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<br />~l~X OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDlNG DBPARTMBlN'f 6335 8 th S'fREE'f ZBlPHYRHILI.S I :n 33540 <br />PhoneI813-780-Q020 FaxI813-780-0021 <br />DATE RBOillVIID <br />~"'-""''f"'-''--__....____..__ <br />PI.ANS RBlVIfllW rtll!!i______~_.._~~__~___ <br />Ol'/HEJR'S HANllll,,)l a V\.j jJ r I L -e. PHONE (XlN'l'Ar!'I' Ji(3~/'f') -,7.7 5-Y' <br />------------1----------------,---------------------- ______ __ _________________ <br /> <br />,JOB S ITEl ADDRE88 --___5.tL ~-L_..l ~!!:..__ s -!.__________________ ____________._______.;_ _u_.____ <br /> <br />iAj](]AL DIllBURIPTlOlll LO'f(8) <br /> <br />BU)CK <br /> <br />SUBDIVISION <br /> <br />--------.-- <br /> <br />I?ARUEI. ID # <br /> <br />----....- <br /> <br />--..-----...---------------- <br /> <br />------'---~-_._--.---------..---~---_._--_...._---..._._--~...-- <br /> <br />(OBTAIN F1ROM PRPI?ER'l'V 'fAl< NO'J'fflE) <br /> <br />WORK PROP8E1IJ I (]NlllN L~ON8TRlJCTION <br /> <br />[JSIGIN <br /> <br />[] ADDITION ~AI/fERATION [1 REJPAIR o I-NSTAl.I, <br />o MOVE 0 DEMor/ISII <br />DMUW'I. FAIViII,Y 0# OF l1NI'l'S I] MOB I I.E BOMIlI <br />[J INDU~'1'RIAr. []SWIMMING POOL (] Dr!'HBlR <br /> <br />I?Rt)1l0SEIl (JSE I [lsm. FAMILY DWELLING <br /> <br />fJCot~MElRC!IAr, <br /> <br />o RElSTAURANT & HElMJTlI DEPAR'I'tIENT APPROVAL <br />"ESCRIP'I'ION OF WORK ,C Ill"" J ". J ~? h Fi rYI' J ;, .j. 0 8 q +h Yc>c> YY/ i_ cf iAAM ~~._,_ <br /> <br />BlJILTHNl3 SIZE <br /> <br />SQUARE F'OOTAGE <br /> <br />--------- <br /> <br />HElWH'f <br /> <br />RESIDENTIAl" <br />COI'1MElRC!IAL I <br /> <br />A'r'rArJH (2) PI,or)' PI"AHS& (2) SElTS OF BU II ,DIN(3 PLANS & (1) SET ElNlilRct'i FORMS, <br />A'J"l'ACH (3) SETS OF BUILDING PLANS & (1) SET ENElRClY FORMS, <br />PROPERTY SURVEY REQUIRBlD FOR AI,L NEW CONS1'RlJCTION. <br /> <br />FI~ITS REOUEST~ <br /> <br />~ BlnI.IJING <br />tfJ.. BJLBlCTR HJl\l, <br />(] Pl,lltIJBING <br /> <br />$ <br /> <br />VALUATION OF TO'l'AL CONS'I'RUC'l'ION <br /> <br />-.--.---- <br /> <br />AMP ~IlIRVICJEl <br /> <br />o <br /> <br />FI,ORIDA POWER <br /> <br />o <br /> <br />W,R.IlI,n, <br /> <br />o IIJBlUHIUUUAI, <br /> <br />i <br />$---- <br /> <br />- VALUATION OF MEC'HlUqCIAI, INS'fAI,I.A'I'ION <br /> <br />[] OAS <br /> <br />[] ROQFIHO <br /> <br />[J SP.BlCJIAI/l'Y <br /> <br />[) O'I'HBlR <br /> <br />'l'YPE) OF CONSTRUCTION I [j BLOC!K <br /> <br />[] FRANEJ <br /> <br />[J STEEL <br /> <br />[) OTHER <br /> <br />FIlHSH!ilTl FI,QOR EI,BlVATIONS <br /> <br />------- <br /> <br />IS J?RO,JEC'I' IN FLOOD ZONE AREA 0 YES <br /> <br />[] NO <br /> <br /> <br />aUILDBlR (~OtiJPANY____ W~ _.___.._________.__________ <br />\ -/'YJ /), STATE e'ER'l' DR RElGIS'!' # _____________._____._-,___.___ <br />SlGNATlIRE~~!!7 IJ'. L'"'~ Cl'!'Y PROCESSING L_.",...,___ u___.___~ <br /> <br />****. ~ *. ** '/< ** * ****** *** **** *** *** ** **** ** * * * *** * **** *** ** * *** * ** * * <br /> <br />COMPANY -----IJ_uJf1.4Y____________,---____ ____ <br />STATE CElR'I' OR RBl(3T S'l' # <br />CITY PROCESSING # <br /> <br />----...-..----- --------._--~.,_......,---. <br /> <br />IlII.Blo'rRIorAN <br />"'\J"--7>>~~, /?~ <br />S lC3HATIJRE --=='\.-----z;r------------ ____________ <br /> <br />********A~*A*A****.**.**********************************A*'**,**,* <br /> <br />._-----~---_..__._.--_.-._---~._._--_.__. <br /> <br />PI.tJMBBlR <br /> <br />._---._-------~. ...._._---~ <br /> <br />COIv] J?ANY --_______ ___..____._______ <br />STATE CElRT OR REGIST # __________._~_.. <br />CITY PROCE8SING # <br /> <br />SIGNA'I'URE <br /> <br />HBlCHANICAJ, <br /> <br />*******t*****'*********************************,***********'*****' <br /> <br />_.._'-_._~-~--_._--,-_.._._-- <br /> <br />------~----_.._-~-~...- <br /> <br />CO!vJ PAN y____ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.--.---..~_..._---~-----_.__.._--~ <br /> <br />SIGl'IA'I'tJREl <br /> <br />..--------------.--- <br /> <br />*A********************.,******************************A**'A*'**** <br /> <br />--.--.....--.......--- <br /> <br />OTHBlR <br /> <br />S I<mA'l'URE <br /> <br />CO/'-1PANY <br />S']'A']'E) CERT OR REGIST W--------------n--.- <br />CITY PROCES8ING # -----______.________ <br /> <br />-~----------~- <br /> <br />*********'**************************************************'*'*' <br /> <br />--.------.-------.-..-.-.---+--------.---. <br />