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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUnOING DBlI?ARTMEN'r 53315 8 th S'rRI!lBl'r ZBJI?H'lRHII,I,S, ris 33 Ei4o, <br />Phone'B13-780-Q020 raXI813-780-0021 .. ' <br />DA'I'Bl RB<1!1IVIlJO <br />~-- .\:,_,............1;..:.. ."_____ <br />PIJANEI RIllVIBlW JJ'J:IlIli_,-,__..~~:.__._., <br /> <br />f<A ~l t; w.eiks 1r _. _ __ PHoNm "oN'I'A'" 113"-:/i~jL <br />."'B SITe ADIJ;~S;-- )q ~i~ N~~r~tt~~~~~_~_~_ . _________ <br /> <br />... <br /> <br />ONNER' S HM1El <br /> <br />LEGAL HB1Bt!RTPT roll I LOT (S) <br /> <br />BIDCK <br /> <br />SUBlJIVI8JON <br /> <br />- ----.--.__........... . __~4'..,_ ......._. ......_.___ <br /> <br />PARCEllJ I IJ It _..JQ~.~2L-=.PJ3_Q~. 0 00 00 - 0 a 3_r ___~.~~TA~:~._~'ROM~~~=-~~I~_~_'I~~~_..~~?~~CIl'~~._ <br />WORK PROPSBlfJ t [JNllJN l'ONS'l'RUCTION 0 ADDITION 0 AL'I'ERJI.Trrm [] RElPAIR (1 N/hATJ!l <br /> <br />[J S IGIl <br /> <br />PROI?OSEJIJ USE I~GL FAMILY DWELI1IHG <br /> <br />[J CCJt1MEJRl! 11\ t J <br /> <br />[] MOVE: <br /> <br />o DEMOLISH <br /> <br />Ll~1tJW'I., FA1"1rr.,y <br /> <br />[J# OF lIIUTS <br />[]SWIMMING POOL <br /> <br />[J MOB Ir.FJ HOME <br />[] OTHHlR <br /> <br />o INDUS'1'RIATJ <br /> <br />IJBJSCRIP'I'IClN OF NORK <br /> <br />o R1l1STAtJRANT & HElAIJTH DBJP1\RT~1EN'I' APPROVAL <br /> <br />-~..Q..liL_A1c <br /> <br />SQUARE FOOTAGE __.._____~_ <br /> <br />~ ~ 5 f~________~.._...__._.______. __...--"-___ __. __ <br /> <br />Bt1rr.flINl~ f11 ZEl <br /> <br />--~-'-----~'_._-----.... <br /> <br />HElIGU'r <br /> <br />RtIlSIlJElNTIJHJ I <br />(~O~1MBlR(!IAJJ t <br /> <br />---.--.. ........----- <br /> <br />A'I"I'1\CH (2) PI,OT PTJAllS & (2) SElTS OF BUI! ,IHNG PLANS & (1) SElT ElNElRGY FORMS, <br />A'r'l~Jl.CH (3) SE'I'S OF BUiI,DING PLANS & (1) SElT ENElRHY FOR~18. <br />PROPBlRT'l SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION. <br /> <br />~ERMITS REQUESTED <br /> <br />[] BllII.IJINf3 <br /> <br />L___~____.__~ VALUATION OF TOTA!, CON8'rRuc'rImr <br /> <br />lJ ElLIllC'I'RleJAT, <br /> <br />-.-----------.-----.. <br /> <br />AMP SERVICE] <br /> <br />o <br /> <br />FI,ORIDA POWER <br /> <br />[J <br /> <br />W.R,El.n, <br /> <br />[J PWf~BING <br />Xl JvIBl(~H1\.N WATJ <br /> <br />~DOO. oD <br /> <br />$----..--- <br /> <br />VALUATION OF fI\ECHANCIAI, U1STAJ,IJATjON <br /> <br />[] (JA8 <br /> <br />[] ROOFING <br /> <br />LJ SPECIAUry <br /> <br />[J OTHER <br /> <br />TYPE OF CONS'I'Rt1C!TION I [] BLOCK <br /> <br />o FRAME! <br /> <br />[J STEETJ <br /> <br />[J OTHElR <br /> <br />FINHIHllHl FI,OOR ETJEVATIONS <br /> <br />-----.-.-.-- <br /> <br />IS PRO,JEC'I' IN noon ZONBJ AREJAO YHlS 0 No <br /> <br /> <br />Bt1IU')Bl~ <br /> <br />A****"*************************************************t********* <br /> <br />COMP AN Y __...___..___. _______________..~_...__..___.__,___.__.._ <br />S'I'ATE CElRT OR RECH8T # __________.._______________ <br />CITY PROCEJ8SH1G L..____________.______..____...____ ___ <br /> <br />SIGNATURE <br /> <br />. . . . <br />---'-~.---.._--~-----------~._-_.- <br /> <br />mrJBlCl'rll.I C IAn <br /> <br />S J mrA'rtJREl _.......,_..._. ..___._.____.__. <br /> <br />--------. ~-- ---.---.---- <br /> <br />COr1PANY_____ .__ ----.-___~_u____ __. <br />STATE CE!RT OR REnTST # <br />CI'rY PROCESSING It <br /> <br />'-'-_...__._~ ---.-., ----...-.-._--_.--_.._----_.~ ....,..--.-- <br /> <br />* I< * * I< * * I< * * I< I< * I< * * I< I< * * I< I< I< * * * * I< * * * * * I< * * * * I< * * * I< * * * * * * * * * * * * * .' * * * * * * *' * * <br /> <br />-'---. ._.~._- ._-.~_. --- ~'". _. -- ._---"-.._...__..._~-_. <br /> <br />pt,UMBBlR <br /> <br />.-- ._...._-_......_._~-_......_--- <br /> <br />COM PANY -------------------_.______..__,._..___.______ __n,". <br /> <br />STATE CERT OR REGIST It ____~__~__.______... <br />CITY PROCESSING It <br /> <br />8IGNA'l'tJREl <br /> <br />~1<****************************I<************f~****f*~~**{)****** <br /> <br />MII"HAHIm 1'\0., . ~~~,~:N~~J :'GI ~~2ti Il~~1:S--- <br />SlmlA1'IJlHl --.d!WM..-. n__' CITY PROC'ESSINr3 It____~=~~__~~_=__==~__~=:.= <br />I <br />*************1********************************************t****** <br /> <br />..---..---....- ---.--------- .~..._-------.._-.......- <br /> <br />OTUBlR <br /> <br />(~()f.1PANY <br />STATBI CroRT OR REnTST It <br />CITY PROCESSING # <br /> <br />-------.~,---~~---_._-~-._-_............ '- <br /> <br />-.......-"-..-----...----..., <br /> <br />B WNA'l'lJREl <br /> <br />-----.--.-. <br /> <br />-.-" .,-. .---- ._.._~_..._.-----~---_.... _.. ~ <br /> <br />***************************************************************** <br /> <br />-_._._--""-._.__.._---------_.._-----.._--_._~._-_. <br />