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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBlPARTMlllN'r 5335 sth S'rRlllBl'r ZIllPH'lRHILI,S, FL 331;40 <br />PhoneIS13-780-Q020 FaxI813-780-0021 <br />IJA'rm RIlI(~mIVIl1D <br />PI,ANS RBlVIBlW Jl'IUlI <br /> <br />CMNEJR I 8 HAHEl-/l!t__~lu (~ &.. ___j{ e~ ~;1__,!:::____.______ PHONE CON'l'}W'~_________~ _ ____ <br />~ < G:. <br />,JOB SITE ADDRESS __t--~_j LI.__~'-~_?'..'i':..___CJ"'!____________u___n_______________.____...._. _om_ <br /> <br />IJElC1AL DBJ8CJR I PT lOti: LOT (8) <br /> <br />BIJO(~K <br /> <br />SUBlJIVISlntr <br /> <br />PARCElll ID f* <br /> <br />---._---~._-_._-~~._._-----~-------_.__._-_._-_.._~~--.._--_._----~._--~ ..---..-.----..---.--...- <br /> <br />(OBTAIN FROM PROPElRTV 1'AX NOTWEl) <br /> <br />HURK PROP8EltJ I [JNElH l'oNSTRUCTION <br /> <br />ClSIml <br /> <br />[J ADDI'rION [JAL'l'ERATION [J RElPAIR IJ INSTA!,!, <br />o MOVE 0 DEt10l,ISII <br />Clt1UW' r - FAMII.,V 0# OF tiN ITS rJ MOB!I,El Hot1El <br />o INDUSTRIAIJ o SHItiJMING POUL LJ OTHIlJR <br /> <br />PROPlJsEin USE I [lSGL FAMII,Y DWELI,U1G <br /> <br />fJ cm'lMBlRCIAI, <br /> <br />llESCRIPTION OF NORK <br /> <br />CJ RElSTAURANT & HEAlml IJEPARTt1ElNT APPROVAL <br />IP)J// <br />~~------- <br /> <br />..------------------ -----~-_.~_., <br /> <br />B 11 11. flI NrJ Ell2i E <br /> <br />SQUARE FOOTAGE <br /> <br />HEll mI'f <br /> <br />RillS IDElNTIAI, I <br />(~O~1MSlR(!Il\I'1 <br /> <br />A'I"r1\CH (2) PI,o'r PIJAllS & (2) SElTS OF BUIT ,DING PI,ANS & (1) eElT HlNElRClY FORt.18, <br />A'l"IiACH (3) SETS OF BU!I,DING PLANS & (1) SElT ENERClV FORMS. <br />PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BllI I,)JINc~ <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRue'rION <br /> <br />1.1 ELBlC'I'RlCJAI, <br /> <br />At11? ~ERVICEl <br /> <br />o <br /> <br />FI.oRIDA POWER <br /> <br />[1 <br /> <br />H.R.El,C!. <br /> <br />[J Pr,ut,1BING <br />o IvlBJUHANIUAIJ <br /> <br />[] C~A8 <br /> <br />[J ROOFING <br /> <br />, <br />$-----.----- VALUATION OF ttlBJCHANCIAI, UTs'rAI,I,ATTON <br />[J SPECJtALTV [J OTHER <br /> <br />'J'Y-PEl OF CONSTRUCTION: [J BLOCK <br /> <br />[] FRAJ1EJ <br /> <br />[] STHlElI, <br /> <br />[] OTHEJR <br /> <br />FINIBHElIJ FI,OOR BlIJElVATIONS <br /> <br />18 PRO,TElC'l' IN FLOOD ZONEI AREA. 0 vms <br /> <br />o NO <br /> <br /> <br />BUILDBlR <br />81GNATURBJ _W_~_______.______ <br /> <br />~~ttl~:N;. _~ ---;-:________.___.__...._. _ ______..___.___ <br />A ~E1RT OR EGIS I # .__.________.._________.____ _______ <br />CITY PROCESSING # <br /> <br />_._---_..- -_._.._~._-_._-- .__..._--_....~. -_. -.,~.. -'.--- <br /> <br />""'t**""'**"""""""*""*"""'**"""*'*'"**'***"'* <br /> <br />my,mOTU C IAN <br />S ]GIIA'I'lJRE -._.-w.__~~_.__________ <br /> <br />Cot1 PAN Y _ --.!;!3.I:t':'!.J!'!-/( _.___. _______._..._______ ___.___ <br />STATE CElRT OR REGIST U <br />CITY PROCESSING # <br /> <br />"___ __. .__._d__._._.____.__...._.__.__.__._..__ <br /> <br />""*""**"**'*"*""',..,',.,""*"'*"""*""*""""**'* <br /> <br /> <br /> <br />Pt,''''88' ~~~~:N~;~~;_;;=-~=:===~-===:~ <br /> <br />SHlHR'!'1l" --~~-_~__._u_ CITY P'OCESSINQ >> _________________ <br /> <br />*'***'*'*****"**'**"****"""'*'**"'**'*"*"**"*',"'*""" <br />MBlCHAIUCAr, CO[vJPANV _~.!'-~~_.__...________________.____._ <br />~ STATEl CElRT OR RElGIST # ----------------_____u_ <br />SWNA'l'tJREI~. W ~.vc::..~~...~___ Cl'l'Y PROCElSSING #_____.________________ <br /> <br />'*"*"'*"*"""""'*"*'*"*"*'*"'*"*"'*"*"**'*"'*'*', <br /> <br />-.-------..-- ----.--..-- -_._._,- ..--------.,.-.-- <br /> <br />OTlIBlR <br /> <br />---------------.-.. <br /> <br />(;OHPANY <br />STATEl CElRT-OR REGrST -r------------u---------- <br />CITY PROCESSING # -----------.----------- <br /> <br />~---.---_-.....-._----------~-- <br /> <br />S I<3NA'l'URE <br /> <br />"**"'*"""'**"'*""""""*'*'*'*""'*""""'*'*'~"**' <br /> <br />.-------""-'- .--.----.---.------.- ---.. -'._-_.. -.---. <br />