|
<br />OW".. '8 "A"8~.ebbl'G_~~",,1:t_ __ _._________
<br />,TOB SITE: ADDRESS ..'1~5.~--J:L~rL~l'}d__LQ_QP--.---.---
<br />
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII,fJING DBlI?ARTMBlNT 5335 8th S'fREIll'f ZIlJPHYRHII,I,S, FL 33/;40
<br />PhonQIB13-7BO-~020 FaxIB13-7BO~0021
<br />lJAln RBOSIVilo ~-:i?:~ _<2~__
<br />PIJANS RllIVnw J'1ll1_______Uu..___
<br />
<br />PHONE CON'l'M!'{'
<br />_.-.'--_._--~ u._ _,~__.. _~ __'_"_. ______.M__
<br />
<br />0- __'."_'__~__ _.'___ ~._____. ________., __
<br />
<br />LEmH, IJElSCRIPTIOll: LOT(8)
<br />
<br />BIDeK
<br />
<br />SUBIJlVISlotl QM_R!,Q1. _......___
<br />
<br />PARCEl, III 11_31.:~5" - ~J.=-QlQ.Q=-QOOQO -_fO~O__________u~.()~TA:!~._~_~~..!~~~~~~~~~_.'~'~~..~~~:~I~~~_~._
<br />WORK PROPSElIJ, [JNBlN f,'ONS'l'RtJCTION IDfmI'rrml OAIlI'ElRA'rION [J REPAIR [J INSTAI,I,
<br />
<br />[Jsnm
<br />PRl)!,>OSEn USE: I l~l, FAt-lILY DWEl.I,I11rd
<br />
<br />o ~10VE:
<br />
<br />o DEJMOl,ISI!
<br />
<br />Ch1tJun ... FAMII.,Y
<br />
<br />[J# OF lIlUTS
<br />
<br />U MOBII.EJ Hor1E
<br />U OTHHlR
<br />
<br />[J Cot/1MBJRC' fA I,
<br />
<br />rJ INDUSTRIAL
<br />
<br />[J SNH1MING POOL
<br />
<br />o Re:8TAURANT & ilEAl/I'll DE:PARTt1EN'l' APPROVAL,
<br />IJEJ8CRIP'l'ION OF 110RK __ Pa....+lD_ Cove.r... on..f-x.l'stl~__.61~b______.___.__________......__.______
<br />BlJILfHNI] SIZE <ZK lQ --.___.____ SQUARE FOOTAGE _.~-W---_ f1Elll1HT .--2e~--f.~--_
<br />
<br />RES IDEN'r 11\ 1,1
<br />I~O~1MBlRCIJ\f~ :
<br />
<br />A'I"rI\CH (2) PLOT PI.,AIIB & (2) BElTS OF SUI! ,lJINlJ PI,ANa & (1) BElT ENElRr~y FORMS.
<br />A'l"I;1\CH (3) SE'l'S OF BUtI,DING PLANS & (1) 8ElT ENElRIN FORMS.
<br />PROPElRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
<br />
<br />FE~ITS REQUESTED
<br />
<br />[~IIII,IJINf~
<br />
<br />$
<br />
<br />35"0.00
<br />
<br />VALUATION OF' TOTAL CONSTRuc'rION
<br />
<br />1.1 EIJlllCTR lCAI I
<br />[] PI,lH1BING
<br />lJ 1,1EJUHI\NWAIJ
<br />
<br />--.--.---_~-'- At1P SERVICEI
<br />
<br />[J FI,rJEUDA POWER
<br />
<br />ON. R , E , (; ,
<br />
<br />$.-
<br />
<br />'_.._------~---
<br />
<br />VALUATION OF tlJE:CIIANCIAI, HIS'I'AIJI,ATTON
<br />
<br />(] (~A8
<br />
<br />L]ROOFING
<br />
<br />f.OJ aPECJtAL'l'Y
<br />
<br />[J OTHER
<br />
<br />TYPE OF' CONS'I'RUCTIDN: [J BLOCK
<br />
<br />[J FRAJIJE
<br />
<br />[] STEElL
<br />
<br />[~THER 0...1 u""-c./m.{ #'Y.--
<br />
<br />FIN rSHEll) Fl,OOR EI,EVATIONS
<br />
<br />--------..---.
<br />
<br />IS PRO,JEC'I' IN FLoon ZONE AREA 0 YEla
<br />
<br />o No
<br />
<br />
<br />B t1 I J,lJ IllR.
<br />
<br />81O"ATO'. -JJtbb.u_ G::uigtt____
<br />
<br />C'ot1P ANY __l2J:'~ n.~ C____._. .__.__
<br />STATE: CI!JR'l' OR REJrJIS'l' # ...____.___
<br />CITY PROCElSSING #
<br />------.-.. - .--.---.,--.. ._---. .-....--.----..-...-
<br />
<br />"A"'*"*"",*,*",*""""*",***"""*",,,,,,*,"""","*
<br />
<br />llIUIC'rRId!AN
<br />
<br />81 mm'l'lJREJ _..
<br />
<br />-. ...---..-...... _._...._-~._--~--_.~--~-_. ..-.---.--. --- -...----.-----.--
<br />
<br />COI1PANY__.___ __ __________
<br />STATEl CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />'---'___n~..__~_____._.,.. ..__~_. _._.__._~~___
<br />
<br />.-.--...---..------.- ._.._....,~.------ ---.....-...-- ..-. ..-
<br />
<br />"*"*"""A'*""""*,*""*,**""*,,,*,,,*,*,,*,,""*'***'"
<br />
<br />-.--.--- ._---~._- .--.----. ---..-. -..- . -.-------..--.--..--.-..
<br />
<br />P J,UMB l!IR I iOr.! PAN Y -------.--.-------c----......---_..__.__.___.___._______
<br />STATE CEJR'l' OR RElGIST # ________._._______.
<br />SWN1\'l'IJRffi CI'rY PROCEJSSINrJ #
<br />
<br />.... --~.__......_..~._...__....---_.~-----_._._._._-_._--- .----------.__.._.~..._-_..__._._--..-._-------_.-
<br />
<br />"""""""""*""""'*'*""**'*'**'**"""'"""""""
<br />
<br />MllIeHANI CAT. COHPAN 'l____________.____..__.__._____ ..._._.._..____
<br />STATE CE:RT OR RECH 8'r # _________.___.____._._____._.
<br />8 WNA'l'lJREl C11'Y PRUe'E8S INO #
<br />
<br />--_._--~._---_._-------_._--------~....._-_..__._-- -------..__._.._--_._--~ ..-. --..-.---.-.
<br />
<br />'**'*"""""'*"*****'***.*****'**'~**"'*"*'*"*'""""'"
<br />
<br />OTHeR COMPANY
<br />..-.---..-.----.---..--.------------.---.-----.------ STA'l'El CmRT OR- RElI1IST -r-.-----.--..---- .--.........-.. '-'-
<br />
<br />8WIU\'I'IJREl --_______________._.______ CITY PROCESSING # ___.______________._________._.._
<br />
<br />""'*""'*'*"""""""""'*****'*""*"*"""""'**"'*
<br />
<br />-~_.~----_. -"--'--_._~--._--....-~ ".-".-.--.- -.---,
<br />
|