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<br />UI1NER I s I1AHE_.___~____G~2QI~______bJ_~~_k:a~___. .._______ PHONE] COt-l'1'Ar!'~'__._ -...__...c__ <br />,JOB S ITEl ADDRESS h3-<2>.41.b_--.E~~-.t\~.~~--2.~_b.,,\L_b_~jj_'S'TFJ,.,_'L_______'___.__... <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPART~ENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />PhoneIB13-780-~020 FaxI813-780-0021 <br />IJATBl RlllelllIVSln ~ II] - 0 3 <br />PJ,ANS R!lIVIJIlW II'EBi-'- '---- --'--- <br />- -.___ _._.u__ ~~ <br /> <br />LElfJAL DBJSURlP'rION: LOT(S} <br /> <br />B U)(! K <br /> <br />SUBllIV IS Jotl <br /> <br />---._---_._-~ ------ <br /> <br />PARC!f:lJI, ILl If: <br /> <br />-.-------------- - -_.-...._~.. ---.-'"_. -.---- <br /> <br />HURK PRCl!?SIllf)I LJNEJvl l.'ONS'l'RUCTION <br /> <br />--------.-.-----.--...------.----.------....----.--------.------.-..------..--.. .--.....---------...-. <br /> <br />(OBTAIN F'ROM PROPERTY 'PAX NO'l'IC!El) <br /> <br />[] ADDI'l'ION <br /> <br />[~rBJRATION <br /> <br />I.w6PAIR <br /> <br />LJ IN8Tl\T,I, <br /> <br />lJ8Hm <br /> <br />[] MOVE!) <br /> <br />[] DEMOLISH <br /> <br />PRO!'08EIl USE: I [Jsr]!, FAMII,Y DHELT,U1G <br />[~MElR(!JAr, <br /> <br />[lt1tJW'I . F'AI'1U,Y <br /> <br />[J# OF UNITS <br /> <br />[] MOBII.El Hor11ll <br />[JOTHHlR <br /> <br />rJ INDUSTRIAL <br /> <br />[J SW IMMING POUL <br /> <br />C:J RE1S'fAURANT & HElAI/l'H DElPARTt1ElN'I' APPROVAL <br /> <br /> <br />~:::':::(: I~: Z:F .:~~::~ ~~ 1~~ ~F~(~r~(~ (g~~~q.,-SJ. ~_w~~~.~~~~~~_~.~~ <br /> <br />RESIDENTIAI,I <br />COMMElRC!IArJ: <br /> <br />A'I"r1\CH (2) PLOT PIJAllS & (2) SETS OF BtJIl,!JIN(3 PLANS & (1) SEl'f E1NElRrJlf FORMS, <br />A'l"IiAC!H (.3) SElTS UF BUILDING PLANS & (1) SElT ENElR<3Y F"ORtIJS, <br />PROPERTY SURVEY REQUIRElIJ FOR ALL HEM CONSTRUCTION, <br /> <br />~IN(3 <br /> <br />FERMITS REQUESTED <br /> <br /> <br />L3..G-r504. 00_ VALUATION OF' TOTAL CONS'fRUC'l'ION <br /> <br />[1 ElLBlCTR 1 CAI, <br /> <br />--.-.----.-___ NIJP ~ElRVICEl <br /> <br />o FI,ORIDA POWElR <br /> <br />[) W,R.E.C, <br /> <br />[] P I.tlt1B I NG <br /> <br />o HHl<.1HANWA!; <br /> <br />, <br />$---_. <br /> <br />--- VAI,UATION OF tIJEClIANCIAI, UISTAI,IJATTOl'! <br /> <br />(] (3AS <br /> <br />rJ ROOFIW1 <br /> <br />[J SPECltAUl'Y <br /> <br />[I OTHER <br /> <br />TYPE UF' <!OH8'I'RtJC!TIDN: [J BIl)c!K <br /> <br />[lYfRAt1E1 <br /> <br />[) STElElJ <br /> <br />rl.f'1JTHElR e,(ICK;" <br /> <br />FIN'ISHHllJ F'I,l)(JR IlJI,EVATIONS <br /> <br />'--'-_._~---- <br /> <br />18 PR<XTElC'[' IN FLOOD ZONEI ARE1\. [J YElS [] NU <br /> <br /> <br />BtIILnmR <br /> <br />~"'-\e/"(r;\~ "':>. r""\~. Cot1PANY_Co.o{~.P-~.n.\._~. -ce.r:.~:~g~+...x-~_'__.._.n__ <br />^ _ __ 8TA'I'Bl CaRT OR RElGIe'!' # ..G.~L.-A.-:.\.Q9S-~_. .__ <br />~ CITY PROCESSING # <br /> <br />:;.~ i.-. Q.;>: P.~.7~ R! f.; ~ fu ':'.1. . . . .. . . . .. . ... ::~: ..:~- :~~.;~: -. --ltiiifJJ ~ <br /> <br /> <br />COl1P ANY __________._____________.____._____ .~_ <br />STATE CERT OR RE)<HST II <br />... ..--.--.----------.------------ CI'fY PROl'ElSSINl3 # <br /> <br />. -~---._- ~-----"- ,- -'~--.-- -~-,- ...... -- .--.., ~. -.- <br /> <br />8 HJNATtJREl <br />\ ~'9 H <br /> <br />!lIr.RIOTRIC!AN <br /> <br />STGlTA'l'lJREJ '____ <br /> <br />"*""""""""""""""""""""""""'""""""" <br /> <br />0______-.-...---.-... ___ _._..__.__. . ____.__..___...____ <br /> <br />PJ,UMBlBR <br /> <br />...... ..-....--.-..... ..-...~,.._.-..._~_..- --- <br /> <br />COM P ANY -.-_.__..____n______,-_________.._________.. --_n.__ <br /> <br />STATE CElR'l' OR RElGIST # ________~_____.____.__._. <br />CITY PROCESSIN8 # <br /> <br />SWNA'l'tlREl <br /> <br />MBlC!HANICAr. COI\1PANY____._________._...__. _ _ _Uhh __...____ _h._. <br />STA'rE CH:RT OR REGr8T # ---_._._h__._______.________.__ <br />S TGNA'l'UREl CITY PROCESS ING # <br /> <br />""""""""""""""""""""""""""""""'*"" <br /> <br />---.......-.. .'--~ ._._~-_._--_._---_.- --..-.----------. -.~ <br /> <br />--------.------...------......---.-- -----.---.--------.---..-..-----. <br /> <br />""*'*""*"***"****'*'*.**********~**'*"'**"""""""'" <br /> <br />OTHER <br /> <br />S [mIA'I'lIREl <br /> <br />~--------_._-------- <br /> <br />(!O~'lPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />----.-____n______.._.. .~_._. ,~,__ <br /> <br />.-........-.--.-...-----...------------- <br /> <br />------..-.--..----..-----.- <br /> <br />"""""""""""""""""""""""""""""""'" <br /> <br />-----.-....... .._.._-~----~-.-.-.-.........-...---..._"---......-..._-- <br />