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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />aUll~ING DEPARTMENT 5335 aW STREET ZEPHYRHILLS, FL 3]~40 <br />Phone 1813 -780 - DiD 20 Fax 1813 -780. 002I:~trm RECillIVllIo -.!I=~ f:::e .~__ <br />I?I.1I.NS RlllVIEW 1'1ll1li_______.'l: <br /> <br />(MNEJR' S l1M1El__~_:d~_:~jiiLt.p.~_______d__m. __~_____u___,___ <br /> <br />,lOB SITE ADLJREl88 ._.3;[~ 3_____TQJ!,L_(YJ~lLiJ.~_'Dc.~____u__ <br /> <br />PHONEl CON'l'l\f~T _ . <br />P A'SCO'P-ERMli-SERVlCE <br />813-788-5314 <br /> <br />LElGAL DElSURIPTIOll: lJ()T(8) ;).(PO <br /> <br />BLO("K <br /> <br />SUBll IV I S ION _~ M~~5! _.!?.J?.L~ t~_.___ <br /> <br />PARCEll, I l.l II__~ olr:c_~L::_jJP.fiQ~_omotL:~~______~____~~~TA~~~l_,_~,ROM !.~~~~R'r~N'~:~~__'~~~~~_~~_~__ <br />WORK PROPSE[J I (1"NBlW C'ONS'I'RUCTION [] AllDI'l'ION [J AI/l'ElRATION [] REPAIR [J lN8TA!,!, <br /> <br />[]SIml <br /> <br />[J MOVE <br /> <br />o DElr~Ot. I 811 <br /> <br />PROl?U8EIl USE I L~r]I, FMlILY DWELI,Ilm <br /> <br />[Jr1UI,'III' FAIUI,Y <br /> <br />[J# UF I1lUTS <br />[J SW HiJMnrG POOL <br /> <br />[J MOBII.E B(Jr~El <br />LJ OTfllllR <br /> <br />(] Cor~MElRC~ IA [J <br /> <br />LJ INDUSTRIAL <br /> <br />CJ REl8TAlJRANT & HEAW'II DEPARTI1EN'!' APPROVAL <br /> <br />DESCRIPTION OF NORK VtnLf/ w/YJ4pw _~~ 4_1.t.~6t-.Ioq~.--'!!.--~~r.~t;:-._- <br /> <br />BUILDING SIZE -;1.;,._0,--'/1_.__________ SQUARE FOOTAGE jlll(_ -'-_~___ IIElIGIIT se~-pL~__ <br /> <br />RESIDBlNTIAL: A'I'T1\CH (2) PLOT PLAl1S & (2) SETS OF BUnnING PI,ANS & (1) 8Err ElNElRny Ff1R~1S. <br />(~O~1MERt!IJ\I,: A'l''rAc!1I (:3) SEll'S UF BU1LlJING PLANS & (1) SET ENER(}Y FURMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FERMI~S REQUESTED <br /> <br />r6UIJ.IJING <br /> <br />$_J{)/ :300.!!.!!.,_____ VALUATION OF TOTAL CONSTRUCTION <br /> <br />Ll ElI,I!ICTRlCAI, <br /> <br />_____________ At~P ~E1RVICEJ <br /> <br />(J FlnRIDA POWER <br /> <br />[1 \'1.R,El.n. <br /> <br />(] PWI~BING <br />LJ I<1ElUHANTC!AI, <br /> <br />$-- <br /> <br />VAl,UATION OF MECHANCIAI, H1STAI,I,A'I'TON <br /> <br />[] (ms <br /> <br />L.1 ROOFING <br /> <br />[J S\?EctAL'l'Y <br /> <br />[I OTHER <br /> <br />TYPE OP' CONSTRUCTION: (] BLOCK <br /> <br />[J FRMiJEl <br /> <br />(J STEEL <br /> <br />~/ OTIIElR CZ/ul~a ~ <br /> <br />F'INI8HEJIJ F{,()OR IllIJEVATIONS <br /> <br />IS PROlTEJC'I' IN FLOor) ZONEl ARElA n VEla <br /> <br />[] NO <br /> <br /> <br />!HJILnmR Cot~PANyJ:eL~\~_q~~~_l\::L~~~~_~_____ <br /> <br />"'I!HATURe ~,~: :-:,~:, :::~~ ~~~~~~~::~, ~~~~, ~:=,=",~.=.~..===-~:= .=.. =: <br /> <br />!lJUIC'rRICI1I.N <br /> <br />S J (mATURE ~_m_ <br /> <br />COI'1PANY ______ ._________ ______ __ _______ _ ___ ____ <br />STATE CElRT OR REnTST # <br />CITY PROCElSSING # <br /> <br />A ~ * * * * * * ~ * ~ ~ * * * * * * A. * * A * * * * * * * * * * * * I< * * *.*. * * * * * * * * * * * * * * * * *. * * * * * * * * * <br /> <br />PI.UMBER <br /> <br />C~(JM P Al'lY ----.----.------------:----_________..___________________ <br /> <br />STATE r:ER'l' OR REGIST # _______...______._..__..__.. <br />CITY PROCESSING # <br /> <br />SWNA'l'IJRHl <br /> <br />************************~***************************************** <br /> <br />MBl(!HANICAI, <br /> <br />----~_~____"_____.~H____.____~.....___~..__._.____ <br /> <br />Cot\1P ANY -_________________,__________________. _~_~___ <br />STATE C!ElRT OR REGr8T # <br />CITY PROCESSING # <br /> <br />S WNA'I'lJREl <br /> <br />********************I<*I<***************~********'********'***'***' <br /> <br />OTHER <br /> <br />cm,1PANY <br />81'A'I'EJ CEJRT- OR - RErl I ST -#------------'------ -------.-, --- --- <br />CITY PROCESS INn # .-----. ---- ~.-..------~-----------.. <br /> <br />..-.--------.--..-.----------------- <br /> <br />SrmlA'l'IJREl <br /> <br />****************"*'*********************'**************'**'***** <br />