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<br />CL~~ UF ZEPHYRHILLS PERMIT APPLICATION <br />BUUDING DBIi'ARTMIllNT 5335 ~th S'fRBlBI'r ZBlIi'H'iRHILlfSf FL 33540 <br />PboneI813-780-Q020 FaxI813--780-0021 . <br />I>A'l'Bl RBCUVID <br />~~~""""""-'~-;r".'''''''-~'--- <br />PI,ANS R!lJVIIW r.I!L______..._~. ______._. <br />UlmER I S HAHE_~-r- ~__._~~_~ '" " ----..LS":.~_21~___________.~___ PHONE (;ONll'Ar!'!'~_!~:1~~_-::_~~ .t) ~ <br />.JOB S I'l'H1 ADDHEl88__S._~2.~___._]1-'b_ --S-1------L~-"""Y ~\...ilu__\\.__________._ __.____ _._.._ <br />LEll1AL DBlSt!RIP'rIO!l: LOT (S) 2J,11,-1..>)'"t'"L. BI,OCK _"'2.5~-'l...__ SUBllIVIS JON ._______________ <br />PARUEllL ID #_.1' L ~ ~.l.-.~.()l 0 1..?;) I 0 ~ ()<..,\ u _~~~TA~~_~~ROM -==~OPERI:~._:.~._~n'n(lEll_~__ <br />WORK I?RflPSHlH: [J NEW CONS'l'Rl1CT ION <br /> <br />U a IGN <br /> <br />o ADDI'rWN (]AJ/rElRATION [l REiPAIR ''Kl1N8TA!f!, <br />o MOVE 0 DEMOI,ISII <br />[]Ml1I,1'I.. FAl-1Il,Y 0# OF UNITS [] MoanBl HOME <br />[J INDUS'l'RIAL f] s~nMMING POOL ()(l OTHER <br /> <br />PROPUSED UBE: [".lSGl, FAMILY DWEI,Lnm <br /> <br />f:i(,cm1MBlR(~ fAI, <br /> <br />jlliJ8CRIP'l'ION OF WORK <br /> <br />o RESTAURANT & HElAI/l'H DE:I?ARTt1ENT APPROVAL <br />-:1: '" sJ.~~~.~ <br /> <br />...w____--.-.._______--.___._______ <br /> <br />I3UILDIN(] SIZE <br /> <br />---.--.--.-------... <br /> <br />SQUARE FOOTAGE <br /> <br />----------.-- <br /> <br />HElIGH'r ..~-~--,.-_o_ <br /> <br />RESIDENTIAL: <br />C01"lMlllRCIAL I <br /> <br />A'I"rAC!H (2) PI,OT PI~AllS & (2) SElTS OF BonDING PLANS & (1) SElT ENI.DRrJ1i FORMS, <br />A'l"l'AC!H ~ SE'l'S OF BUILDING PLANS & (1) SE'!' ENIilRCJY FORMS, <br />PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONSTRuc'rION. <br /> <br />FE~ITS REQUESTiD <br /> <br />[] 131 JI LIH W3 <br /> <br />$ 131Hb~ 0& '_'0_ VALUATION OF 'rOTAL CONs'rRuc'rION <br /> <br />L1 EIl,BlC'l'RWAL <br /> <br />------__ At~P SERVICE <br /> <br />o FlfORIDA PClWElR <br /> <br />D W.R,EJ.n. <br /> <br />[] Pl,()lilBING <br /> <br />LJ IilEUHANIUAT, <br /> <br />$----' <br /> <br />VALUATION OF ME:CIlANCIAr, INS'l'ALlfA'l'tON <br /> <br />f] (3A6 <br /> <br />[] ROOFnKi <br /> <br />[j SI?EKJIAI/l'Y <br /> <br />[] O'l'HER <br /> <br />'l"tPIiJ OF COH8TRUCJ'rIDN I [j BLOCK <br /> <br />~ FRAMEJ <br /> <br />[j S'l'EEI~ <br /> <br />[] OTHER <br /> <br />FIlHSHElll Fr.qOR ElI,BlVATIONS <br /> <br />------- <br /> <br />IS PROlJEC'f' IN FLOOD ZONE AREAD YIllS 0 NO <br /> <br /> <br />BUILDSlR ~ COt~PANY.!lo~C.~~-\ ~~~\)-~~!.o_"I_e_<:" _____ <br />"lGNATU", J ~ ~~;~. P~~~~S~~N~'~'"'I' n !::e=LoS_~~",__. <br /> <br /> <br />.:':':::'ri........:;............................... :;:;..~.:..-;~::::--.--.-.....-.... <br /> <br />IlIIfiO'l'RICIAN <br /> <br />8 lGHA'I'DREJ __'__ <br /> <br />.._-~'. ..".. .------ ------'-_._-----_._~~_. --_. -..--.----------- <br /> <br />cm1PAHY _o_______________________.._.___~--.--- _____ <br />STATE CER'I' OR RE<n 8'1' # <br />CITY PROCESSING # <br /> <br />.--.,.-. ..-. -----....- ~ ._---.-_.-....-.__._--_..._--....~..._- <br /> <br />*-*******'*****.****..****-*************************************** <br /> <br />.-----'".--~~ ---. --.---.--. _..._.-_.~.. .------.--..-----0-_-- <br /> <br />PI~UWBilR <br /> <br />.~-...,------------_. <br /> <br />(!Ol"l PANY -.-_______._____-:---____.._______..__..________ <br /> <br />STATE CERT OR REGIST # ___________.._._~.._. <br />CITY PROCESSING # <br /> <br />8IGNA'l'IJRH: <br /> <br />WBlCHANICAJ, <br /> <br />*************"***************'*************'*************'******' <br /> <br />.-......-..--..-------.--.-.------ <br /> <br />-------------------~~---_.._-~_..._._--- <br /> <br />COlvJ PAN Y__.__ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />. -_..,.._..._~----_._----.--.__..-.-.- ..._--~ <br /> <br />STGNA'I'UREJ <br /> <br />---_.~-.----_.._-----_._----------,-. <br /> <br />*-*******************************************************'*'***" <br /> <br />._~-_._-_._----_..._--~--~-,._~ <br /> <br />OTHiR <br /> <br />------.....--.-- <br /> <br />COl,1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~----...._--_.._------,_.._-.._...- <br /> <br />-'~-'----'-~----------.....-_------ <br /> <br />SWI1A 'l'UR El <br /> <br />--..------.....-------....--- <br /> <br />'**************************'********************************'**** <br /> <br />~-_._----._---~_.__._.~._~-"---'--'-""'--~-- <br />