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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUII~DING nEJilARTMIllN'r 5335 8th S'rRI!lBl'r ZIllPHYRHU,IJS, P'L 33540 <br />Phone 1813 -780 - 0,020 fax 1813 -780.. OO~:A'rBl RIll(1I!lIVllIn b \L~(.~_3 ..__._ <br /> <br />I?T.~NS RlllVIl!lW Jl'J!lBl . ,. <br /> <br />Ol'lNEJR'8 11M1E ~~ ~ PHONE CON'l'1\r!'~Ilii;mi.~.._ <br /> <br />,roB SITE ADD~-~88.~..:-3~.1_L==-~ti~~~-_~~-<e;'=.J"i_ ..-Vn4f61;c P~~___I!-)~) <br /> <br />IJEl(U\L DHlSCRIP't'IO!T: LOT(8) -.-.d~-- BIJOC'K _._____...._ SUBDIVISION _.__.____....._.._..._ ._.._.__ <br /> <br />PARClElI. III # _..?-..f-~~_=~(___~Q..a2- .QO(~~_-=.~Q?!J1\..~~I..~'_R()~.!.~~=-~~~.~_ 'l\~~..~~~:~~.==~~.... <br />WORK PROl?8Ellll l.]NHlW t'ONS'l'RtJCTION [J ADnI'l'IOll []AL'l'ERATION Ll REPAIR LJ INSTAI,I, <br /> <br />.. <br /> <br />[J SIGlI <br /> <br />o 1'10VE <br /> <br />[J DEMOl,ISII <br /> <br />pROPU8ElIl USE: I lJSGlIJ FAf1ILY DWEU,I1-lrA <br /> <br />r'hmUl'I. FAI"1Il,Y <br /> <br />[]# OF lIlH1'S <br />rJ S\'lIt1MING POOL <br /> <br />[] t-10B!l,El Hot1Bl <br />[] OTHER <br /> <br />[J CCJt1~1IllRl! IAI I <br /> <br />[J INDUSTRIAIJ <br /> <br />CJ REJ8TAlJRANT & HE:AlmI tJElPARTt1ElN't' APPROVAL, <br />IlElSCRIPTION OF NORK h'P~.~ __.._._ ~i~\...u~'______""'''______'_h___h_' ____.._.__. <br />BUU,flIN(3 SIZE: ___.____.__...___.____ SQUARE FOOTAGE _...~_.__ BEl TGH'I' .,,_.___....________ <br /> <br />RES IDENTIJU. I <br />(~O~1MEJRCIAI'1 <br /> <br />ATTACH (2) pLO'r PIJAllS & (2) SETS OF BUIJ,DUH3 PLANS & (I) SEl'I' ElNHlRny FORMS, <br />A'I"liACH (.3) g!Jj'rs OF BUILTJ1NG PLANS & (1) SElT ENERGY FORf-18, <br />PROPERTY SURVEY RHlQUIRED FOR ALL NEW (!ONS'rRUCTION, <br /> <br />~ERMITS REOQESTED <br /> <br />[] B\JIL1HNC~ <br />L1 ELI!JC'I'R 1 CAI I <br />[J pI,m1BINr3 <br />0 J.1BICHANH~AJJ <br /> <br />L_l.3.P~,o~ ._, VALUATION OF TOTAL, CON8'!'RtJC'rIOH <br /> <br />---_._.____.__._ Ar-1p ~ElRVICEl <br /> <br />o Ff.ORIDA POWElR <br /> <br />[J VI , R , El , () . <br /> <br />$__________ VALUATION OF ~~BJCIIP.NCIAI, UIS'I'AIJI.A'I'TON <br /> <br />[] (JA8 <br /> <br />[.J ROOFING <br /> <br />[) SPElCtAUI'Y <br /> <br />[] O'I'HER <br /> <br />'l'YPEl OP' CUN8'1'RtJt!TIOH I [J BLOCK <br /> <br />[] FRAHE <br /> <br />[J 8'1'EE:Jj <br /> <br />[J OTHER <br /> <br />FIHI8HElIJ FJlqOR EJfJEVATIONS <br /> <br />I8 PRO,TElC'I' IN FLOOD ZONE AREA 0 Y!llS <br /> <br />[] No <br /> <br /> <br />BtJILI1SlR <br /> <br />---"~-_.._---._-~._.._._-~.._..~--~--_._._--..---_--_._--_. ---._---- <br /> <br />cor~ P AN Y--__~ -....----.___~_h__._ _m__~ .. _._... ____._ <br />STATE CElRT OR REGIST # ._._u____ __..____,..._ ___ <br />CITY PROCESSING IL______._.._.____.. __.__ .,~........ _. <br /> <br />EllGNATlJRE <br /> <br />"***********'~****************************A*******************'~* <br /> <br />B11.BlC'rRIClJUf <br /> <br />. - _...__.._--_._---_._._._.,~--_._-----~---_.,.~.__.__.---.- <br /> <br />COl1PANY _____...._..._____ _____ <br />STATE CElRT OR RECH 8'1' # <br />CITY PROCESSING # <br /> <br />___n____.__._.........-_..._______....._~._. _'_'_. "_...__ <br /> <br />8 J lUT1\'I'lJRBJ ._.._ <br /> <br />. ---..--.-- .-.- ,.. ---~._--~_. .---.. -..--- -, ,..- <br /> <br />*k*'*"*A***********~*****'*********'*********'****'**"********** <br /> <br />-.--------.---- ... ------..-. ......, - --.-......--.......--- <br /> <br />Pr.UMBIBR <br /> <br />..-..........----.............-....-.-- -_._----~._----------_._------- <br /> <br />COM PAN Y --.--------.-__._..____._~__.__._..._..__._... .._ _...__.._._____... <br /> <br />STATEJ r~ERT OR REJGI8T # .___._______.______......_____.... <br />CITY PROCESSING # <br /> <br />SIlmA'l'tJREJ <br /> <br />-----.--...- -- .-.'------.-.---- ---..---_._--~_._._.._-~ <br /> <br />MB!CHAIUCAI, <br /> <br />, * * * * -I. * * , * * * * * * * * * * 'k ~ * * , * * * * '* * * * * , * * * * '* -I. * A * * * * * '* * * * * * * * * * * * * * * * * * '* <br /> <br />.......------------------..-----------.-.--..---------- <br /> <br />COlvIPANY ____________.__._... ..____________. ._..___ ..... .__..__... <br /> <br />STATE ('ERT OR REGI8T #_____.__..___._______ .____..___ <br />CITY PRUCESSING # <br /> <br />81GNA1'lJREl <br /> <br />-- ---~-_..~._-----_._._._-,--_._------.._. ----.--.-- <br /> <br />*************'***************************'***************'********* <br /> <br />o'rUIlIR ~~__c..~i ~C to&______ r~0l>1PANY ~.f~C!..dhc~L<;_u_2~.~.___ <br />~ S'J'1\TEJ CE1RT OR REGrST # #- 60Q 7 <br />SIGlIA'l'IlREl ~~~~._.___._ CI'rY PROCESSING # -;z..-t:'::.E;;Q~ ..-..~..-~~J___, <br /> <br />---...- ---... ......>--.______...__.2c. ...._.__.__.. _. _.. <br /> <br />*******************************************************'******'*** <br />