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<br />OI'lNBJR I 8 11M1FJ__.-&L_til~~ ______________________________________ PHONEl <br />lT08 8 I'rE ADDRESS .,LC!':7:--_%....~____n_..~ ---J-~~~~__II~_~I1~_~_c.d ~_ ~_. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUII,DING DEI?ARTMBlN'r 5336 8th S'rR.l!IBl'r ZBlPHYRHU,I,S, PIt 33!i40 <br />I?honeIBl]-780-~020 FaXI813-780-0021 <br />fJA'rm RB(1~IVIilD .....s:.c$;"!..t2:!L__. <br />PI,ANS R!lIVI.l!IW rJllBi_'--~__~'lL_____ <br /> <br />CON'I'M!'!' <br /> <br />IJElOAL DBJStlRTPTIOll: LOT (S) <br /> <br />Bf,()CK <br /> <br />SUBlJIVIS}(lN <br /> <br />~~~~!J -fl!.~ 7..___ <br /> <br />_._'--_._.~._._- <br /> <br />PARC!8IJ III 1t_J< L~_=-- ,:v-Q-P ;(/?- (!.oOOO :0 f~P(~~TA~:I_..~_ROM ~~~:!~'=.~. _1:~~._.~~?~=CF~~__ <br />WORK PROPSElDI [JNE'M CONSTRUCTION 0 ADDITION [JAL'I'ElRA1'ION [J R!llPAIR [J IN8TAJ,I, <br /> <br />D8nm <br /> <br />o MOVE: <br /> <br />[] DElM01,ISII <br /> <br />PRtWOSFJIJ USE: I [Jsm, FAMILY DWElL,I/U1Gl <br /> <br />Ch1tJI/1'I . FAI"1Il,Y <br /> <br />[lit OF mUTS <br /> <br />m08II.E1 Hot1E <br /> <br />[J Cm1MElRCIAl, <br /> <br />o UIDUS/fRIATJ <br /> <br />IlBJSCRIP'!'ION OF NORK <br /> <br />o RBl8TAURl\NT & HEAl/TH DEPAR'n1E:N'I' APPROVAL <br />L:> /Y1 ' <br />--~--- <br /> <br />n 8W!MMIHQ POOI~ n o'rr1, <br /> <br />tkJr.,. f1 f'Jj~_II-q1 <br />---- --~t___J!___ <br /> <br />HEllOH'r/ <br />~..:~-___..__r_-~_'__.____ <br /> <br />BUIl,fJIN(~ 8 I ZEl <br /> <br />SQUARE FOOTAGE <br /> <br />--- .--.-"""---.----- <br /> <br />R1!lBIDElNTIATJ I <br />(JOMMElR(!IAT'1 <br /> <br />A'l'T1\CH (;3) PLOT PIJA118 & (2) SElTS OF BUII ,IJING PT ,ANE:! & (l) 8ElT ENElRrWF~';~, <br />A/I"liJ\(~H (3) SE'l'S OF BUlI,flING PLANS & (1) SElT ENElR(N FORMS, .______) <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONS'I'RUC'TION. <br /> <br />PERMITS REQ~ESTED <br /> <br />~:/ <br /> <br />[] BtJJI,IJINf3 <br /> <br />$ ~------- <br /> <br />VALUATION OF TOTAL CON8'rRlJC/I'ION <br /> <br />L1 ElLElC'J'RWAT I <br /> <br />-.-----.--------.. <br /> <br />AMP SElRVWEl <br /> <br />o <br /> <br />FI,ORIDA POWER <br /> <br />[J <br /> <br />W , R , El , (l , <br /> <br />[] PI,tJt1BING <br /> <br />U JvIBI<lHI\N WAT, <br /> <br />, <br />$----.--.---. VALUATION OF t1EC'HANCIAI, UI8TAI.,I,ATTON <br /> <br />[] (3A8 <br /> <br />r.J ROOFINl3 <br /> <br />[J SJ?ElOIAUrV <br /> <br />[I OTHER <br /> <br />TYPE OF CONSTRUCTION I 0 BLOCK <br /> <br />o FRAMBl <br /> <br />[] STElElL <br /> <br />[] OTHER <br /> <br />FINISHED FI,UOR ElJJElVATIONS <br /> <br />-------------. <br /> <br />IS PRO,IElC'T IN FLOOD ZONEI ARElA 0 YElS <br /> <br />o NO <br /> <br /> <br />ElUItJnBlR <br />81GNJ\TUREI _..JJ:!_~~ __________ <br /> <br />******************~*********************************************** <br /> <br />Cot1PANY_. /?- --'-,...I.=-{!..___________u_____..._.____.________ ___ <br />STATE! CEJ~~G-I~l' # ----.----.-u-________.o____.__ <br />CITY PROCESSING L.____._______________._~. ---___h_.U~.. <br /> <br />ml.!IIOirRICIAH <br />S] lRJA'I'lJREJ _h_._.,J.c!.~~__________ <br /> <br />COr1PANY -~'1..~.f~ f) _ ____._______.__ <br />STATE CERT OR RElGTS'!' U <br />CITY PROCESSING # <br /> <br />--..------ -- ~... -< .~-_._.,,_.-..._-+-_.._- .-._~.._._.. -.. -_.. <br /> <br />****************************************************************** <br /> <br />._..._--~.. '-'-;.~.__.,---_.._- --. .',-- --~--_.-.~,.._---._--- <br /> <br />Pf,UMSBlR <br /> <br />SI(3NA'l'tJREl .-...,--1.t:d;__~..tl~,-;J ~________ <br /> <br />COI'1PANY --_a.~______________..,,_.__.___._. ________.. <br />STATE CElRT OR RElGIS'I' # _________~.__.._______... <br />CITY PROCmS8IN~ # <br /> <br />MBlClHANICAf. <br />81GNA1'O!<111 U ~/) <br />-------'!~- ---- J::!~--.----- <br /> <br />****************************************************************** <br />col\1PANY -~k~______...._______________._.___..__._. <br />STATE CERT OR REGrST # <br />CITY PROCElSSING It <br /> <br />._~._------------~---_._--.._-_._---_.__.- <br /> <br />-~--'-__'___4_____._ .._._.______._.~_____ "__'.--. <br /> <br />**************************************.************************** <br /> <br />-------.--.------..----.--- <br /> <br />OTlIBlR <br /> <br />._---'~-.._...._--,_.~._.-._-'" <br /> <br />(J('jf,1PANY <br />STATE CmRT OR REOIST It <br />CITY PROCEl8SING # <br /> <br />srm'IA'l'URE <br /> <br />'_.~_._---_.._._-,->----.~_..- '~_._- <br /> <br />------------------ <br /> <br />--~.-- .-----. ____.~h..._________.~ W __.. _, <br /> <br />***************************************************************** <br /> <br />------~-'-- ~- --~_._-----~-._.. -._->--.....----~-----..._. <br />