|
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII~DINQ IHllPARTMBlN'r 5335 ath S'rREBl'r ZIllPH'iRHIIII~S, tri, 33S40
<br />Phohe,a13-780-~020 'axI813-780-0021
<br />DA'r!ll RBCl!IIVllll]
<br />-----...-- -...._~, --~-
<br />pr~ANS R!lIVIIlJW Jl'1lI1('''___'':i
<br />OI1NElR I El HA~1EJ_._,___~~__,___~,J5_____ __...___.._____. ___._____ PHONE CON'l'Ar~'!'._,e.~-22_2 -:/LJ.J
<br />lTOB SITE AD[}RIDSSu.._,~'i.f:.rd_ _-.2~..___.J'c~e~___.____~&~ /-..tZ...--3JLY02 ,_. ..'._.__
<br />
<br />LEl~AL DESCRIPTION: LOT(S)
<br />
<br />B UK! K
<br />
<br />SUBDIVISION
<br />
<br />-----.-----,-....... --~..__....... -.,-.......-.-
<br />
<br />I?ARC!ElIJ In # _.JJ. -J& -.J.L.:lJ'2Lf) -.lLi't20 - ol,r~______~.~~TA~~_~~ROM ,~~~:..~~~~=__:'A~__~~~:,CIlJ_~,_
<br />WORK PROPSBllJ I Ur:'Hnw CONSTRUCTION [] ADlJI'rrt1t'T OAL'I'EJRATION [] RBlPAIR LJ INSTAYJI,
<br />
<br />[]srrm
<br />
<br />[J ~10VE:
<br />
<br />o DEJr-IJOI,ISII
<br />
<br />PRlW08EJI1 USE: I [JSGI, FAf'.lILY DWELIJIHG
<br />
<br />Ch1UUI'I.. FAI-IJU,Y
<br />
<br />[]# OF mHTS
<br />[J SW H1MING POUL
<br />
<br />U MOB H,E! nOfv'JE
<br />(] OTHER
<br />
<br />[J Cm1MEJRt! JAt,
<br />
<br />o INDlJS'l'RIAIJ
<br />
<br />IlBJSCRIPTION OF
<br />
<br />o ReJ8TAtJRJ\NT & ItElAl,TIt DBlPARTt1ElN'f' APPROVAL
<br />
<br />"ORK 1ou;~qL-.ld ~ ,;/' c--,.e~_S;:!~__41A__k,/~__~____
<br />..:=- loJ~XJi___~_____ SQUARE FOOTAGE -,.-~~!J~ HElWHT _.~~,______
<br />
<br />BUIr,nrNl! S lZE
<br />
<br />REl8WENTIATJ I
<br />(20MMElRC~IAIJ I
<br />
<br />A/I'TACH (:3) PI,OT PI.AllS & (:3) SElTS OF BUU/DING PI,AN8 & (1) SElT ENElRrJI{ FORMS,
<br />AT'!;ACH (3) SE'f'S OF ButLDlNG PLANS 6< (1) SET ENERGY FORMS.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />FERMITS REQUESTED
<br />
<br />[] BtIJ I.Lll Nr~
<br />
<br />$ __.5ot?52Q
<br />
<br />VALUATION OF 'f'OTAL CONS'fRUCTION
<br />
<br />L1 ElIJl!JC'J'R leA I,
<br />
<br />--'--..-__,____ AMP SERVICEJ
<br />
<br />o FlnRrDA POWER
<br />
<br />[] W,R.EJ.Cl.
<br />
<br />[] PI.tlt18ING
<br />
<br />U HB:CHANIl~AJJ
<br />
<br />[] (jA8
<br />
<br />[] ROOFING
<br />
<br />$---..----- VAIJUATION OF t"HlCHANCIAI, HIST1\I,I,ATHm
<br />[J SI?ElctAI/l'Y [) O'I'HER
<br />
<br />'1'YPIil OF CON8'I'RtJC1'rWN I [J BLOCK
<br />
<br />[J FRAME!
<br />
<br />[J STEEl,
<br />
<br />[J OTHER
<br />
<br />FINISHETl Fr,()OR I1lIJElVATIONS
<br />
<br />-_._----~----
<br />
<br />IS PRO,JEC'I' IN FLOOT> ZONEl AREA n VElS
<br />
<br />o Ho
<br />
<br />
<br />aUIl.nRlR
<br />91GNATtJRaI9__
<br />
<br />---------.----
<br />
<br />cot" PAN Y ___.,(JwJl(!.(' ___...__,.. __.... __.._. ...._._.____.__
<br />STATE CBlRT OR REGIST # '_._______..____..___..,,~____
<br />C I'l'Y PROCESSING fL_..,.._________..._____,__._.____..,___...
<br />
<br />""""'*""""""""""""""""""""""""","'"
<br />
<br />B1JJBl(1\rRICtAN
<br />
<br />S] CRIA'l'lJRBJ _....
<br />
<br />.~.- ._-~_.~_.-._~_.__.... ---~----- .--- .-+.. --+-~-------
<br />
<br />COf1PANY ---______h --__u_..__._______ . __,
<br />STATB CBRT OR REGr8T #
<br />CITY PROCESSING #
<br />
<br />.--__ "_0__ ._+'_n .,. ._',_____.______.___ ___..__... _....
<br />
<br />"""""""""""""""""""""""""""""""""
<br />
<br />--...----.--.---. 4_u____4 _ _.~- _ ~ _._4_..__.. ___.____
<br />
<br />Pl,tJMSBlR
<br />
<br />."--_~"""'O__'_~_.__4_'._____+. __.
<br />
<br />C~(Jt" P ANY -'----._'_'___.____ ___....__...____...__...______...,
<br />
<br />STATE CElRT OR RElGIS'r # _____.______..____...
<br />CITY PROCESSING #
<br />
<br />8 WHJ\TtlREl
<br />
<br />MIll(1HANICAf,
<br />
<br />""""'*"""""""""""'*"',"""""""""'*""""
<br />
<br />0____._.__..,.._.+ '__________ _._ ~'__~__.__~._____
<br />
<br />--'-~---+------...~---___04..'____,.___
<br />
<br />Cot\1PANY ___..___.__...__,...___.._,__...__.. ..____.
<br />
<br />STATE r'ElRT OR REG I S'I' #
<br />CITY PROCESSING #
<br />
<br />------~-+-_..~.._-----_._.._--------- +---_.-
<br />
<br />8HJNA1't1REl
<br />
<br />'*"""""""""""""'*"""""""'*""""""""'"
<br />
<br />------._._------._----,_..~-+--~.
<br />
<br />OTHBI:P.
<br />
<br />COltfPANY
<br />STA1'E CERT OR""'RElGIST #--..-.....----..---...~.-
<br />CI'rY PROCElSSING # ----..---..-..,..-...-_____.._
<br />
<br />---'--."--"-'----.---.--------------
<br />
<br />SI(m1\'l'UREl
<br />
<br />"""""""""""""""'*"""""""""""""""'"
<br />
<br />--.--------..- -_.__._-.---_...._._-~-_. .._--~---- -----.
<br />
|