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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUnnING IHllPARTMIllN'f 5335 8th S'fRl!llll'f ZllJPHYRHn.r..S, ri. 33540 <br />PhoneI813-780-Q020 raxI913-780-0021 <br />I>A'fllJ RIllCBltVlDD <br />~......_.._.;._,-..... ;.~;.. ,_._--- <br />InANS RllIVtBJW II'J!If(_______ _____. <br /> <br /> <br />:::::E::,:."::::;~~ ("0fih ~~~! ~Si~ ~-~7frrA/uiJ=: ~~ <br /> <br />PHONEl ['ON'l'IWI' 7f?6 - 9.~;2 5' <br /> <br />LBlGJUJ })ElS(!RIP'rIOtl: LO'r (8) <br /> <br />BLOCK <br /> <br />SUBIJIV I SlOt[ <br /> <br />~-'~-._-,.._-_.__._---- <br /> <br />-_._..~--...._-.-.. .------..""".-'-' -.--.-- <br /> <br />PARC!Elli In # <br /> <br />WURt< PROPBEllJ r [JNElW C'ONSTRUCTION <br /> <br />-.----.-..--.-'-----~.---.-------....--~-----------.----.--~-.,.......-----~W_---__..__........____...__40.~__~,,__..__._........ <br /> <br />(oBTAIN F'ROM PROPER'rv 'I'AK NO'l'H~El) <br /> <br />[)SWll <br /> <br />[J ADDITION [J AL't'ERA'I' ION [J RElPAtR IJ JN8Tl\T,t, <br />[) MOVE 0 DElf"'OI,ISlI <br />[1t1tJUl'I - FAIUI,Y [1# OF mUTS (] MOBnEl Hor1El <br />[J INDUSTRIAT, [] SWIMMING POUL [] OTHElR <br /> <br />PRO!:lOSFJI> 08El: LJaGI, FAMII,V DWELIJIHr~ <br /> <br />f:.J CDt1MElRC!IAI, <br /> <br />11EJSCRIP'l'ION OF WORK <br /> <br />[-=:J RESTAURANT & HElAlml D@PAR'1'~.1ElN'f APPROVAL <br /> <br />---------54V12_._ <br /> <br />.~~--._-_. '-----..-.._.~~....... ._--_.~---,._-_.----_.__._,-.-. .._-_._~ <br /> <br />BUlr,rnN<~ ElIZEl <br /> <br />.~--_..__..__.-. -~-----,--- <br /> <br />SQUAREl FOOTAGE <br /> <br />--- ---- -----.--- <br /> <br />HElIGHT __.____.__~_____._ <br /> <br />REBII1BlNTIATJ I <br />c~OMMBlRCIAr'l <br /> <br />A'I"t'nCH (2) PI,oT PI"A1l8 & (2) 8E'I'S OF BUUIJINlJ PLANS & (1) sEI'r ElNEJRny FORlvlS. <br />A'r'liAC!H (3) SE't'S OF BU!LDING PLANS & (1) am'I' ENElfWY FORr-1a. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONS'I'RUCTION. <br /> <br />[] 811rr,IJINC~ <br />IJ ELI!JC'I'RlC!AT, <br /> <br />RERMITS REQUESTED <br />, --) lVO <br />t.d~.?7' ____-' VALUATION OF 'roTA!, CONS'fRlJCTION <br /> <br />-.-------.-___ 1\t.1P ~E1RVICE <br /> <br />D. FLORIDA POWER <br /> <br />[J W . R . E . (1 . <br /> <br />[J pwr1SING <br /> <br />LJ I-1E:UHl\lHC!AIJ <br /> <br />[J (~AS <br /> <br />LJ ROOFING <br /> <br />I <br />L_ ------'-----------___ VALUATION OF t-1EC'HANc~rArt U18TAI,lJATTON <br /> <br />[0) 8P@C!!AL'l'V <br /> <br />[) OTHER <br /> <br />TYPEJ UF CONS'I'RUC!'rION I [] BLOCK <br /> <br />[] FRAM8J <br /> <br />[] STEElIJ <br /> <br />[J CJTIIElR <br /> <br />FINI8HHlfl F'I.<JOR ElI,EVATIONS <br /> <br />---.------------ <br /> <br />IS PRO,JElC'r IN FIJOCl!l ZONE! AREA 0 Yl!lS 0 NO <br /> <br /> <br />BUrtnBlR <br />81GNA'I'tJR~-0-e"--.-~----------h---- <br /> <br />""*'***'*""'*"*'*"*'*"'**'**'**'*""*""*""""'*"'*** <br /> <br />Wf\...l~ <br />COt1 PAN Y..___________ ___ _______ _____ __. __.___. ____..___...__ <br />STA'I'E CEJR'l' OR REGIST # .____.___ .____________________ <br />C I'rY PROCElSS I NG 1l___. _ ----------__n____ ___,__. _____h__ <br /> <br />BlUIC'!' RI C!A N <br /> <br />. -0 _. _. ___.,.~__. "4 ______._ .._,._.._.__~_~ ."__. __., __"_'__~.__. ___ <br /> <br />cm1PANY ___.___________ ---.---_h__________ ___'__ <br />STATE CERT OR REGIST # <br />CITY PROCE8snm # <br /> <br />. -~------. --,-~.-.. -____._u_______...._, ~_.' _._~. ..,._ <br /> <br />S] mmTIJREl __M <br /> <br />***"******"**'*****'*****'*'*'*"***'**'**'*'***"****'*'**'**'* <br /> <br />.-.-----. -------- --...--. -'--"-'.-. -.-........--.---. -......'"---- <br /> <br />PI,tJMBlIlR <br /> <br />._.h..._...___.....~__...._......__.._. _~__ <br /> <br />----_._.~--- <br /> <br />(~OM P ANY -----______._______._____________._...__..._____.____________ <br /> <br />STATE CElRT OR RElGIST # -----~-~_'o......._____.... <br />CITY PROCE8SING # <br /> <br />SWNA'l'lJ!UJ <br /> <br />MBlC!HANICAJ, <br /> <br />***'****'*'**'*"'****'***"*"*""'*'*'*"*"***"*'"*"'*"**' <br /> <br />.--....-. .._.._----,-~-.- .-._.-..~-- --~.._----,-~- <br /> <br />---------~-----_.~---_._"_._._....._-_.._------- <br /> <br />COlv] P ANY _________________. .__.___________________.___ __. ___ ..__.__ <br /> <br />STATE ~ERT OR REGIST # <br />Cl'I'Y PROCESSING # <br /> <br />---_.. ---._-~-'+- --_.-._+ -...~+-~~~__ -'____~n_. <br /> <br />SWl'lATI1REl <br /> <br />*"'*"""'*"""""'*""'*"*'***'*"'*"'***"'*"*"""*' <br /> <br />----~-_.._._--_.__._------~. --~------ <br /> <br />OTHllJR <br /> <br />----------------- <br /> <br />COflJPANY <br />STA1'El CElRT OR -RiG r ST -#---~------..---------_.----.----- <br />CITY PRClCElSSING # ---.------ -____.._____________~ <br /> <br />~--....- --------.:..----.----------.------------------ <br /> <br />S WllATtJREl <br /> <br />***'**'**'****'*"*"'****'*""*'*'**'*""""*"'""""**'** <br /> <br />-~-.------~,._---,-_.._-~._~--.._--~- - ..------.-. ..-.. <br />