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<br />~~~x OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII.DlNG DBIi'ARTMBlN'f 6335 8th S'fREIll'f ZBlPHYRHILI,S, FL 33540 . ..
<br />PhoneI813-780-0,020 FaXI813-780.0021. '. '.'2
<br />DA'n RIlIOIUVIID ~...".L--::_.:j .;:E..3.__
<br />PLANS RBlvnw rJllit__~___.;_:_____._
<br />
<br />mlHER / SHAME .J. A L ~ (' c.. 0 fL., PHONE C~ON'l'M!T ..."
<br />~~~.a I . _-!!:______~__________________________________ __.__.______________
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<br />.JOB 8I'J'El ADDR~8S -.;.~-:i__-l!Y..______(~q0.._lJ ,I!--I;L?-~.----- ._____________.___________.___._
<br />
<br />LBl(lAL DBJ8URIP'!'IOll: LO'!, (8)
<br />
<br />B U)(! K
<br />
<br />SUBDIVISION
<br />
<br />--------....--------
<br />
<br />I? 1\ RClEJ1, ID#
<br />
<br />WORK PROPSEllJ I LJ l~IllW ('OHS'!'Rl1CTIOH
<br />
<br />~_.._-~--~~._---------------------------~-.-.--..-.-,--------------_'~'_"r_""":,,,--;--__.~._
<br />
<br />(OBTAIH F1ROM I?RPI?IllR'l'V 'I'AK NOT.l(JEl)
<br />
<br />DSIGN
<br />
<br />[] ADDITION (JALTBlRATION [] REPAIR [J 1.NSTAJ.l,
<br />o MOVE 0 DEMor, I 811
<br />DMUW'I - FAlViIliY 0# OF lJlH'I'8 ktMOBIllE lJot11ll
<br />[] INDU~TRIAL OSWH1MING POOL !] n'ftiER
<br />
<br />I?ROI?OSEIl USE I llSGI, FAMILY DWEl,LING
<br />
<br />[] cm1MBlRCIAI,
<br />
<br />o RESTAURANT & lHilAlml DEPARTt1ENT APPROVAL
<br />
<br />IlIlJ8CRII?'l'ION OF WORK
<br />
<br />~/' I~ j<'1"J..... (
<br />
<br />.5d~
<br />
<br />BUILDING SIZE
<br />
<br />.--- ._----..._-------~-_..._.._-~.
<br />
<br />SQUARE F'OOTAGE
<br />
<br />-----,--
<br />
<br />H iii I 1111rf
<br />
<br />RE8!L)ElNTIAT"
<br />(JOI"lMElR(!lAIJ I
<br />
<br />.....-....--..------
<br />
<br />A'!'TAC1H (2) l?L,orj' I?rJAHS & (2) SETS OF BUIl,llnm PLANS & (1) SElT ElNElRGV FORMS,
<br />A'!"l'Ar~lI (3) SEl'J'S OF Burr.DING PLANS & (1) SE)rJ' ENIllHGY FORMS.
<br />PROPERTY SURVEY REQUIRBlD FOR ALL NEW CONS'l'RUCrrION.
<br />
<br />rB~ITS REQUEST~
<br />
<br />[] BIJILIJINC~
<br />
<br />$
<br />
<br />VALUATION OF TOTAL CONs'rRUC'fION
<br />
<br />1:.1 ElLBlC'l'RWAI,
<br />
<br />-.--.-----
<br />
<br />AMI? ~E1RVICBl
<br />
<br />o
<br />
<br />FI,ORIDA I?OWElR
<br />
<br />o
<br />
<br />W . R . El , (l ,
<br />
<br />(] Pl,lltlJBING
<br />o IIJEUHANIUAT,
<br />
<br />$-----'
<br />
<br />VALUATION OF MECHANCIAI, INS'fAI,l.ATION
<br />
<br />(J GAS
<br />
<br />[J ROOFING
<br />
<br />[] SI?13l0IAI/l'Y
<br />
<br />o O'l'HElR
<br />
<br />'l'VPE) OF CONSTRUOTION I [] BLOClK
<br />
<br />[J FRAMEJ
<br />
<br />[J S'l'ElEIJ
<br />
<br />[] OTHER
<br />
<br />FINISHtillJ FI,90R BlL,IllVATIONS
<br />
<br />IS PRO.JEC'I' IN I:<"LOOn ZONE AREA 0 YES 0 NO
<br />
<br />
<br />BtJILDBlR
<br />SIGNATURE _~~
<br />
<br />-----
<br />
<br />CotI)PANY~ _._______._________
<br />STATE e'ERT OR REiGIS'I' j/_..,______.____.__
<br />CITY I?RClCElSSING ~-'f--&':--_.._-----____m_______
<br />
<br />****"***.,'****.**,**.*********,**.********,,*,**.*****"'**"*'*
<br />
<br />IlII.BlO'L'RIOlAN
<br />8] C1IlA'!'lJRE ___u._ _.J.!:!.u_~ p.~__________
<br />
<br />* * . * * * * * , It, , , * * * * * *- * . * " * , , * * * * . * . * It * It * -* * * , It It * * * * * * * * * . * * . , * , * * * . * It
<br />
<br />cm1PAHY ---c t<14~~tJ_______._.___.,-_._______
<br />STATEl CBlR1' OR REiCHS'!' #
<br />CITY I?ROCESSING # rr-------.------.---------------
<br />
<br />--'-/..~--------------_._---_._---'-
<br />
<br />r!OMI?ANY---~
<br />STATE CERT OR REGIST # I '
<br />SIGNA'l'IJRID .____ &J:-_~J:7~ft _____ CITY PROCElSSING # -__y"g- ___.-=_~~--==
<br />
<br />*****I.***"********I.****************I.*It**********;**:*******.*..**
<br />HBlCHANICAJ, CO!vJPANY --13L1:Jut-~_______._______________.____
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #---/7'====--=~==
<br />
<br />PIJtIMBBlR
<br />
<br />STGNA'l'tJREl W~t:7.. ~j}
<br />_._~_--L_~~~._~__
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<br />*'*************************'*.********~*****.*************'******
<br />
<br />OTHBlR
<br />
<br />SH3HA'!'I1RE
<br />
<br />Cor,1I?ANY
<br />STATE CERT OR RmGIST #
<br />CITY I?ROCESSING #
<br />
<br />------.-.-----.....--.........-...----.. .-. ._-
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<br />--.-...---.~>,---..-----~.__.--- -
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<br />**t*****.********************************************************
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