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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUII"DING IllIlPARTMlllNT 5335 8 th 8'fRBlBl'f ZBlPHYRHILI,S, FL 33 e 4 0 <br />Phona/813-780-Q020 FaxI813-780-0021 <br />IJA'fm RBC1B1IVBlD __.__~_ ._____ <br />PLANS RIVIBlW re! <br /> <br />OI'lNEJR '8 HM1El__ C ~:r.'!.._....~r . Z6P.J.I.'t~.H IL:.~~___.____________~ PHONE: C!ON'l'lV~'!'_____.___ __u_.._ ___ <br />,TOB SITEl ADDREBS ____5:ols____iCJ ~~-_s...7:_____________ _________.___.______________. <br /> <br />LEGAL J)B18CRTP'rIOl1l LO'r(B) <br /> <br />BIJOC!K <br /> <br />SUBDIVISIOt! <br /> <br />--'~---~. -'~-~.._-_.._~---_._- <br /> <br />PARCElIJ In # <br /> <br />---.---*.---.--------------------.-.--~-,-.--.-~--______w.~__._..,P.._.........._____..._ <br /> <br />(OBTAIN FROM PROPElRTY ,!'A}{ NO'l'ICEI) <br /> <br />WtJRR I?ROPSElDI [JNElN CONSTRUCTION <br /> <br />[lsnUl <br /> <br />o ADm'rImr (JALTERATION [J REPAIR I] INSTAl,!, <br />o MOVE d(f DEJrlfOI,ISII <br />[h1UW'I.. FAMIl.Y [)# OF lIlU T S [] MOBlItEl lIor1Hl <br />rJ INDUS1'RIATJ [J SN !t1MING POOL lJ OTHIllR <br /> <br />PROtJOSEJn USE I []secH, FAMILY DWELl,l1m <br /> <br />[] CCJt1MBlR(!IAT, <br /> <br />D RMTAURAN'l' & HBlAlml DElPARTt1EN'l' APPROVAL <br />llBJSCRIP'l'WN OF NaRK __ D~Ot.d1'"'Ic//V...at:...~XI..51IAJC;__5.TgL!.C::_rv~~______._______._____. .____ <br /> <br />BlJILfl!N(; SHIE <br /> <br />---.-_...__.M___----.... <br /> <br />SQUARE FOOTAGE _.Io~l2____ <br /> <br />HElIGH'f <br /> <br />RESIDENTIAT" <br />CO~'MEJR(;IArJ I <br /> <br />.~--_._-.'- --..>----- <br /> <br />A'I"l'ACH (2) Pl,o'r PTJAl1S & (2) SElTS OF BUIJ ,DUll) PT ,ANS & (1) BEl'!' ElNElRny F()R~18, <br />A'r'I'M!!! (3) SETS OF BunDING PLANS & (1) SElT ENER(W FORMS, <br />PROPElRTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION. <br /> <br />FERMITS REQUESTED <br /> <br />[] 811ILIJINr~ <br /> <br />L..______.____ VAl,tJATION OF TOTATJ CONS'rRlJC'rION <br /> <br />L1 BlL!!JC'I'RlCAI, <br /> <br />--.-.--_._.___ J\t.1P SElRVICEI <br /> <br />o Fr.oRIfJA POWER <br /> <br />[) W , R . III , (1 , <br /> <br />[] PWt-1BING <br /> <br />o I-1BJt:UANH!AT, <br /> <br />$ - - _.. <br /> <br />- VAJ.JUATION OF ttlBlCHANCIAI, UIS'I'AI,I,ATTON <br /> <br />[J (~A8 <br /> <br />LJ ROOFING <br /> <br />[] SPElCIAUry <br /> <br />o O'T'HER <br /> <br />'T'YPEl OF CON8TRtJC!'rrON I LJ BLOCK <br /> <br />o FRAME <br /> <br />[] STEElL <br /> <br />[] OTHER <br /> <br />FINISHED FI~OR ELEVATIONS <br /> <br />----------.- <br /> <br />IS PR(XTECT IN FLOOD ZONEl AREA [) Yals <br /> <br />o I<lO <br /> <br /> <br />SUltn!lR <br />BIGNA1'UR. _m~, e ~_~_____~ <br /> <br />****************************************************************** <br /> <br />COttl P AN Y-_t':teu~s_...e.z/Vsrp.':!!:'-I1~/Y.._.ce, -~_IN.~__.._ <br />STATBI CElRT OR RElGIS'l' # __.________..________.__.__._. <br />crry PROCESSING #L_/~Q_._.___~_____._..___._.._._ _._ <br /> <br />BlY,!IIC'rRICIAN <br /> <br />S"I G1lATUREJ .____ <br /> <br />"---'.,_~ .__'4_,_____..___""'-__._._..~,_____ _'_..__.~____~ <br /> <br />cot1PANY______.._________.________. ._ ~________ __ ___ <br />STATE e'ERT OR REleHS'!' It <br />CITY PROC!E8SIN(~ It <br /> <br />"--'-..- -. .__.~- . .. ._--'~---~-_._-- -......" '--.. _. --- <br /> <br />****************************************************************** <br /> <br />._-----~_..__.__._._.._-_.- ..._._~._.,------ <br /> <br />PI,UMSBlR <br /> <br />-_.~._-_._-~-,---_..._----_._.- <br /> <br />C'OMPANY---__________________.._____._________ <br /> <br />STATE e'ER'T.' OR REGIST # _________..____.._____. <br />CITY PROCESSING # <br /> <br />S IrJNA'I'l1R Hi <br /> <br />MBlCHANICAY, <br /> <br />****************************************************************** <br /> <br />.---_._.~.._._-------_.~.__._---_._----~ <br /> <br />--_._.---------~~-------~..,..__..----........-_- <br /> <br />COlvlPANY _________._...._________....._ _..__.._... <br /> <br />STATE C'IDRT OR REGr8T # <br />CITY PROCESSING # <br /> <br />--------..-------...-.--.---- ....------- <br /> <br />SIGNA'T'URE! <br /> <br />**************************************~************************** <br /> <br />--'--~'----'---,--,-- ~.__._---- <br /> <br />OTIIBlR <br /> <br />w______._.._____ <br /> <br />(~miJPANY <br />STA'T'E CElRTCJRRECnST #--------------------..---- <br />CITY PROCESS ING # ---...-----...-_._______ <br /> <br />----------------- <br /> <br />S WW\'l'URE: <br /> <br />***********************************************************~***** <br /> <br />-~-'-----..__._---._~--.__._,-_._-._._--- <br />