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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING nSJilARTMBlNT 5335 8th S'rRBlm'r ZIllI?HYRUH.I.S, P'L 331;40 <br />PhoneIB13-780-~020 FaxI813-780-0021 <br />IJA'fE RIll<lllIVllIn <br />I?I,ANS RIllVIJllW Jl'J!lIl_~______~: <br /> <br />O\'lNEJR' 8 11M1E l.J~ J1/dd1 ((() cl-A . ... .. . . PHONE CON'l'Ar!'!'___z~~~~J___ . <br /> <br />,JOB S I'l'E ADn:~8~--~~-:-~b-~~__~1_ L---~f ~~lb~-ft_-~- <fL=_. --~t!:5_!.i~__p!o~,~/f.tt-H,l!._idf. t <br /> <br />. <br /> <br />LElCmL DE18CRTP'l'IOIl: LOT (8) <br /> <br />BLO(!K <br /> <br />SUB[JIVI81ON <br /> <br />-..--.----....... --.--.--.-..----.-- <br /> <br />PARnElIJ III II <br /> <br />~'-'-------_.__-..... <br /> <br />------..---'----~.-~--...-.~------.--- _._.__...._4__-..._~__.,__ <br /> <br />(OBTAIN F'ROM PROPERTY 'PAX NOTWEl) <br /> <br />~WRK PROPSBlD I UNElN l'ONS'I'RlJCTION <br /> <br />[JeHm <br /> <br />Ll ADDI'I'IdN [J Al/I'ERATION [J RElPAtR LJ INSTAl.!. <br />o MOVE 0 DElf10I, I 811 <br />[h1lJW'I - F AI'1iI 1,Y 0# OF tiN l'J'S LJMOBII.El Hot1Bl <br />o INDUS'l'RIAI, o SNIfvlMING POOL [] OTHER <br /> <br />PROP013FJIl USE: I [Jsr]l, FAMIlJY DWEJT~l,nTG <br /> <br />[] Cm1~1IllR(! 1A I I <br /> <br />o R!;J8TAlJRANT & HEALTH DElPARTt1ENT APPROVAL <br />IJE18CRIP'l'IClN OF I'lORK ___-1 IvST:?-[L____(! ~'Pd I I}T"-~__C'o.IL~____._____________._____________. <br /> <br />SUnDINl] SIZE <br /> <br />----.------.----.-- <br /> <br />SQUARE FOOTAGE <br /> <br />H8JJ~H'r _.._____________ <br /> <br />RESIDENTIAl'1 <br />CO~1MBlR(! 1AlJ I <br /> <br />ATTACH (2) PL,O'!' P1JA11S & (2) SET8 OF BUII ,IJINl] PLANS & (1) SElT E1NElRrn,' FORMS. <br />A'I"l'ACH (]) SETS OF BUILDING PLANS & (1) SElT ENIllRny FORMS. <br />PROPBlRTY SURVEY RElQUIRElD FOR ALL NEN CONSTRUCTION. <br /> <br />FERMITS REQUESTED <br /> <br />[] BtlII.IJINn <br /> <br />$ --.i/?-J--/... f) 0 ~u _----' VAl,UATJON OF TOTAL CONSTRtJc'rrON <br /> <br />L1 ELBlCTRlCAI. <br /> <br />---___.____ AMP SERVICEl <br /> <br />o FIDRIDA POWER <br /> <br />[J W.R.E.n. <br /> <br />rJ pI,m1B ING <br /> <br />o 1.1H:l!HAN WAI, <br /> <br />[] GAS <br /> <br />LJ ROOFING <br /> <br />, <br />$- ..---------- VALUATION OF MElCHANCIAI, HIS'!'AI,I,ATTON <br />[J SI?EC!1AI.'l'Y [J OTHER <br /> <br />'l'YPEJ OP' CONSTRUCTION I [J BI,()(~K <br /> <br />o FRAME <br /> <br />[J STEEl, <br /> <br />[J OTHElR <br /> <br />F IHISHElII Fl,OOR 1ll1,ElVT,TIONS <br /> <br />18 PRO,TECT IN FLoon ZONEl AREA 0 YElS 0 Nu <br /> <br /> <br />aunnBlR <br /> <br />__...__ __-.o._____~...--....---:.-___________~___._~___ <br /> <br />Cot1 PAN Y--__________ -_____.._h____... __..__..__________ ___ <br />8TA'I'Bl CElRT OR RElGIS'}' # _u_.___________________..____.._ <br />C I'l'Y PROCIllSSING It____.______________..___ _______________ <br /> <br />8 HJNATlJREl <br /> <br />****************************************************************** <br /> <br />::'::::~::A_N_ .&~M~'Z~~____ <br /> <br />*.********************************~******************************* <br /> <br />COl1P ANY -----_?~~~t"..~________.._____.._____..._ ___.__ <br />STATE: e'ERT OR R8CHST 1I----~.)_.{f.(j-+fr'-2--.. .. <br />(~I'fY PR()(!E8SIN(~ ~--__?-.:._l:?_)______._ ______.____ <br /> <br />PI,UMBIllR <br /> <br />.....--~'--_.....~_.~-~_.-...--~--.~. ----------.--.---- <br /> <br />(10M PAN Y --------------__ ----______n___..______ ____._..__________ <br /> <br />STATE CIllR'l' OR RE~Is'r # _______________________. <br />CITY PROCESSING # <br /> <br />S WH1\'l'IJREl <br /> <br />-"----'-'- --.-____4________._..__..._________..._ <br /> <br />~* I< * * * * * * * ~, * * * * * * * :11 * * * * ** * * * * * * * * * * * * I< * * .. * * * * * * * * * * * * *l5 *tJ. * * * * * * * <br /> <br />MHe.ANICAI, ~~~,~:N~.R'~~~~--!---OC-/f~r.-.r <br />SWNA'l'!1REl ~ r --s.A CITY PROCESSING # it:) -t/IJn_----------------------..- <br />------------ _..~--~.--~----- -'-~ ---~.~-_._-----,._.~--_..- <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />_.._-------~--- <br /> <br />(X)f,1PANY <br />S'l'A1'El CEJRT OR REGIST #---------------------------- <br />CITY PROCE88IN~ # ------------.----------_ <br /> <br />S WNA'l'IIREJ <br /> <br />---'--------....._-_._~---- <br /> <br />***************************************************************** <br /> <br />-------"'--._..__._-------_._~_..~~~--.--------. <br />