|
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUIllDING IHIlI?ARTMElN'l' 5336 8th B'rRElBl'I' ZEPHYRHILl,S, P'L 33540
<br />I?honeI813-780-0,020 F&'<:1813-780-0021 ;J. '...h.'-." '. '.
<br />lJA'fm RllcmIVllIn -::::l-- c--:!: .,l~.{,~_~~_
<br />PI,T\Ne Rmvnw Jl'BIll.'-'.'_.,",____ "
<br />
<br />CMIIER ( S lJA~1El____S9_~~,~_~~~~,~~~~ ___~~____ PHONE c()N'r1\C~'!'._~:_.LJ9-::L.
<br />
<br />,T08 S I'rE ADlJREl88u__~~d___~~~ _._:B,~ ~__.. ---_______,_,_u,..__, _______, u _"...
<br />
<br />LE1(mL DElSCRTPTIU!1: LO'r(8)
<br />
<br />B U)(! K
<br />
<br />SUBIJlV I S ION
<br />
<br />PARCEl, In # -,-~::_JJe_:-~. L~Cili'Q.,::..Q9.-'aro~JL__..~,:)~~[ N_._F'R(~~..:~~~~~R'~.~_'l~~~._~~~?~I_~~_~....
<br />~WRR PROP8EDl [JNElN CONSTRUCTION 'RlADlJ IT ION DALTERATION [] RHlPAIR LJ INSTA!,!,
<br />
<br />[) 8 mil
<br />
<br />[) MOVE:
<br />
<br />[) DEMOLISH
<br />
<br />PRt)!,108EIl USE I lJSGlL FAfvlILY DWEIJI,H1G
<br />
<br />[]~1U1,'l'I.. FAMn,y
<br />
<br />L1# OF UI11'1'8
<br />[] SN H1~ifING POOTJ
<br />
<br />IJ MOBII,El llot1El
<br />
<br />~OHMElR(!JAI,
<br />
<br />[J INDUSTRIAT,
<br />
<br />U OTIIER
<br />
<br />C::J REJ8TAIJRANT & IlEAl,TIl DEPAR'1't1EN'I' APPROVAL
<br />IlEJSCRIPTION OF NORK ___~~ _~_~~ ~.. ~~~'\...,YY)~c.~__,_____,_...._____.________,__ ',u__._____
<br />Bun.nrNt3 SIZE --_'__u-.__.__ SQUARE FOOTAGE --,-li\.~~~_ IIE1TGflT -,-__J..Q~_._____
<br />
<br />RB:BIDEN'1'IAJJ I
<br />(;OI\1MElRt!IAJ. :
<br />
<br />AT'r1\CH (2) PLOT PT~A1l8 & (2) SETS OF BUIl ,DING PLANS & (1) SEl'f ElNElRl3Y FORMS,
<br />A'I"l;A(~H (3) SEl'I'S OF BU1LDING PLANS & (1) SET ElNElRny FORMS,
<br />PROP~RTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />FERMITS REQUESTED
<br />
<br />[] BllJr.I.JIW~
<br />IJ EJIJElC'I'Rl (JAI,
<br />[] PI ,tJt<1BING
<br />[J 1,1EI(.!H1\.N n!ATJ
<br />
<br />$ ___.__~ Dbl) ~
<br />
<br />VAl,uATION OF TOTAL COHSTRUCTION
<br />
<br />--.____________ M<1P ~ERVICEl
<br />
<br />~ F{,()RIDA POWER
<br />
<br />[] W. R . E , (l ,
<br />
<br />$,..uh._---'--_______ VALUATION OF' t-1ECHANCIAr, UIS'I'AI,lJATTON
<br />
<br />f] (~A8
<br />
<br />[) ROUFINt~
<br />
<br />[J SPEJC!!AUry
<br />
<br />[I OTHER
<br />
<br />TYPE OP' COH8'l'RtJCTION: l>.?:Q BLOCK
<br />FINI8HEIJ Fr,oOR ElI,EVATIONS
<br />
<br />o FRANE
<br />
<br />[) STEElT,
<br />
<br />[] OTHER
<br />
<br />18 PROcTElC'I' IN FLOOD ZONEl AREA 0 YES
<br />
<br />[) Nt)
<br />
<br />
<br />au I U>IllR
<br />"tallATUR. -"b~~-~--:~-~
<br />
<br />COt1 P 1\ N Y _.c_~~.r ~~ -CO.Q?-!.;..,__u__ '.., ._________,_
<br />STATE! CElR'I' OR RElGIS'!' # .-C:A~=~.QZ-?J3_9_.._,~____
<br />CITY PROCESSING tt__.-_;3-Q~_..___u_..________.__,
<br />
<br />*****~********k**************~************************************
<br />
<br />
<br />COl1PANY -~~~~~~.._,_~ret,~__..,,_ '__...__
<br />
<br />STATE CERT OR REGIST <<
<br />CITY PROCElSSINlJ #
<br />
<br />'-________,..__" _n_.". ._..._____ __..._ ..~. .. _ __ _. _..
<br />
<br />._u.___ ..____ ._. '_'___r_..__ ~,_... _~___,._~.._~..._.__,_
<br />
<br />**~*****~***************************************
<br />
<br />PJJUMBER
<br />
<br />__~_.~._____.#_..M..~__.....___... _.~______.____.___~__
<br />
<br />(~m'l PAN Y ----------,.____________,____ ...____.,__ .._.__ ___"
<br />
<br />STATE: CERT OR REGIST # ______"__ '______._,_,_.___
<br />CITY PROCESSING #
<br />
<br />8 WHA'l'tJREJ
<br />
<br />--------_._--..__.~_._--~-_..- -_._-- ----.-.- --------- .---.
<br />
<br />MBl(!HANICAJ,
<br />
<br />**'**'***"*****************************************************'*
<br />
<br />_.__.~---_._------.."._----~_._---"...__.._~----
<br />
<br />colvl P ANY ________,________ _, .._._ . __,_,__ _ _..._..
<br />STA'rE ('ElRT OR REGIS'r #
<br />CITY PROCElSSIHG #
<br />
<br />---- -.------.-.----- .~----~-_.._._._.__._-_.
<br />
<br />8WNA'1'tlREl
<br />
<br />---------..-----------------..----- . ---'-~--.
<br />
<br />*~************************************~********************'~****
<br />
<br />OTUBlR
<br />
<br />-._----~~--_._------
<br />
<br />(Jot,1PANY
<br />-----------~ --- . --- - --- -. .-. ~ --
<br />STATE CElRT OR REGrST #
<br />CITY PROCESSING #
<br />
<br />-----~ -~ ._-~------_._-~---.- - --
<br />
<br />._4___..____~___._~______.._______~_____
<br />
<br />SWI1A'l'URE
<br />
<br />***********************************************************~'****
<br />
<br />---~-.._.......------,-._-_.__.--._,......-_._---
<br />
|