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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUUDING DBlPARTMElN'r 5335 sth S'rRElBJ'r ZHlPHYRHILI.S, P'L 33S40 <br />PhonerS13-780-Q020 'axr813-780-0021 <br />UA'rm RII<1BlIVSJD -..!E"'~(!Z:-.~ <br />PI,ANB RlllVIIllW Jl'BI......""__.. Lf______.. <br /> <br />UWNER I 8 HM1El_.__~ ~~!~___Go,_c; _._.___________...___________.________ PHONEl CON'l'1\C'!T..._____c...;:._ __._~ <br /> <br />.JOB SITE! ADDRBJ88.3.=t~3 ~.-.--~-5!-\--~-.---~~>.a'\J~L~. ____.____._.__.___._..__ .'_.. <br /> <br />IJB!rJJ\L UBJBeR T PT tOil I LOT (8) <br /> <br />BIJOCK <br /> <br />SUBDIVIS JOH <br /> <br />~-_._-._--- <br /> <br />---...------.----..--.-... ---........-.---- <br /> <br />PARUElIJ ID 11_.IO-~I.-~\. O~O~..:"_)')-bOO'" ClO3o <br />WURK PROPSBllJ I []NBlW CONSTRUCTION [J ArlDI'rION <br /> <br />~rElRA'I'ION <br /> <br />_.__._._--..........._----_._-~,--_._._~--~,_....__...-..... <br /> <br />(OBTAIN FROM PROPEJR'l'Y II'1\}{ NOTWBl) <br /> <br />L1 RFJPAIR <br /> <br />[) INSTAl.!. <br /> <br />[JSH3lT <br /> <br />o MOVE: <br /> <br />o DElMOI,I811 <br /> <br />PROI:JU8Ell UBE I [Jsm, FAMIfJY DWELI,Ilm <br />[~~IIMHlR(!JAI, <br /> <br />[J ~1UW' I. F AI'" I I,Y <br /> <br />[J# UF ONITS <br />[]SW1t1MING poor.. <br /> <br />[] MOB II IE Hor1El <br />IJ OTHBlR <br /> <br />[J INDUSTRIAL <br /> <br />D REl8'fAlJRAN'r & HElAlml DHlPART~1ElN'r APPROVAL, <br />Vh"..Je. <br />IlElSCRIPTION OF !'10RK --~uto~E~ ~J u.,4l--t~~t...JL_""~__~y..k_~~~.-.&f.aiQq~ ~\ <br />e=1eCC"" <br />BUH,THW! 9UEl ______._______ SQUAREl FOOTAC1E __.~_____~~ IIBlIGU'r __.___..~__..___ <br /> <br />RBlBIDElNTIAIJ I <br />COl\1MBlIWIAIJ I <br /> <br />A'I"rACH (2) PI,OT PIJAHS & (2) SElTS OF BtJII,DING PI.ANS & (1) 8E11r E1NElRr~i' FORMS. <br />A'l'tJ\C!H (3) sE'rs OF BUiLDING PLANS & (1) SEl'r ENElRC1Y FORMS, <br />PROPERTY SURVBlY RElQUIREJD FOR ALL NEW CONSTRUCTION. <br /> <br />------__---'- At1P ~ElRVICEl <br /> <br />[] FUJRWA POWEJR <br /> <br />."..- '....., <br />/"'" '\ \ <br />/( ~ ill I j <br />I r7 1 // <br />( .~.:>/ <br /> <br />~-----_..... <br /> <br />RERMITS RBlQ'QBlSTBlD <br /> <br />C1 Bll!LUnm <br />Y-l3l.LBlCTRlCAI, <br />[] P l.llt18 I NG <br /> <br />$---------.-' VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J W,R,EJ,(l, <br /> <br />[J J.1E(JHAN WAfJ <br /> <br />, <br />$._--- <br /> <br />. VALUATION OF ttlElCHANCIAI, U1STALI,ATTON <br /> <br />[] (~AS <br /> <br />L1 ROOFING <br /> <br />[] SPElOIAUry <br /> <br />[I 01'HElR <br /> <br />1"iPHl OF CON8'I'RUClTION: [J BLOCK <br /> <br />[) FRAMEl <br /> <br />[] STIllElIJ <br /> <br />[J OTHER <br /> <br />FINISHEIJ FI,()OR mIJElVATIONS <br /> <br />-------.-- <br /> <br />IS PROlTElCT IN FIJoon ZOllEl ARElA [] YElS <br /> <br />o Nu <br /> <br /> <br />BUILI1B1R <br /> <br />*****h************************************************************ <br /> <br />C'ottlP ANY ____..n_____._..____~_____.__...__..__.. _________..... .__ <br />STATE CElR1' OR RElGIS'I' # ._._.__.___......_._._.____..,_.____._____ <br />CITY PROCB1SSING L.--.-____.._______..u_....._._...___.. <br /> <br />SlGNATlJRB1 <br /> <br />. . <br />-...-..---.-.---..---------------------- <br /> <br />B1t.11ldTRICIAH <br />S] mTATUREJ _~.~\I'\-..~_____.__.. ____ _____ <br /> <br />*********************************************************A******** <br /> <br />cm1PANY -..G.~k-_\i::\t..c...~.~__.._._.__..____ _.__ <br />STATE CERT OR RElCHST 1t_._~~_~Jc>.~_~1.~_..___._.___. <br />CITY PROC88S1NG It I <br /> <br />~.._--~.~~- --._-_. '---'." - --.----.. ------- <br /> <br />PI.t1MSmR <br /> <br />---.-..._---~-_._-_.._---- <br /> <br />COMPANY --.-_.__~.__________._____...__.._____....____.______ <br /> <br />STATE CElR'l' OR RElGIST It _.___~___._._.__'". <br />CITY PROCE8SING It <br /> <br />8Ic1NA'l'tJREl <br /> <br />MBlClHANICAI. <br /> <br />****************************************************************** <br /> <br />'--"--- ..-..-----------.----.-.-------....... <br /> <br />---------------..-----.-----.....--.---- <br /> <br />COlvl P ANY ____.____.______.._ _.__.___.____. __._.__ _____ <br /> <br />STATE (IEJRT OR REG I ST It <br />CITY PROCESSING # <br /> <br />-----.- ._-_.._---_..__..._-._---~------ -'-------.-.-. <br /> <br />SIC.~NA'l'tJREl <br /> <br />**************************************~************************** <br /> <br />--_._-_.._-----_.__._--,~,_.~.__. ---._.~-~_._.,_. <br /> <br />OTlUlIR <br /> <br />---.........--..------.....-- <br /> <br />C~mIIPANY <br />-----.------.--- --.---.--...--.. .~....- '- <br />STATE CERT OR REGIST # <br />CITY PROCB188ING # <br /> <br />S I<H11\TURB: <br /> <br />---~_.-.._--- <br /> <br />-------..--- ._--~-~,--------~.-< <br /> <br />***********************************************************~***** <br /> <br />-~----"-- ._..---~.._--.._--_.-.--~..._.~._--~._._.- <br />