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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />:aUI LDINQ PBJ?ARTMBlNT 533 5 ~ l:h S'l'RBlBl'r ZBlI?HYRHILI.S I FL 33540
<br />PhoneI813~780-q020 FaxI813-780-D021
<br />DA'nl RBOJnVSlD __ _____.~...~.___
<br />PI,ANS RBlVIJilW 1S1S1________--___
<br />m/NBJR'S NAHE /~~ ~ PHONE rOl<I'1'AC'~~=v.25~~ff
<br />,JOB ar'J'E ADDRESS__~~ ~4--.cl.~~-.--~d~-.~ C frJlItS-& a~~ 1(/,.,). __________
<br />LElllAL DIllSCRIP'rIOlh LOT (S) .!It/X )~__ BI,OCK _____ SlJBIHVISJON /!!.~'G-.. t:Pf.k f R.(v
<br />I?ARCEL In #___~_-:-a- (.._~/ - 90"50 _ ~O::/ (_OBTA.~)~%M I?R_~I?BlR'l1:__~A)( _~n'I:l~lllJ)__
<br />WORK I?ROPSBlD I ~(!ONS'J'RtJQTION [J ADDITION o AUI'ElRATJON [J REPAIR [J mS'I'M.I,
<br />
<br />[JSIGN
<br />
<br />o MOVE
<br />
<br />o DElMOl,ISH
<br />
<br />I?ROj;lllSHlD {JSHlI rJSGIl, FAMlhV DWELLING
<br />
<br />o MtJI.'1'I - FAMILY
<br />
<br />0# OF UNITS
<br />
<br />[] MOB r I IE liOMIll
<br />~~
<br />
<br />rJ Cot~MIlIRC 1AI,
<br />
<br />o INDUSTRIAlJ
<br />
<br />OSWItiJMUlG pom,
<br />
<br />D RESTAURANT & HEAl/l'H lJEPARTMElNT APPROVAL
<br />DIlJ8CRIJ?TION OF HORK _--L!;l SC'~
<br />
<br />
<br />Bun,DINO SIZE
<br />
<br />---____ SQUARE FOOTAGE __.J.rf/'beJ ~ HElHUi'I' ..._____.__
<br />
<br />AT'I'ACH (2) PllOT I?I"AllS & (J) SETS OF BtJU,iJING PLANS & (1) SElT B1NElRQY li'ClRMB,
<br />A'l"l'A<'lH (3) SElTS OF BUIIJDING PLAN8 & (1) SElT ENElRGY FORMS,
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRtJCTION.
<br />
<br />RBIS IDBJUTIAL I
<br />COMMBlReIAJ" I
<br />
<br />C) I3l1ILDH1G
<br />
<br />F BlRb11 l' S RBlQIlJIfiT >>ill
<br />L-.h '5 '3 ,eO __ VALUATION OF TOTAL CONS'!'RUC'l'ION
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<br />Ll BlI.,IllC'l'RlCAIr
<br />
<br />AMI? /3ElRVICEl
<br />
<br />o FLORIDA POWHlR
<br />
<br />rl W,FLB,fl,
<br />
<br />o PLUMBING
<br />
<br />o 1'1IllUHIUUCAIJ
<br />
<br />$-_.
<br />
<br />VALUATION OF MECHANCIAIJ INSTAI,LA'l'ION
<br />
<br />o liAS
<br />
<br />fJ ROOP'ING
<br />
<br />[J SPIWIAL'fY
<br />
<br />o OTHER
<br />
<br />'l'\fPEl OF CONSTRUCTION I LJ BLOCK
<br />
<br />o FRANEl
<br />
<br />o STEJEllJ
<br />
<br />n OTHER
<br />
<br />F'llUSHlllil FU)OR ElIJEVATIONS
<br />
<br />IS PROlJEC'r IN In,oon ZONEI ARElA 0 YBlS IJ NO
<br />
<br />
<br />:au ILn III It
<br />
<br />CDt~I?ANY _________
<br />STA'I'Bl ClilRT OR REGIBT # ~.____'____.____~______
<br />CITY PROCESSING #
<br />_._--..._~-----------.._-_....
<br />
<br />81GNA'rURE
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<br />
<br />IllI,IOTRICIAlt
<br />
<br />Cm1PANY___
<br />STATE CElRT OR RElGIST #
<br />CITY PROCESSING #
<br />
<br />8] GlH\'ruREJ __._'_______,__________~
<br />
<br />._._-'~---..- ---_.~_._-_.----,..-
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<br />--.-.-.---.-....---,--..----.-
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<br />i,*****,****,***,****"**"*,**,*****",,,*,,,*,,********.,,*,***,
<br />
<br />PLUMBER.
<br />
<br />CO(vIPANY--- _______..__,_._.__
<br />BTA1'EJ CElRT OR f(ElGIST If _____._____________
<br />CITY PROCESSING #
<br />
<br />SWNA'l'IJREl
<br />
<br />8HH1ATtJRE
<br />
<br />****'*****'***'*****'**'******'**'*******************~*****"'****
<br />(!OlvJPANY____.____________~____"_~_
<br />STATE CElR'r OR REGIS'!, # _____~______.__________
<br />CI'I'Y PROCESSING #
<br />
<br />MBlOHANICAIJ
<br />
<br />****************'**'**********'*'*****~*******.******''*t*****'**
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<br />OT... Qv,~~hU40 L- -- ~~~~:N~E(.j{;~~G~';T [Z r::Ftk~:~Z~-,--
<br />SHmA'f'URllit2' ~ t:'~ CITY PROCESSING # .'. --~---;-'----d__--..L_.f.:.._____
<br />'--, - - --.---- .~_:_6r.~____P:{;Q~______..__ ___~
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<br />******'*'******"*'***************'***********'********'***'*****
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