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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING J)BlPARTMIIlN'r 5335 8th 8'fRlIlm'f ZBlPHYRHII,IJS, PL 33540 <br />PhonaI813-780-Q020 FaxI813-780-0021 <br />DA'flll RBCllIIVlllD ~~~::J~~_ <br />PIJANS RBlVIBlW Jl'llllic'-_"~_'-'t!'__h' <br /> <br />OWNIlJR I 8 NM1El___JO h.r.'LhSt1.f~___._____..___.____________ PHONEl CON'l'1\;~l'SOO-PERMll'-S-ERV!BE <br /> <br />,JOB 8 ITEI ADDREl8S_37_~5 Q_ .Qg("h1~~.b/r_e..- _42.c~_________ ___._h____ _______81~~~~~-~~14____ <br /> <br />IJB)ClAL DBlSURTP'rIOl1: LOT(S) .._________ BU)C!K _______.____ SUBDIVISION W-fd.~_~~4______ <br /> <br />PARr~EJIJ HI # lO~~L:.QL.gQ.=QCg;O~ I DOQ ___________~~~TA~~._~~ROM _~~_~=~~~:.~_~~~~__.~~~:~~_~~_~__ <br /> <br />WOR-K PROPSElD, (JNEW CONSTRUCTION [kf1\nIJITIdN []AI/I'ERA'l'ION [] REPAIR [] I1I8TA1J1, <br /> <br />[]SWN <br /> <br />o MOVEl <br /> <br />[J DElMor/ISH <br /> <br />PRlW013EI1 liBEl. [~IJ FAMILY DWELI,INr~ <br /> <br />[Jt1UI.'I'r - FAfvlU,Y <br /> <br />[J# OF liNn'S <br />[]SWINMING poor.J <br /> <br />[] MOB nEl HOMIll <br />[) OT!/ElR <br /> <br />fJ Cm1MElR(! TAt I <br /> <br />o INDUS'l'RI AIJ <br /> <br />o IUJ8'rAURANT & HElAlml DElPM.Tt1BlN'I' APPROVA.L <br /> <br />IlIlJSCRIPTION OF HORK -~~~~.L :lw~1~"h!l~Qw_~__oYl._e)L~st-'~_-$1~b__.__. <br /> <br />BtHr,nIN(] SlZEl _ fD X ~Q.._... SQUARE FOOTAGE __.Oltx:; _~__ HElWH'r -,02.~~.q?)~"'-~ <br /> <br />RlllSHJBlNTIATJI A'I"rACH (2) P1,OT I?IJAl18 & (2) SElTS OF BtJIl,DINlJ PLANS & (1) 81!1T ElNElRrPI FORMe. <br />(~Of\'MBlR(~IAIJ I A'r'1l1\(!H (3) SETS OF BUtLDING PLANS & (1) SElT ENElR(~Y FORMS. <br />PROPERTY SURVElY REQUIRED FOR ALL NBlW CONSTRUCTION. <br /> <br />Ll l3lIJElC'I'RlC!AI I <br /> <br />------_____ AMP SERVICE! <br /> <br />o <br /> <br />~ <br />~~ <br />o U..'~i <br /> <br />OF MOCHANetAI, UIS'I'ALt.ATTON ~ <br /> <br />F1JORIDA POWElR <br /> <br />r::~tlII.IJINC~ <br /> <br />FERMITS REQUESTED <br /> <br />$_C:?1R.m.!J1) _.___, VALUATION OF TOTAL CONS'rRUCTION <br /> <br />[] PWf1BING <br /> <br />LJ I1BiUHANH.!AIJ <br /> <br />$ -- ---' <br /> <br />_ VAlJUATION <br /> <br />[J GAS <br /> <br />[] ROOFING <br /> <br />[J SI?ElCIAUry <br /> <br />[] OTHER <br /> <br />1'YPIll OF CON8'1'RtJc'rWN I [] BLOCK <br /> <br />[J FRAME! <br /> <br />[J STEElIJ <br /> <br />fk(OTHEJR al {UH./;'Uwv <br /> <br />FINISHED FI,OOR BlIJElVATIONS <br /> <br />----------- <br /> <br />IS PROLTElC'I' IN FLoon ZONE] ARElAn 'fElB 0 No <br /> <br /> <br />BUIU)SlR. ~ ~ cot1PANy13ah.c.'~__.~~J~~~j:h;_.r.d.~g~. <br />STATE CElRT OR REGIS'I' ## ____ _____. ._________._.,,_______ <br />stGNATUREl _. _~_ _._ ___ CITY PROCESSING U.~____________ _____________"_____ <br /> <br />*~************************************************************* <br /> <br />IIr.1II0'rRICIAN <br /> <br />8 j mmTtJRE _h____ <br /> <br />"---.-.. ._~---~-_.._~-_._-------_._-----,-_._-------- <br /> <br />COf1 P ANY _________.__.__ ----~----.__h.__.._______ _.____ <br />STATE CERT OR RBlGTST # <br />CITY PROCESSING # <br /> <br />.----...-- --- -....- ~ .----------..... .'.-. ,-- - _. --... <br /> <br />* * * " * * * * * * I. * * I< * * * * * * * *. * * * * * * * * * * * * " * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />-....-.--""""""---- .__._-~_......--" ---.-.....-....---- <br /> <br />PIJUMBER <br /> <br />.__._-~....__......~_."---_._......_-_.-.--- <br /> <br />COfvl PAN Y ------.-..___....______-,-___..._______. "__'._.___.. ..____-.__ <br /> <br />STATE CBlRT OR RBlGIST ## __________..__.____.____.... <br />CITY PROCESSING # <br /> <br />S tc1NA'l'IJR III <br /> <br />MBl(1HANICAI, <br /> <br />****************************************************************** <br /> <br />-~.---------------_._------~------- <br /> <br />----.---~-___.A___ <br /> <br />.....------- <br /> <br />co/v1p ANY ________.____._______._____._..______~..____. <br /> <br />STA'TEl f~ElRT OR REGIST # ____.____________________.._. <br />CITY PROCESSING # <br /> <br />S IfJNA1'tJREl <br /> <br />***************************************************************** <br /> <br />-----~---~._--,-_._---_.._- <br /> <br />OTHBllt <br /> <br />8 rm.IA'l'tJREl <br /> <br />(~()t.1 P ANY <br />STA'I'E cm-CiR- RElGIST r------.------------.h--- <br />CITY PROCESSING # -------------.-__________ <br /> <br />---'_._~--._._-----_............_~-_._._--------- <br /> <br />***************************************************************** <br /> <br />-~~------ ~- ._--~---------_..-........----. '-------~--- <br />