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<br />CITY OF ZEPHYRHILLS PERMrr APPIJ!CATION <br />BUUDING DBlIi'ARTMlllN'r 5335 8th S'rRllll!l'r ZlllPHYRHII,I.S, FI. 33540 <br />Phon.1813-780-~020 ra~1813-780-0021 <br />DATI RJlOI!IIVlIlD <br />PI.ANS R!lV!I!IW I'BlBI <br /> <br />. <br /> <br />mINER' S IIA~1ElJ)~-,.LL.D___--f\~Or~_________ ._________ PHONEJ CON'l'A(~'!'_..RLL)J5;lliW <br />,JOB 81'1'8 ADDRElS8 -~O.ash--\(L~s1-.0-.d--~ilillli-_fL_~:3_5~__._______ .____ <br />BWC'K vi <br /> <br />LEl(]AL ))81SURTPTIOlll LOT(S} <br /> <br />SUBlJIVISlotl <br /> <br />---.._----------.~._..._- .-".---.- <br /> <br />PARC!ElI. I n it <br /> <br />-~"--'"-_....._-_.._~ <br /> <br />(OBTAIN FROM PROPElR'l'Y 'I'A1< NO'1'ICEl) <br /> <br />_._-~'--_._--------....--_.-.._~~---------_.,--.. <br /> <br />WORK PR()PSElfJ I [JNEW C'oNs'rRUCTION <br /> <br />Usrml <br /> <br />o AnDI'rION OALTERAil'ION [J REPAIR o INSTAT,I, <br />[J MOVE 0 DEl~101,ISII <br />[It.1tJ1,I'I.. FM1II.Y []# OF mlJ.'l'S (] MOB TIim ItntiE <br />rJ INDUSTRIAL [J SWn1MING POOL (] OTHElR <br /> <br />PROJ:108Ell USE: I CISC;II, FAMILY DWELl/11m <br /> <br />[] CW1MElRC! 1A[, <br /> <br />Burr,rnNG SIZE <br /> <br />o REl8TAURANT & HEAl,TIt DEPAR'rr.1ENT APPROVAL <br /> <br />?~. --..tlp-.fQ~ ce. <br />~____.._______ SQUARE FOOTAGE _~~ <br /> <br />.--. .,----,---_.~_.._- ----.---.----.-- --."---_.-.- .-, -;.--~ <br /> <br />IlESCRIPTION OF l'10RK <br /> <br />BEl I GfI'r .c~-\:~qt__.._._ <br /> <br />RESIDENTIAl, I <br />(~OI'-1Ml!lR(!IArJ I <br /> <br />A'I"r1\CH (2) PI,o'r PI"AI1S & (2) SETS OF BUII,lJINC3 PLANS & (1) 8El'1' ENElRny FOR~18. <br />A'l"I;A.C!H (3) 8EiT8 OF BUILDING PI"ANS & (1) 8ElT ENER(~Y FORMS. <br />PROPERTY SURVElY REQUIRED FOR ALL NEW CONS'1'RUUTION. <br /> <br />~BlBmTS RJJlQUBlSTBlD <br /> <br />t1 BtIlI/DING <br /> <br />$ --..---.. <br /> <br />._.~-..;. <br /> <br />VALUATION OF TOTAIJ CON8TRtJc'rrml <br /> <br />L1 ELElC'I'RWAI. <br />[J PI.tJ~1BING <br />o I1BJ(!H1\.N WA1, <br /> <br />-_____.____ M"P ~ElRVICEl <br /> <br />o FLORIDA POWElR <br /> <br />[J W.R.m.n. <br /> <br />$.- -.-. <br /> <br />----- VALUATION OF ~"!l:CHANCIAlj Ul8TAl,I,ATTON <br /> <br />[] C~A8 <br /> <br />[J ROOFING <br /> <br />[J SPElC!tAurv <br /> <br />[] OTHER <br /> <br />TYPE OF COH8'I'RUC!'rrrJN I [] BLOCK <br /> <br />o FRAME <br /> <br />[] STElElIJ <br /> <br />[] OTHER <br /> <br />FIN 18HElll FI,OOR ElI,ElVATIONS <br /> <br />IS PROlfElC'I' IN I:<"LOO[) ZONEI AREA 0 YES <br /> <br />o NU <br /> <br /> <br />BUIlJOBlR <br /> <br />cor"p AN Y ____.._Q~_______..___....______.. ____._____... .__ <br />STATE CE!RT OR RE(]IST # ....--------..-.--.-.--____c...._____ <br />CITY PROCESSING L_.__..._____________....._..________ <br /> <br />****************************************************************** <br /> <br />B1UIOTRICUH <br /> <br />S] mlA'1'IJRE! __.. <br /> <br />"'~___"__'_ u....__.__..._..__.__...", '~.._~_.___._.___________._ <br /> <br />cm1P ANY ______________ ______ ___.____.____._ <br />STATE e'ERT OR REGTST # <br />CITY PROCESSING # <br /> <br />. ---....----.--... -~ ._----- ~.~----_._... -."-- <br /> <br />****************************************************************** <br /> <br />---~-_..._-.~.-.- .--.--. -- --...-.--- , -.---..,----..----- <br /> <br />PI,UMBBlR <br /> <br />(!OM P ANY --------.---____--,--_______.____,__.__...___________ <br /> <br />STATE CERT OR REGIST # -------~---'-_._h____.. <br />CITY PROCESSING # <br /> <br />SlGNl\'l'lJRlll <br /> <br />-_._.._---~----------._~---~~....-..- <br /> <br />MBKlHANI CAl, <br /> <br />****************************************************************** <br /> <br />----------~---_.__....---~---- <br /> <br />COlvlPANY ----------.______.____._________ _..__.. __'_h <br /> <br />STATEl CElRT OR RElCH 8'r # <br />CITY PROCE8SIIW # <br /> <br />-.----.--...--.--..--...-...--.-.-----.--....--.---- .-. <br /> <br />SICJNA'l'UREI <br /> <br />-_...._._~_....._._-_.__._._- -. .-------. <br /> <br />*****************'*************************'********************* <br /> <br />OTHER <br /> <br />-----....--------- <br /> <br />COHPANY <br />-----~.-._...~----- ----_.._----~.. .__...- <br />STATE! CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />----~ .-----. --~-~- ._---~..__._- ----, <br /> <br />SWNA'l'tJREl <br /> <br />-----_.~--- <br /> <br />***********************************************************~***** <br />