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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIlJrHNG DBlI?ARTMEN'r 53315 sth S'rREBI'r ZEPH'lRHII,I,S, I!'L 33B40 <br />Phonels13-780-Q020 faxI813-780-0021 <br />nA'rBJ RBcnvJiJri <br />~- ..::-- ,":'~,",,~ <br />nANe RRVIBlW rllll_ ,-~__.tL ___ _ . <br />1 _ " , <br />ol1NIlJR I S IlAJI1EJ____~_---~).(._________________ PHONE (XJN'l'Af~T______~_~_._;:-_:... ____----' <br />,JOB SITEI ADDRBlSS .n-_.--_~:L.5.__~-1=t~_~.l~_______.____ __.____ ____________,_ '________. ______ <br /> <br />IJECl1\L DBlBURTP'rIoll: LOT(S) <br /> <br />BfJOC'K <br /> <br />SUBDIVISION <br /> <br />~.------_._.... '~-'---'--',-,,--~- <br /> <br />PJ\RCE1J In It <br /> <br />(OBTAIH FROM PRO!?EJR'l'V 'I'Al( NO'1'1C!I!l) <br /> <br />WORK PRnl?8BllJ I []NBl~l CONS'fRUCTION <br /> <br />._--------....._-------_._...._--~.._,----.__.....- <br /> <br />o ADDITION <br /> <br />[JAL'fElRATION <br /> <br />[] REJPAIR <br /> <br />[) TNBTAT,l, <br /> <br />[] 8 rau <br /> <br />o MOVE <br /> <br />o DElMar,ISII <br /> <br />PROl,luSEn USEl I [lsm, FAfvlILY DWElLLIHiJ <br /> <br />Clr1tJI.'J'r. F1H1U,Y <br /> <br />0# OF UNITS <br /> <br />LJ MOB JI,EJ HemBl <br />f] OTHER <br /> <br />[] Cm1MIllRC' IA t J <br /> <br />o INDlJS'l'RIAf, <br /> <br />[]SWH1MING POUL <br /> <br />D JU18TAlJRANT & HElAlmr DBlPARn1ENT APPROVAL <br /> <br /> <br />R~ -~~:.~o'rA:~-~&~~~:~~~~_~~~~~ <br /> <br />)l!lJSCRIP'rION OF 110RK <br /> <br />Bun,nrNeJ SIZE <br /> <br />Rl:!lSHHllNTIAfJ I <br />COMMI!IRC!IlH.1 <br /> <br />A'I"fJ\CH (:3) PLOT Pf-lAllS & (2) SElTS OF BtJII,IJIN(] PLANS & (1) BElT ENBlRnV FORMS, <br />Aff1.;.A.(~H (3) SETS OF BUtI,fJING PLANS & (1) SE'r BlNERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~IIILDINC~ <br /> <br />FERMITS REQUESTED <br />L_1r_f)-O~__-, VALUATInN OF 'rOTAL CONS'fRtJCTION <br /> <br />[1 BlIJlIlC'I'RWAIt <br /> <br />----.____~ AMP SElRVICBI <br /> <br />o FI,oRIDA POWER <br /> <br />[J W,R,El,n, <br /> <br />[J PWr18INf.3 <br /> <br />o 11EOHI\N WAfJ <br /> <br />[J (JA8 <br /> <br />LJROOFING <br /> <br />, <br />$----.-----'------ VAIJUATION OF ~~BlC!HA.NCIAr, INSTAI,I,ATTON <br />[J 8PEl(!!AI/fV [) OTHER <br /> <br />'l'YPEJ OF CON8'I'RI1C~TION I [J BLOCK <br /> <br />o FRAMEl <br /> <br />[] STEElJ, <br /> <br />I <br /> <br />[] OTIlElR <br /> <br />FINISHED FlAJOR I!lfJEVATIONS <br /> <br />-------- <br /> <br />IS PROlfl!lC't' IN noon ZONEl AREA 0 YEla 0 ND <br /> <br /> <br />eu I Ll1Bla COt1P ANY _~___~_~_.. ____.. ___..______.____<____.___ ___ <br />STATE! CEJRT OR RElGIS'}' # ._._.~____..__________._'_____ <br />81 GNJ\TtJR!Jl..b_____'-_______-'--____._________ C I'l'Y PROCESS ING L,________,_________..__~...____.____ <br /> <br />****************************************************************** <br /> <br />Blr,BlClTRICUN <br /> <br />S I GNA'I'IJRE _m___ <br /> <br />--._~ _..-._-_._--_.<-~-- ---_. --._~_.-----_.- <br /> <br />cm1PANY ____._____.:...._____________________~__ ____ <br />STATE CERT OR RE~TST U <br />CITY PROCESSING # <br /> <br />.---....--. --- --.-., ._. ..'-.----.--~~ -------- - _.--_..-. <br /> <br />* I< * * * I< * * * * I< * * I< * * I< * * I< * \\ * I< * * * I< * I< * * * * * * * * * * * * * *k * * T * ''* * * * * * * * * * * * * * * * <br /> <br />-.----------- ---'---. -_._..-~---~. .,.__._--"--.~..---.------, <br /> <br />PI,m.tBBlR <br /> <br />~..... ._-----"-..~--_.......__._--- <br /> <br />COt~ PAN Y _. ---'--.____________ __________.._..______.____ _..___.___...._. <br /> <br />STATE: CE:RT OR RElGIST # _____________'-__.._____. <br />CITY PROCESSING # <br /> <br />8JGHA'l'IJREl <br /> <br />MBlCHANICAl. <br /> <br />~***************************************************************** <br /> <br />--.............--- ---~......_--_.- ~----.~"--------~-------- <br /> <br />"""""'------_._-----~----~..._---- <br /> <br />(!O~1PANY ____ <br />81'ATEl (!ElRT OR RE!GIS'r # <br />CITY PROCESSING # <br /> <br />.-...--...-.--..-..-----_ ____..._...h__ '___. _'___.. <br /> <br />S IGNA'l'tJREl <br /> <br />--------------------"--_._~--- --_.~..- <br /> <br />***************************************************************** <br /> <br />--.----.-----.---.-.---.---- ---~------~ <br /> <br />OTHBlIl. <br /> <br />(~Or~PANY <br />STATEl CERT OR RElGtSr r----...-----------.---- <br />CITY PROCESSING # __u...__________________ <br /> <br />...------------ <br /> <br />SI(1NA'l'tJREl <br /> <br />************************************************************1<**** <br /> <br />----.......------..- ._---~------_.__.__...._. -..-'.----- <br />