|
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING nEPARTMENT 5335 ath STREET ZEPHYRHILLS, FL 33B40
<br />Phonala13-780-~020 'axI813-780-0021
<br />HA'rm RIllCIIIIVBlD.__ ~"_.______
<br />PI,ANS R11lVIBlW IJ'B1Ji_______ _L____..
<br />
<br />OWN". '8 IIA"" _.~J<: ",,-_~M C <::'_~.~_ .~_ ~--~___U~___~__ PHON" CON'J'AC'~._.'T~_02_-:;.fQ.~
<br />
<br />,TOB SITE AI1iJREl88 -s-g~..O---,-L~_n__~L_____,_____ _ _____________.___________
<br />
<br />IJElGALJ DESCRIPTION: LO'r(8) BfJ()('K SUBllIVI8l0t! ____.______._
<br />---.----------.---- -.-------...- D
<br />
<br />PARCELl III #.--ll--2~..~..J____~__?..J_'9 C> 1'D ~D__~(_~)~TA.~~__~.ROM ~~~:-=:~~'_~_ '1~~_~_,~~~~~~(~Ill_~__.
<br />~WRK PROPSElJ I [JNBlN CONSTRUCTION [J AODI'rIOtl DAI/rElRA'rrON [I REJP1HR )6 INSTAl,!,
<br />
<br />[JSI<1N
<br />
<br />[] MOVE
<br />
<br />rJ DEJr.10I.ISI1
<br />
<br />PROPOSED USE:: ~rJL Fl\f/IILY DWElLl,INa
<br />C1 CDt1MBlRC 1A II
<br />
<br />[Jr.1tJIiI'I - FAfv1II.Y
<br />
<br />0# OF UNITS
<br />[] SwtMMING POOTJ
<br />
<br />[J fv!C)8!I,El Hot1Bl
<br />[] OTHER
<br />
<br />o INDUSTRIAL
<br />
<br />IJEJSCRIPTION OF l'fORK
<br />
<br />o RBlSTAURAN'l' & ItE:Alml DE:PARTr1ElN'r APPROVAL
<br />
<br />---A-#_J~~.
<br />
<br />d ~2__...L9-J €~__.,S:~~__i___/ l!.t_~
<br />FOOTAGE L..::Lt:) t!?_.{F
<br />
<br />HEIGHT
<br />
<br />BUILDIN(! SIZE
<br />
<br />-----------....-.--.-
<br />
<br />SQUARE
<br />
<br />RBlBIDl:llNTIATJ I
<br />(~or1MER(lIJHJ :
<br />
<br />A'r'r1\CH (:2) PI,OT PI/AilS & (:2) SElTS OF BtJII,lJn1C~ PLANS & (1) SElT ENERGY F'ORI>18,
<br />A'I"l;Ac~H (3) sHi'rs OF BU!LDlNG PLANS & (1) SElT ElNElR(~Y FORMS,
<br />PROPERTY SURVEY REQUIRElD FOR AIJL NEW CONS'l'RUCTION,
<br />
<br />_....._._--..~...........--_.-
<br />
<br />FERMITS REQUESTED
<br />
<br />t1 8tlII,IJIN(~
<br />
<br />$
<br />
<br />VALUATION OF TOTAL CONS'rRuc'rION
<br />
<br />L1 EI1BlCTRWAI.
<br />
<br />- --------___ At1P ~ E: R V ICEI
<br />
<br />o FI,oRIDA POWER
<br />
<br />[] W, R , El . (1 ,
<br />
<br />[] PIJtJt-1BING
<br />
<br />r
<br />,fJ'I1BJCHl\.NICAr,
<br />
<br />[] (~A8 LOJ ROOFING
<br />
<br />.~ 3DO.O-U
<br />$- --. / - VALUATION OF r1ECHANCIAr, HlSTAI,IJATTON
<br />[] SPElmAUI'Y [] OTHER
<br />
<br />'l'YPEJ OP' (!ON8'1'RUC!TION: [J BLOCK
<br />
<br />[] FRM1El
<br />
<br />[] STEElIJ
<br />
<br />[] OTIIElR
<br />
<br />FIN LSHEllJ FI.<)OR ElI1ElVATIONS
<br />
<br />-----~~~
<br />
<br />IS PR(XTECT IN Fr,oon ZONEI ARElA 0 YElS 0 NO
<br />
<br />
<br />BUIJJnmR
<br />
<br />******************************************************************
<br />
<br />cor1 PAN Y____._._,______,_, ______ '_.____.. _...., ______.. ______.__ .____._. ____
<br />STATE CElRT OR RElGlS'!' # ._________'.___________,__________
<br />CITY PROCESSING #_______,___._____________ .._________.
<br />
<br />81 mIATUREl
<br />
<br />. .
<br />-"---~- .__._~----~---~~---------_._-~-------
<br />
<br />mIJlIlCTRICIAH
<br />
<br />S 1 mm'l'lJRE _"'___ __,_
<br />
<br />,. ---.-------.----.--.-.-.--.-- --_......,._-~.-----
<br />
<br />COI1PANY_.____.______________._.___.___ ________ _,__
<br />STA'l'El CE:RT OR RE]<HST #
<br />CITY PROCESSING #
<br />
<br />._._~--.__.~---~~.." --._._---~-_._- -. -..--... .~- '----
<br />
<br />****'*'*""****'*****************'***********'*****'***'***'*'*'*
<br />
<br />----.---.-..-- .------.-...--- . _~_4_.__....._.___
<br />
<br />PI,UMBBlR
<br />
<br />...- ._.....-.__.......--..~~ .--...---.- -._---
<br />
<br />(~Of\l PAN Y -.-----_..._._.__'__________......__...___,__. ___._______
<br />
<br />STATE: CElR'l' OR REGIST # _______~_._._______..
<br />CITY PROCESSING #
<br />
<br />8WNA'l'IJREl
<br />
<br />................................................~;.z:~..~~..~ ,"~ 7:
<br />
<br />MBlC!HANICAI.~" ,2 ~~ (.~OI'1PANY .pn-!f-!-'~/1 .__... -.-_-#L:R!1..r,__',__'__ ~_I!J:
<br />
<br />STA'U CElRT OR REGr8T # C~~_M_LL/ ~___
<br />SWNA1'tJREl. _' CI'I'Y PROCESSING #
<br />
<br />. . '" *-::-: * * * * *-~-~~~, * ,~.~ * ,.* * ~-:~~:-:-,' * * * *., *' * * *' * *' * *.. * *' *' * * * '* , ,:-~~.__._---_. ---.-----
<br />
<br />OTIIB. .---".--__.__~___~____ '"""PA", i)cj'!;;<. A.4-'__.---'U_./7?'
<br />S1'1\'I'Bl C'ElRT OR EGIST # /, iL /' () '---'7" ilL
<br />SI(RIA'1'URE: ---___ _______________ CITY PROCEJ88ING # ~~/.Lk.._ -':::"-__L__ ___
<br />
<br />---'-"~--'------._----~--...-._----~----
<br />
<br />"*'*""*'*"*******"'*******'***"**'*'****""""****'~*****
<br />
<br />-- ------. - - .---~~.--_____._.h_ _._~.__ .___~..___~____~__
<br />
|