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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUUDING nEIi'ARTMEN'r 5335 8 tll S'rRBlm'r ZIllI?HYRHILI,S, r1. 33540 <br />PhoneI813-780-~020 'axI813-780-0021 <br />!JA'rBJ RIllCB1IVlllo ~_.__ ....... _,= <br />PI.ANS RIllVIBlW Jl'J!l1l <br /> <br />" <br />. _~._.,__._h~ _. <br /> <br />Ul'ltlEJR I S ITM1E__~(~L_.Y~u~_.____.. ________.._.__._ .____._____ _ PIWNIil CON'l'Ar!'!' ?r.!p-~?fJj-:l9.~J <br />,roB SITE ADnRBlSS_~ ..'i...']~7_n__CJ1~~~~__,q._~~____..____ _...____ -------_____.n_________. _ "_..__ __n._ <br /> <br />IJE)(J1\L DE1SCRIPTIDN:LOT(S) <br /> <br />B U)(! K <br /> <br />SUBlJIVISlON <br /> <br />--.....--.--.-..-.. _ ....___...4'.__~ __._.._.___~__ <br /> <br />PARC'ElI, III 1I-~.'J>~_-.2S__:'J:l~_Q_Q.5..d_:::.~_ -Iu:_o ___~.~~TA.~~l__~~R(~_~~.<2~!~~~:..._'~~~._.~~I~~.CE'~~.__ <br />WORK PROPSBlfJ I [JNBlW CONSTRUCTION 0 AlJDI'I'ION o AUI'E1RA'rION [J REPAIR [J INSTAIJI, <br /> <br />r.:::JsIcm <br /> <br />o "10VE <br /> <br />[J DElt",or,I811 <br /> <br />PROPUI3FJil USE: I [}Q SGJ I FAMILY DWEl,I,I11G <br />L1cm1MIllR(IIAII <br /> <br />[h1Ul/J'I - FAl"IILY <br /> <br />[]# UF tlNI'I'S <br /> <br />[] MOBIIrEl IlOf11ll <br /> <br />[J INDUSTRIAl, <br /> <br />[JSWHIMHlG POUL <br /> <br />IJ O'l'IH!lR <br /> <br />DESCRIPTION OF \^lORK <br /> <br />o RElSTAlJRAUT & HEAlml DHlPARTt.1ElNT APPROVAL. <br />fte, lo~-_-5i.~c..f2i:f--tZ r..Il2l2~~_.r!1c~~~1ft.~~__._.._____.__..___. _.____ <br />SQUARE FOOTAGE __I!i.5....___ <br /> <br />HElIGHT <br /> <br />BUILfHN(~ ElIZEl <br /> <br />----_._----.-._-~--_.- <br /> <br />---_..__..-~.--.._-_._..- <br /> <br />RES IDHlN'l'IAJ, I <br />(~OI\1MElR(!IAT, : <br /> <br />A'I''f1\CH (2) PI,OT PIJAHS & (2) SElTS OF BUIJ,nING PI,AN8 & (1.) 8E1'l' ElNElRny FORMS, <br />A'!"r1\C!H (3) SElTS OF BUILf)ING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEJY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />C1 81 II LLJINC3 <br />IJ ElLBlCTRl CAl, <br />[] P!,ut1BING <br />LJ J,1ECHAN I (!AL <br /> <br />~ERMIIS REQQmSIED <br />$______\'2..""^ ~._...._. _ <br />-- _....J<..!V - _ __ VALUATION OF TOTAI~ CONS'I'RUC'rrOll <br /> <br />--.-.--___.___ AMP ~ERVrCEl <br /> <br />o FIDRIDA POWER <br /> <br />[J VI , R . EI . c~ , <br /> <br />$----..-------- VAI,UATION OF ~IJElCIIA.HCIAr, UlSTAI,IJA'l'TOH <br /> <br />[] C3A8 <br /> <br />LJ ROOFING <br /> <br />[) SPEJr.!tAW'Y <br /> <br />[J O'I'HER <br /> <br />TYPE OP' CONSTRUCTION I [J BIllCK <br /> <br />[] FRAJIJEJ <br /> <br />[J STEEl!. <br /> <br />[J OTHER <br /> <br />FINISHHlTJ FLOOR ElfJEVAT IONS <br /> <br />18 PROlfEC'f' IN FLOOD zemEl AREA n YES <br /> <br />o NO <br /> <br /> <br />BurUHll~ <br /> <br />C'O~IJ PAN y;:E.f4!t.lP Ci~/~L_ J4~;S.~~u_::f~.f:_' _ ____... ._.___..._ <br />~OwA.j .A. "~ BTJ\TEl CEJRT OR REGIST # ..~~C!~(9.J_<R._2__..____...__ <br />81 CHTATlJREl "~~~JI'----L:'l.L_~_._-------------- CITY PROCElSSING ff..._______..___......______ ... .._.._._._....__ <br /> <br />****************************************************************** <br /> <br />B1I.Blc'rRICIAll <br /> <br />- .~ -,_. -,--.-. ...-.....~..._.-. .".. .__..____~__. .0- <br /> <br />COl1PAN Y._.___u____ .______ ___________...._..___.______... .____.. <br />STATE: e'ERT OR RE:CHS'l' II <br />CITY PROCE8S11'W II <br /> <br />-----.---. .-.-_.- ----...~--.----_._-_....~ . -"-"'-. <br /> <br />8 J <311A'l'IJREJ .__ <br /> <br />'*"*"***"*'*""'*"**"***"""""'**"'*'*"***'*""**'*** <br /> <br />---.-...-... ------~.._-- .~- .-'-' ---...- .- -.._-~.. -......._._-~..~----_. <br /> <br />Ii' r. UMB B1R C(J~1 PAN Y _.___._______.________....______..____. "H"_._ .._____.___ <br />STATE r.!ERT OR REGI8T # ___.____..__...___._._.._____.. <br />8 I(~NJ\'1'IJR El C I'l'Y PROCESS ING # <br /> <br />..__.~......_-- .".........------.- -.--------.--------------------- .--~--.--- '-'- 4_.____._._~__ --~.._..____~_4_._.>.~_ <br /> <br />MIllC!HANICAJ. <br /> <br />,.'*********"'**'*'*'*"*'**'***"'**"**'***""*'*'*"'**'*'**' <br /> <br />--._,.~----~--~----_.__.~-----~_.,..._-~.,_._----- <br /> <br />C!ol"l PAN Y ---------._________ . '__.. ~_'_______. '.H_. _......._ .._.__ <br /> <br />STATE CElHT OR RE1CHST # <br />(!I'l'Y PROCESSING # <br /> <br />-.------.-..--- '--. _.______ n._._~_______-._ ._._____. <br /> <br />SWNA'l'IJREl <br /> <br />*,*,**"'*'*'******"*"*'**********'**********************"***' <br /> <br />~.- ------.-.---~_._____u____.._..__..._ "__"~_'___'.__'_ <br /> <br />OrrUBJR <br /> <br />---._--....._--_._~----~.~- <br /> <br />rXJ!,1PANY <br />STATEl C'ElRT OR- REGIST #-------------..-----.---.-......-- <br />(Try PROCESSING # -.-...---- -.------..-.-------_ <br /> <br />-_.__._._..~--_._--------'----_._--_._------- <br /> <br />s umA'l'UREl <br /> <br />**"****"**'*******'*****'*******"*'*'***"*'***'*'******~'**** <br /> <br />'---'._'-~-'-- ---"-_._.~~__~'___."4h_4~ .. _~~__. .n +_, <br />