h____..____.__ .___..._.__..... _____ ___
<br />
<br />******************************************************************
<br />
<br />(J'rmIlR
<br />
<br />*****************************************************************
<br />
<br />CO/'ll P ANY ------------------_.n. _____ __h. ....__ .____.__
<br />STATE C'ERT OR REr3IS'I' #
<br />CITY PROCESSING #
<br />
<br />._~~---~--._---..__..__. --....----------. ..._-~-._._-
<br />
<br />8 TrJNA'I'tJREJ
<br />
<br />-----.------.....-.------........------.-------
<br />
<br />~.- ----...------------. .---.--.--.-- - --.------..--
<br />
<br />8 rml1\'1'tJREJ
<br />
<br />..----_._~..._----._-_.~.__..._------_._-----_.---
<br />
<br />*****************************************************************
<br />
<br />(!O!'1 P ANY
<br />---_._-._~-----~--.------- --.----". "--,_.. ~-~.--
<br />S1~TEl CElRT OR RffiGIST #
<br />CITY PROCESSINI) #
<br />
<br />~--------~--------~_._._------
<br />
<br />~-_.~-~ ----- --.____H____.____._.....__ _. ___
<br />
<br />-~---.---~-_._.__._-------------....._--- .- _-.._--._~.-.-.----.
<br />
|