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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />PhonE1I813-780-0,020 'axI813-780-0021 03 <br />DA'rBl RB<H!\IVJ!JO j~":'__J9_~_=,'______ <br />PI,ANS RIllVIBlW FHBi _. <br /> <br />UNNER I S llM1E:___~Q.V_e...{___E~~CL._.\\.Q.._Lffia...-C\.__ .________ PHONEl CON'l'Ar~'!'__.___ __ _ "__'.' _______ <br /> <br />,TOB SITE ADDRESS _~.cp_~~]._ _S~-~-\)~-T-~fl_IcL'-{-c_b_;JJ~)._Fb._~_____________ .. ._....____._ <br /> <br />LEl<1AL IJESCR TPT ION: LOT (8) <br /> <br />Br,OCK <br /> <br />SUBlJIV IS lOll <br /> <br />_._~.-._____... .0' ____....___.~._~.__~_,_ <br /> <br />P1\Rr.~Ell, In II <br /> <br />HURK PROPSEltll LJNElN CONSTRUCTION <br /> <br />...__..--~.__._- ----_.~..-._~-----------~-_..._---_.-...._-------....----_...~'-~---_._._.~-_.._._._-,-------_.__.. <br /> <br />(OBTAIN FROM PROPERTY 'PAl< NO'I'ICEl) <br /> <br />[] A f) IJ I'l'ION <br /> <br />[B1(f/l'E:RAT I ON <br /> <br />[~AIR <br /> <br />LJ IN8T1\U, <br /> <br />[)SHm <br /> <br />o ~10VE <br /> <br />[J DE:lJJOl.ISII <br /> <br />PROl,lU8EJIl USEI I [Ism, FAMILY DWELIJlllG <br />[~'lf'v1E:RCIArl <br /> <br />[h1tJur r - FAI-1U,Y <br /> <br />[]# OF UNITS <br />[] SNTt1MING poorJ <br /> <br />fJ MOB lLEl !f(HJJH! <br />[] OTHElR <br /> <br />o INDUSTRIAL <br /> <br />D RB1STAIJRAN'l' & H8AIJ'l'lI DElPJ\RTt18N'I' APPROVAL <br />"".CRIP'I'!ON OF NORK __ l< ~f -4-'-~~L'-,>.:L--':\5-~D-<,Js._c:e_J)p ,__~~ <br />BlJII,fHN<] SIZE .__________.____.____ SQUARE FOOTAGE _______._____ HElIGHT ______._._____._ <br /> <br />REBIDElNTIArJ I <br />COMMElR(~IAL'1 <br /> <br />A'I"f1\CH (2) PLOT PI.lAllB & (2) BElTS OF BUIT ,DINt] PLAN8 & (1) 8El'l' ENERGY FORMS, <br />]\'I'tAC!H (3) SE'I'S OF BU!LDING PLANS & (1) SElT EN ElROY FORMS. <br />PROPElRTY SURVEY RElQUIRElD FOR ALL NEW CONS'1'RUCTION. "..\ <br />\ <br />J <br />I <br /> <br />~ERMITS REQUESTED <br /> <br /> <br />[~I,)JIN(~ <br />Ll ELElCTRlCAI, <br /> <br />$_.J~&OO , _OQ__ VALUATION OF TOTAIJ COt-lS'I'RtJC'I'ION <br /> <br />-----______.__----'< AttlP gEiRVICE <br /> <br />o FII)RIDA PONER <br /> <br />[] N . R . El . (; . <br /> <br />(] PI,tltJJ8ING <br /> <br />o 1.1EK.lHANICAI, <br /> <br />I <br />$--.-. <br /> <br />- VAl,UATION OF t-1ECHANCIAI, INS'l'AI,IJATTON <br /> <br />[] (~AS <br /> <br />rJ ROOFING <br /> <br />[.1 SPEClIAUl'Y <br /> <br />[) OTHER <br /> <br />'I'YPHl OF CON8TRtJC!TION: [J BLOCK <br /> <br />[] FRAl-1El <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FIlUSHEIJ FI,OOR EIJEVATIONS <br /> <br />18 PRO,JEC'I' IN noon ZONEI AREA [J VEls 0 NO <br /> <br /> <br />Q ~) Cot1PANY-(9n(eQ-j.----..E'"'~.g!"P_.c~~~-:Q.5cr-r.a:...-:-.-. __ <br />STATE CElR'l' OR RElGIS'I' # .CG:.c_.~_:_J._~~.;:l____ <br />:~':::::R~~::~~~ ~:,t;{I-:::= ^ l. - C ITV PROCESSING 11.------ .....-- ---- --:" ;;:-:;1' ~ . <br /> <br /> <br />.......~.y. ...... ...~..l.................................... 7~: ~ <br /> <br /> <br />COf1 PAN Y _ .__________ __ __ ______._______..._.____~- ~__ <br /> <br />rlll,BlOTR rerAN <br /> <br />8"1 mlA'l'lJREJ '_"._' <br /> <br />... .~~~~-----..--~_._._._-~._----_._--,...----------_.._- <br /> <br />STATE caRT OR REGIST U <br />CITY PROCESSING # <br /> <br />.------_.." -. '._-_..._-.~ ._----_.~_._-..- "-'-"'-.-.- _. -..- <br /> <br />**************************************************************"*' <br /> <br />--___..__0. _4_ ~.__ '__'__. __.___.__. _.__...._.. __~.~___ <br /> <br />PiJUMBmp. <br /> <br />w.~.._~.....__...._._.~____.._~_._ ______ <br /> <br />COM PAN Y ---.------_______,-__._._______..____._. _________.... <br /> <br />STATE CER'l' OR REGIS'1' # _____________. <br />CITY PROCESSING # <br /> <br />8 WHA'l'l1R EJ <br /> <br />MBlClHANICAr, <br /> <br />****'*************************'********'**"'*'******'************ <br /> <br />--..-- -._-._~----------_.._--------- <br /> <br />----~--.._--~~-----~_....,--,..----- <br /> <br />COlvJPANY._________._.__.__._ _....___._...__..___.. <br /> <br />STATE CEJRT OR REGIST # <br />CITY PROCEl88ING # <br /> <br />-'~-'---_._--~...---_._--_.__._---_._-_....._---- <br /> <br />S TGNA'I'lJREl <br /> <br />*""*"""""'*"""""""'*"**""**"*'*******"'*"'**' <br /> <br />---..-----.------------- <br /> <br />OTHER <br /> <br />------------- <br /> <br />(~O!v'PANY <br />8'l'l\1'EJ CEJRT-O"R REJGrST -#-----.-.----------~---..--.- <br />CI'rY PROCESSING # --.-..--.-----------__._ <br /> <br />.---~.._~------------'---------------- <br /> <br />SWI1A'l'UREl <br /> <br />'*'*"*"'**""'****'**'****'****'****""**""**'*'***'**'**'* <br /> <br />~---------. ~ ----- -_.~--------~-,-~- <br />