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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BunDING IHIlI?ARTMEN'l' 5335 sth S'fRIllIll'r ZIllPH'lRHILI,S, FL 33540 <br />PhoneIS13-780-Q020 FaxI813-780-0021 <br />lJA'rB1 RBC1111IV!lJD <br />-----........... --"_._----.:.~. <br />PI,ANS RIllVII!lW JI'!llf(______. ~UH~__.____. <br />UWNElR I S HM1E_J).L.l__LJ..~ _ ___ _________________.____________ PHONE CON'l'Ar~'L________.__._.._____ <br />,JOB BITE ADDRE:88../.:._:!.7 Lf_O____~_________________.___ --~----n____._____n__._._______ _____ <br />LEJrJAL DBlSC!RTPTIOI1= LOT(8) BlJOC'K SUBIJIVI8JOtl kfcci.~2!~"___.9Af:-!__ <br /> <br />PARC!E1IJ ILl It <br /> <br />-_._-----_._._--~._-_..---- <br /> <br />~----_._---_.__._-_._._----------._._-,_._._,P..._"'--------_.~_ <br /> <br />(OBTAIN FROM PROPElR'rV 'I'AM NOTICEJ) <br /> <br />HURK PROPSEllJ I LJNIllW CONSTRUCTION <br /> <br />[lswu <br /> <br />[] ADDI'I'ION [J ALTElRATION [] RElPAIR LJ INSTAl,t, <br />o MOVE CJ DElMOI,ISII <br />[h1lJI/I'I - FAMII,Y [J# OF l1N I'I'B 1C! MOB II.El 1I0t1El <br />[J INDUS1'RIAL rJ SWU1MING POOL LJOTHHlR <br /> <br />PROI?USEJll USE: I [JSGI, FAMILY DWElLI,I1K-l <br /> <br />[]CCJt1MIllRC!IAI, <br /> <br />llBJ8CRIP'rION OF NORK <br /> <br />o RElSTAURANT & HEA1JT1t IJElPARTt1E:N'I' APPROVAL <br /> <br />-Ii #1.______.. <br /> <br />---~-.-~_.--- --.-_____.__...w._ _______~~__ __'_"_'__'_ ._.. _ ..____. <br /> <br />BUn,fHN(~ SIZE <br /> <br />.---.------ <br /> <br />SQUARE: FOO'I'A(JEJ <br /> <br />_._-~._- <br /> <br />HE! WH'r <br /> <br />RESIDENTIAl" <br />(~O~1MI!lRCI1\IJ I <br /> <br />A'I'Tl\CH (2) PLOT PLAn8 & (2) SETS OF BUI! ,DUI(] PI,ANS & (1) BElT ElNEJROY FDR~1S. <br />A'I"rA(~H (3) SETS OF BUtUJING PLANS & (1) SEl'I' ENERGY FORMS. <br />PROPElRTY SURVEY RElQUIRED FOR A1,L NEW CONS'l'RUCTION. <br /> <br />~ERMITS REQUESTED <br /> <br />[1 BlIILIJING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONS'I'RUC'I'WN <br /> <br />L1 BlLElCTRlCAI. <br /> <br />-.---.-----.--- <br /> <br />AMP ,9ERVICE! <br /> <br />o <br /> <br />FlnRIDA POWER <br /> <br />[J <br /> <br />W.R.E,C. <br /> <br />[] P!,tJt1B IN!] <br /> <br />U HElUHANIl!AIJ <br /> <br />$____,. <br /> <br />VALUATION OF MBlCHANUIAI, U1S'!'Al/I,ATTON <br /> <br />[J (1A8 <br /> <br />[] ROOFING <br /> <br />LJ SPElCIAUI'Y <br /> <br />lJ OTHER <br /> <br />'l'YPEl OF' CON8'I'RtJC!TION I 0 BLOCK <br /> <br />[J FRN-1El <br /> <br />lJ STElElJ <br /> <br />[J OTHER <br /> <br />FINISHElIl FI/OOR BlIJElVATIONS <br /> <br />------- <br /> <br />18 PRO,TElCT IN FLOOD ZCJNEl AREA. 0 YES <br /> <br />o NO <br /> <br /> <br />BUlr,DBlR CCJr1PANY __________.....__..________._______ <br />~t/'] ~ STATE! CElRT OR RE!GI8'I' #..______._______________,._______ <br />8lGNATUREl __t..M'_~~~________ CITY PROCElSSING #___..________________..___._~__.._ <br /> <br />"""""""""""""""""**""""""'*"*'""""'*" <br /> <br />BJl,1II0TRIdIAN <br />B 1 llHA'I'UR' ___uJ'~~__ ____ _ ______ <br /> <br />CCJt1PANY --~.l3_tJ._~_/. .,4-/~___ ______..___________ _____ <br />STATE CERT OR REl8T8T # <br />CITY PROCEJSSIN(~ # <br /> <br />--- --. ._..__._-~.._---,._-~------.., --_. _.'-- <br /> <br />PI,lm... ....,.",.".,..........."..,.... :,:::::::'~~'~'-"~:'-~-_-____ <br /> <br />-7~ STATE CElRT OR RElGIST # ___________._______._____.. <br />8WNA'l'lIREl .--"--'..t.:!..--~~r\JI/---..----- CI'I'Y PROCElSSIN8 #_..__.._________..___________________._ <br /> <br />MBlCHANICAIJ -II""""", *", *.".".", * *k'." * *"" *' *" -II ;!;)~;;~~~~Z~ * =_~~._~.:.:..::~_*____.__._____..____ ___.. <br /> <br />STATE C8RT OR REGIST # <br />(!ITY PROCESS INn # <br /> <br />_._-_._'"--_~ __ H.._.__. ___.._.__. _._~__.____. __________ <br /> <br />S IGNA't'tJREI <br /> <br />~~_.._~---- <br /> <br />----___.+__.4_ .___~_...__._.____~_~_,. .________ <br /> <br />***"****'**'*'**'****'*"****'******'*'***'*******'**'*'***'*"* <br /> <br />~ .-----.-.---~--_.____h_.___.. _ .__...._.______. <br /> <br />OTIIBJR <br /> <br />BIenlA'l'URE <br /> <br />-------------- <br /> <br />(~Or,'lPANY <br />S'rJ\'l'E CElRT - OR -RimsT -r------------------------.----- <br />crry PROCEl88ING # -----------_____________ <br /> <br />------------------------- <br /> <br />*************"*****"""""***'*"*'***'**'*******'**'**~'**** <br /> <br />._------------._'----.--~---_..,--_.....__..._,-_._-_._, <br />