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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUII,DING DBPARTMBlNT 5335 ~th S'l'RBlEl'l' ZBlPHYRHILI,S, Fl, 33540 <br />Phone.S13"780-Q020 FaxIS13-7S0-0021 <br />DA'.rBl RBOIllIVlIID ~?.~__._q ~._.____ <br />PI,ANS RBlVIJIIW Ji'Jil!ll_______.___ <br /> <br />O\'lNElR I S HANEl ~.P-::..~~~_~_______ PHONEl CON'l'A(~'t~1.tte9~.:.1~ <br /> <br />,JOB BI'j'El ADDREl88_"l_J1L7>~!:,,6~ ,,(//:7/ ~o.9..J'1e----_n_-AJ4~;c .QA-K"J J?_(2~ _.________ <br /> <br />LEGAL nElSCRl fi'TIDlh LOT (8) _-LL 0 _ BI,QCK ____ SUBDIVI S ION <br /> <br />PARCElJ In #~1:d~ - 2):Q0C!2..::col 6O-.:..12et:10 <br /> <br />(OBTAIN B'ROM I?ROJilElR'l'1[ TAX NO'I'WHl) <br /> <br />---.--.-------.-..---..--.....-.-.--...--...... <br /> <br />WORK PROJ:lSBlD I lJNEW CONS'rR{1C~'rION <br /> <br />[J AODI1'ION <br /> <br />o A UrElRNrIOH <br />o DEMOI,ISII <br /> <br />o R&1PAIR <br /> <br />) <br />o INS'l'M,I, <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />PRO!:>I1SED USE I llsm, FAMII?i DWELLING <br /> <br />o MtJI/1' I - FAMn,y <br /> <br />0# OF {lNI'l'S <br /> <br />(] MOBII,lil UOMBI <br /> <br />(JCOMMBlRCIAI, <br /> <br />o INDUS'l'RIAJJ <br /> <br />o S~nMMING POOl, <br /> <br />[1 OTIlIllR <br /> <br />BtJU,TlINO SIZE <br /> <br />D RESTAURANT & HEAl/l'H DEPARTMENT APPROVAL <br />- (?d)1Cli d-~__~vetpl9if /~'.o____ <br />SQUARE FOO'rAGE _J'?6 <br /> <br />lHiJSCRIPTION OF \10RK <br /> <br />lHillQU'r <br /> <br />..----.----..........- <br /> <br />RES WBlNTIAL I A'l"I'ACH (;a) PLOT PI"AllS & (;a) SETS OF BUU,DING PLANS & (1) SElT BjNIiIR01f FORMS. <br />COJ>1MBlRCIAIJ I A'I"l'AC1H (J) BElTS OF BUILDING PLANS & (1) SET ENElHlY FORMS. <br />PROPERTY SURVEY RBlQUIRBlD FOR ALL NBlW CONSTRUCTION. <br /> <br />iiRMITS ~EQUma1ED <br /> <br />[J B I II Lll f l'lf3 <br /> <br />$ <br /> <br />~ 7 I C> "'b (e:" <br /> <br />VALUATlON o It' TeJ'l'Al, CONs'rRUC'I'ION <br /> <br />rJ BlLBlC'I'RWAI, <br /> <br />---__ AMI? f.jERVICEJ <br /> <br />o FUlRIDA POWER <br /> <br />n W.lLHl.fl, <br /> <br />o pl,mlJBING <br /> <br />o I1EJCHA1'HCAIJ <br /> <br />$ <br /> <br />VALUATION OF MEC'HANCIAI, INS'l'AI~LA'I'ION <br /> <br />o (jAB <br /> <br />[J ROOFING <br /> <br />[J SI?BlOIAl/rY <br /> <br />o OTHER <br /> <br />TI[Pjjl OF CON8'I'RUC'l'lON I [] BLOCK <br /> <br />o FRANE <br /> <br />[J STElElL <br /> <br />[J OTHER <br /> <br />FINISHHln Fl.OOR ELEVATIONS <br /> <br />I S PROd Elc'r IN r'L,oon ZONE AREA 0 YEllS 0 NO <br /> <br /> <br />BUI LDn <br /> <br />CDrIJPANY __.. <br />STA'I'BI CElR'l' OR REGIST # _,____._______ <br />CITY PROCESSING # _ <br />--------_._---~~-.....-- <br /> <br />S J IJNATlJRIil <br /> <br />****.***.*.......*..****....**.*.....***.****..*********...*.**... <br /> <br />!l1J,BlCTRICIAH <br /> <br />CDtIJPANY___ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />81 GNA'l'UREJ __.________________________ <br /> <br />.--.-------------.-.....---...- <br /> <br />*************..*..*.****.***.....*******.****************...***... <br /> <br />iLUMBiIIR <br /> <br />----~---_._- <br /> <br />COMPANY -____u_______._ <br />STATE CHlRT OR REGrST # _____________.___ <br />CITY PROCESSING # <br /> <br />BWNA'l'IlRBJ <br /> <br />--------------...---.. <br /> <br />HileJHANI CAr, <br /> <br />********************.*.*******************************'*'k*'*'*,*, <br /> <br />COIVlI?ANY ______________..__________________.._____.__ <br />STATE r'ER'r OR REGIS'!' # ______________.______ <br />CI'I'Y PROCESSIHG # <br /> <br />SHHlATllRE <br /> <br />OTH." L1o!YC'<~ - c (/)0 c4ft 5LA1" ruJoe'{ .:z.<- <br />SWl1ATURHJ ~ _ /7. ~-.1 <br />- ~~------_._---- <br /> <br />****.**********.******.***************~***************.********** <br /> <br />********************.*.*.**.**************************,***.**..** <br /> <br />COlvlPAN\' <br />---......___M_.____ <br /> <br />~~~~lD P~~~~8~~N~ID~IST # ~ ~JJ..~..____ <br />--.;L~-2~HL!=-.~________ <br />