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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUUDING IlBlI?ARTMEN'f 533 IS 8 th 8'fRBlBJ'f ZHlPHYRHII.I,S, P'L 33 S 4 0 <br />Phonet813-780-Q020 Faxt813-780-0021 <br />!JA'n RIlICBJIVllJD ~__. _. ~._. <br />I?r,ANEl RIllVI!IJW 1'1lI11l . " <br />O"Il~R 'S 11M" --J~~~L1i_:LJ!g GLfL. ~___ __._______ ______ __ PHONB CON'j'A"'!'._2_~~ ~ 7;:r ~ <br />,mB SI'I'ID ADDREJ88 -u-Jju~07_uiZ sf 2-~~6.-.J-L~!JJ.S._f1._ 3_~..f:t_l::______________ _ _____. _____ <br />LIil<lAL J)H1SURIPTIOI1~ LOT(S} ---L.:2__ BLOCK __12 f" ___ SUBDIVISION _______.,.__..________ <br />PARUEIJ ILl #_--!!t..? {_~~~~_c'!..~/O -=___Q J ~Oo.:. O_O/~.~_~~TA-~~___~~ROM_~~~~_~~~~..r~~~___~~~1?Cm_~___ <br />HURK PRnp8ElfJr UNHlH CONSTRUCTION [] IWDt'l'ION fJAI/rElRA'I'ION (] RElPAIR [J INSTAT,!. <br /> <br />. <br /> <br />[]SrGN <br /> <br />o MOVE <br /> <br />o DE~10I.r811 <br /> <br />PROl-108EJIl USE I LlaGI, FAtIlII,Y DWELl, IllGI <br /> <br />[h1tJLTI.. FAIYJU,Y <br /> <br />[)# OF T1NI"S <br />[]aWU1MING POOL <br /> <br />[] MOB II, EJ II m,Uil <br />(J OTHER <br /> <br />fJ Cm1MElR(~ JA[, <br /> <br />o INDlJS1'RIAL <br /> <br />o RgS'fAURAN'I' & HEAl/l'H DEPAR'rr.1ENT APPROVAL, <br />Il!lJSCRIP'I'ION OF NORK ,--12~!!.!2.. 0c......j_.._.________._____...__~__.___ <br /> <br />. ---~--_.~_.._--_.- -..,...---...-. ~_._._~ <br /> <br />BUILHIN(] SIZE <br /> <br />._------~--.__._--- <br /> <br />SQUARE FOOTAGE <br /> <br />....._---~----- <br /> <br />HEJ !GUT <br /> <br />...:_---~_.._.__._,-.- <br /> <br />RHlBIDElNTIAL I <br />COr-1MBlR(!IArJ I <br /> <br />A'I"f1\CH (2) PI,OT PIJAllS & (2) SElTS OF BtJII,IJIN(1 PI,ANS & (I) 8ElT l!INElRrn' FORMS. <br />A'{tiI;AC!H (3) SETS OF BUtLDING PLANS & (I) SE'f ENER(~Y FORMS. <br />PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION, <br /> <br />[] B1JII,IJINr~ <br /> <br />iERMITS RmaUESTED <br />t____.f C!... 0 _'__'__ VAI-ltJATJON OF TOTAL CONS'fRtJc'rION <br /> <br />L1 ELBlC'I'RWAI. <br /> <br />---------__.___ AtllP SElRVICEl <br /> <br />o Ff.oRIIJA POWER <br /> <br />[J W,R.EJ.C1, <br /> <br />[] Pl,tJt-1BING <br />o /vlElUH1\.NrC!ATJ <br /> <br />$---_.~ <br /> <br />- VALUATION OF tllECHANCIAI, IH8TALI,ATTON <br /> <br />[] (~A8 <br /> <br />[] ROOFnm <br /> <br />[J SPECJtAI.'!'Y <br /> <br />[) O'I'HElR <br /> <br />'1'YPE OF' (!ONS'l'RtJC!TION I [j BLOCK <br /> <br />o FRAt1EJ <br /> <br />(] STEElIJ <br /> <br />[J OTHER <br /> <br />FINISHElIJ FI,{)OR mf,ElVATIONS <br /> <br />-----.----.- <br /> <br />IS PRO,TECT IN FLOon ZONEl ARElA 0 YBlS 0 No <br /> <br /> <br />BUILDBlR ~.?~ ~./ ~~~,~:N~;R1;--ORR8-r318'I'-#-~_~-~_=_~~~~~~_ __~_ .::.:=~~:~.==-':,::~ <br />SIGNATUREl -..0__ -. ----{L.t2f'!~____________ CITY PROCESSING L.. _ ______ _ _____.. ___'_'_.______.___.____ <br /> <br />**** ~************************************************************ <br /> <br />B1r.BIC'fRlcau <br /> <br />COl1PANY _.__._.____.___ _____ _..__...____.___ ___ <br />STATE CERT OR REGrST # <br />SJGlTATlJREJ _.__.n__.._____________________________ ern PROCEl8SIN(~ # <br /> <br />_ _4______ ______'~..______.__ ___.__... _. ___ <br /> <br />****************************************************************** <br /> <br />-----..-------..---._._.M...____...... ____~~.,__..... ._.____ <br /> <br />PJ.UMBl!IR <br /> <br />..--..-----.-...--.---.--.-.......- ---- <br /> <br />COM P ANY -------------------------___hn__.__.__ _.._ h________,_ <br /> <br />STATE e'ER'l' OR REGIST /I; _________,_____..._____._.. <br />CITY PROCESSING # <br /> <br />SWNA'l'I1RE <br /> <br />MBlCJHAIUCAT, COlviPANY__,,_______.__._.____________..., ._______ <br />STA'rEJ CElR'f OR REGIS'r # ________.___,____..__________ <br />8WNA'I'l/REl CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />.---'----.-.-.------~----__...__.4_.___~_.____ <br /> <br />***************************************************************** <br /> <br />----._.._~_.---..,----- ---..----------.--.------..-------- <br /> <br />OTUBR COMPANY <br />------~-------- S'J'ATE e'ERT OR REGIST-n <br />SI<3l1ATtJREJ -_______,..___.___.___ CITY PROCESSING # <br /> <br />-_.__4.________.__.____~ '__'_ <br /> <br />-----------.,----..------- ---.-. <br /> <br />***********************************************************~***** <br /> <br />------------. ._-_._~'--___~~n____"""'_.____~,._~_ ___ <br />