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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />Burr.DING I)}lJI?ARTMBlNT 5335 a th S'rREElT ZEPH'lRHII.IJS, Fl, 33 r;" 0 <br />I?honeIB13-780-Q020 FaxIS13-780-0021 <br />lJA'rBl RBomIV!JO --e2.-.2 tL-:./?3__ <br />PI.ANS R!lIVIBlW 1I'1ll1ll__'--~~__'LJ_.____. <br /> <br />OW""R' 8 IIA""-BQf3ecJ1eeJ,,,>_.. _....____. _. _... .._._.. PilON" COWl'A"~_~r~~~~RY'-CE <br /> <br />,JOB SITE AIJIJRlllSS__-'_,35 ??-l__flJ(,::bftsJ ~.r__~12L~___ ___ ------------------_____m._____ ____ <br /> <br />lJBlllAL I.lBJSl!RIP'I'IOI1: LOT(S) ___Lc3..~_____ BID(;K ________.___ SUBlJIVI81Cltl <br /> <br />--'---.-----~___._ _ H __._._.~_~...._..______._"_ <br /> <br />P ARC!EJl, w It_~ r.j - ,;J.Y_~J -OP~O=-'CXWO_=__@!lP___~_~___._~_~l~T~nl__~~~~~!~~~~~~~~__~~~~_.~~~~~~~_~__ <br />HURll: PROP81lllJl [JNlllN r.'ONS'l'RtJCTWN 1M AODI'I'ION []AI/l'ERATION [J REPAIR U INSTAl,I. <br /> <br />[J S Iml <br /> <br />[J MOVE <br /> <br />o DElMar/ISH <br /> <br />PRO!,>OSEll USE: I ~C:l]1 FJ\I'.lITJY DWELIIIlm <br /> <br />[h1tJI/l'I. FAt"'n,y <br /> <br />U# UF UNITS <br />[J SW ltiJMING POOL <br /> <br />LJ MOBII,E] ItofiJE <br /> <br />Ll CmiJ~1I!:R(! 11\ I, <br /> <br />[J INDLJS'l'RIATJ <br /> <br />lJ OTHER <br /> <br />D R~18TAI1RANT & HEAl/I'll DElPARTf1EN'!' APPROVAL <br />IJBJSCRIP'l'ION OF 110RK .-:Pa..ti'i2_ CQ.,,:er.D11 ext.st_~-_-CQl'Lcr~te-M~-__---.----.----- <br />BtJU,TJIN(J SIZE --~.1.-----______ SQUARE FOOTAGE __,.301fl .f/;L.~- IIB/WH'l' _,...2.~_3~__ <br /> <br />RESIDENTIAlJ I <br />CO~1MBlRCIJ\T1 : <br /> <br />A'I'Tl\CH (2) PI,O,!, PTJANS & (2) SElTS OF BUI! ,DING PLANS & (1) SEl'!, ENElRnV FORMS. <br />A'I"I'AC!H (03) SE'l'S OF BUtr.TJING PLANS & (1) SElT ENERnv FORMS. <br />PROPEIRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RERHITS REQUESTED <br /> <br />tr4. 8IlIr,LlINC~ <br />L1 BJLBlC'I'RWAI, <br /> <br />L_0l_5D. tv _____, VALUATION OF TOTAL CONSTRlJC'!'ION <br /> <br />------.-___"- AMP f:jElRVICEI <br /> <br />o FfnRlnA POWER <br /> <br />OW. R , El . (! . <br /> <br />[] PI,tJtiJBING <br />o I-1BiUIIl\NTCAL <br /> <br />[J (3AS <br /> <br />[] ROOFING <br /> <br />$-- .---'------ VAl,UATION OF MElCHlUICIAI. U1STALlJATTON <br />[J 8PEC1tAUI'Y [) OTHElR <br /> <br />TYPE] OF CONSTRUCTION I [J BLOCK <br /> <br />[J FRANEJ <br /> <br />[) STBJElL <br /> <br />[J OTIIER <br /> <br />FINrSHBilJ PI,orm lllI,BlVATIONS <br /> <br />---------- <br /> <br />T 8 PRO,JElCT IN FLOO/) ZONEl AREA 0 YI!IS <br /> <br />o NO <br /> <br /> <br />BtJIL1J81R <br />81GHATIJREl ~_.~____.____ <br /> <br />****************************************************************** <br /> <br />COfiJP AN y--Ow.Y1~_____m________.. ________.______.__ <br />S'I'J\TEl CFJRT OR RElGIS'I' # .______________.._____~______, <br />CITY PROCBl8SING # <br />-~_. ..__._.~---_.."-_.~-~-_._- --.----.,-..--.. '.__._~-. .....- <br /> <br />IlII.!lCTRICaH <br /> <br />8 1131l1\'I'1J R EJ _._ <br /> <br />.... ..-.. --- ----- ---.,--_._--- - -'--'-"._-~. ---. -- --. --.------------.-- <br /> <br />COt1P AN Y _.__._ .b-_____.h__ __________.___ <br />STATE: e'ERT OR REGIS'l' # <br />CITY PROCESSINt3 # <br /> <br />._------- _. ---.--.-." '--'-----'--.-- <br /> <br />****************************************************************** <br /> <br />-----._..._~-----._._--_. --...-_..- --. --_.~_..---------.. <br /> <br />PI. tIMBER <br /> <br />.__"_'~--------",--_......._---_. <br /> <br />C~OM PAN Y -.---_'_______________,--______________.__.__________________ <br /> <br />STATE CERT OR REGIST # ____~____~_.__.____.. <br />CITY PROCElSSING # <br /> <br />SIGNA'I'lJRE! <br /> <br />MECHANICAT, <br /> <br />****************************************************************** <br /> <br />----~-..-4~____~___4___.____.________ <br /> <br />......._-------_._----_.~--_._-_.....__.._-"--- <br /> <br />(!OI\1PANY ___. _____.______________________ <br />STATE! CffiRT OR RElGIS'I' # <br />CITY PROCESSING # <br /> <br />-~--~.__.._---._----------- -----.- <br /> <br />S WNA'l'IJREl <br /> <br />**************************************~************************** <br /> <br />---.--------..-------.---.------.-------. <br /> <br />OTIIIlIR <br /> <br />-~-------_._---- <br /> <br />Cot.1PANY <br />S'I'l\1'El CERT OR RElGI8T # <br />CITY PROCESSING # <br /> <br />.._~-_.__._-------------------~----- <br /> <br />SI<H1A'l'UREl <br /> <br />--.~ ----..- ------_.----- .-... .---- <br /> <br />----4-__.~.__k__.._____..__ <br /> <br />***************************************************************** <br /> <br />-----~--------~.._-_._._._-------..-"'"'--._._--_.~----. -....- <br />