|
<br />CITY OF ZEPBYRHILLS PERMIT APPLICATION
<br />BUIWING Di:PAR'l'MINT 5335 al;h at, Z.phyz:hills I I!'L 33542
<br />913-780-0020 rAx:BlJ-780-0021
<br />
<br />DATE UCEIVEO
<br />PI..AN8 :REVIEW FEE
<br />
<br />~)WNIi:R' SHAM::!. ALL_€~_~_'!t:!t!.E' .2:l~AhL:u2 L'AR.E' __ ,FEONE
<br />JOB ADORESS ~_7~!_j)~'k?t.__A. L.E/'uYR d'LL S }::L ~S4L
<br />
<br />LEG.!\L [)'!!;Sr:R:FTIO!l: Jj:Jl" S) ~~D a::"OCK 0390t'J_ S\JBD::VI::rON _~~
<br />P~.Rr:Ei., I [ t .!2C -~&:, -2 1-.cojb_:-.I')~9ao -:-~~ (C&I1\.I\:l_~'RQl'LtRC2F~IU_'.L_TA.'Ll~Cl.l.cE1___.
<br />
<br />l'IOF-K P?C)PS~=-.>, 0 ;,lE~Yl CONSTRUCT :ON
<br />
<br />o AD;)I'rICI'~
<br />
<br />OF-.LTERATION
<br />
<br />Jd REF...! R
<br />
<br />o IHSTJl..LI,
<br />
<br />rJ 3IGtJ
<br />
<br />o HCWr:
<br />
<br />o I'EMOl. r S H
<br />
<br />PROPOSED OSE: OSGL Fl\tlILY m~('LLING
<br />OCm11-1ER:-II\:(.,
<br />
<br />D~1ULTJ: -FAMILY
<br />o IN;)tJST~IA,-,
<br />
<br />OJ! (lE' U!'iITS
<br />o sw H1t.1i NG rOOl
<br />
<br />[] NOBILF Hor.1E
<br />
<br />!g OTHER
<br />Nu/2s,AJ6l tbm~
<br />
<br />D RE.STAl)PA~n' 5c HEhLTH DE.F)l"p_'j,'~1EtlT APPROVAL
<br />OBS::-RI Pl'ION UF WORK ___g~v'E: ~_~BoiAC.~ ~;::
<br />SQU;;PE ?OOIl',GE 4SZ~___-
<br />
<br />E-UILDIN':'; SIZE _
<br />
<br />HEIGHT
<br />
<br />m::SIDEUTIAL:
<br />COI1,'~E.RCIA.T~ :
<br />
<br />A?TACH (2) PLOT PLANS r. (2,\ SETf, OF BUILDIN::; PLAJ:S & (1) ~E'J [,l\IE:P..:;Y FORMS.
<br />l>.TTACH (:;) SETS Of' a,II::"DIt~c: PLAns :; : 1.) SET ENER~Y FORMS.
<br />PP,CPEF.':c"{ SURVEY REQllIRED F')F, .l\Ii. :.JEN O:;NS?RUCTI'JN.
<br />
<br />PERMI_TS REQUESTED
<br />
<br />o BUIIDIttG
<br />
<br />$ Sl:J <9a> ~ '.1ALtJA:'ION or
<br />-r-------------- - .
<br />
<br />________ .'1.MP SE?VI:::E U
<br />
<br />TOTAL CONSTRUCTION
<br />
<br />o ELl-}:TRICAL
<br />
<br />FLORI0A f"YNER 0
<br />
<br />,q.P...E-.c..
<br />
<br />o J?LUMBING
<br />
<br />o MECHANICA.!.
<br />
<br />$---
<br />
<br />VALlJA.'::' rOl; OF M&C:HiI.NCIAL INSTAU.1\TION
<br />
<br />o GAS
<br />
<br />~OOFIKG
<br />
<br />o SPE.CIJ\L TY
<br />
<br />o DTHER
<br />
<br />TYPE Oli' CONSTRl:CTIOIJ: 0 BL'JCK
<br />
<br />o FIlAr'IE
<br />
<br />o 3'l'EgL
<br />
<br />o OTHER
<br />
<br />fINISHED FLOOR ELEVA':'IOKS
<br />
<br />IS FRO.JEC;T Itl fLO()j) 2'001\:;; AREAD YES
<br />
<br />o NO
<br />
<br />P, !il "t t W'/{ 1: "'~ll'!l ') h 1\1 II" jt'. rl~ ""I' "((lllIl 'I" ,)1 ,J1 :11', ~ I ;'tf1"I' j\"\r~,' I'
<br />, ,~.1 ;I'll Y{i{ II I.~, III ji I~ 'J 11/:P'11: 1,'''. ;,11" " ,. .'," II l' ",1(i,rl ':':11 ~"I ~l;..,.ll J~~\":I
<br />11,1 . 1.~."", j'~ J'tl' ':...j.,./'I" j ')0'" I "(,']1. ~Lb . t~! 1 '.f...~_.:'. "'I'3T.I>]I. I :~J..,~~",t 1,"'.... ;1.""" !j,~j ,"'':
<br />.'. . c......;.J ...J,.,. ~ =C~t. _. .k.-.t. ,...(1.- ,. .(~_ ~ .~. ~. '.., _ '. 'rt.lll' . '1..-1 ,.:.0;", ~'.rJ>
<br />
<br />SII?:NATURE
<br />
<br />('C+1P.''t.N),'
<br />STll;:'E CER'l' (\'l REGISl j
<br />''::;:1!' FROCESSIHG L...-.______________
<br />
<br />'BUILDER
<br />
<br />~*+.***.\.**+*.w+~~w~~~~~w~**+*+*~.**~**~********~~~.~.***..t~*~~~~.
<br />
<br />SIGNATURE: ----------
<br />
<br />C-:)!-i P },'.J'i
<br />SIA':'E CERT OR ",r.GIST l!
<br />CI'J'Y PROCESSrU:.'; .
<br />
<br />EltECIP.ICIM1
<br />
<br />.++****~~*++*~*+.~*~**~~*+**~*~.'.~*~.+~*~~.**4***~+~~*~***~+*.~**~
<br />
<br />SIGNATURE
<br />
<br />C')['1PANY-
<br />STA1'E; (;ERT 0:;' REGIS'!' ._
<br />CITY FROCESS:~G f
<br />
<br />PI.1JMl!lER
<br />
<br />**+*~*+**+~'******.**+~'W*~'~..*.*~..+~~*.*+..*~.+~*~~~*~.*~*++~x~+**
<br />
<br />:3 I Gll~'):l}RE
<br />
<br />COI1PANY
<br />STATE CERT OF RfGTST II ______________________________
<br />CIT-" PROCESS:;::.IG *
<br />
<br />ME ClU't.NI CAt.
<br />
<br />..~.**~*~*...*~~***~~~*+.~~~~~*~*~~~.~.~..'~~*.*~*~.+**..+.*+~..~.~
<br />
<br />
<br />----' /
<br />E 1 G~'lP._'llJF!E
<br />
<br />~ ~ ~
<br />C":MPAt-lY 7f1L L::.N:r~.R.PJ'2/SJ:i.
<br />STA':'E CEl'l.T O?- RE.GIS! .. ceCA 1.32.2-
<br />',~I'l'Y PRUCESE ~_,\l-:::i . .
<br />
<br />~*.~*~.~**~**~.~*w**~*.++~~+~*w**~~***~
<br />
<br />. ,j
<br />
<br />:':iH".'II
<br />
<br />~:n)H:i),Hj3Z :IC ',~I)
<br />
<br />!\ ~ I, 'j : :;, ::: I) I} ,- ", . I, ':' ~j
<br />
|