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<br />llJ..'J.'Y OF ZBlPHYRHILLS PElRMrr APPIJICATI'ON <br />BUILDING DBlI?ARTMBlNT 6335 ~th S'fREBl'l' ZEPHYRHILI.S, :n 33540 <br />Jilhon.'8l3~780-0,020 Fa:X:1813-780-0021 , n!f, " ~,,/., <br />fJA'.l'Bl RBCBlIVIJD .-;?"li~Y-. <br />PI.ANS RBlVIJlIW raBl <br />Pft,S'-O PEi<rnjr- -setiNtc.E <br />ClI'lNBlR '8 HAHEl-Dana..Ld__ 6--1m ond~________~ PHONfil CON'l'AC'LL-:~=3.?-...i::78'i'-{ <br /> <br />JOB fH'j'Jj) ADDRE88_..3.~q.~_C~1J:ill LoQf2--_,_'.__________ ...___________.,_ <br /> <br />LEGAL DESCRIPTIOlh LOT(S) ______ BI.oeK _____ SUBDIVI810N ~tJk..O~5_ <br /> <br />PARCEIJ If) #_~!1::dJp-(}..I-::..Q~- OOOJ)D..::JJ~ <br /> <br />(OBTAIN FROM PRPPERTY TAX NorJCE) <br /> <br />-_._------_..__......_---...~..... <br /> <br />HORK I?RnpSBlIJ I LJNEI'l CONS'l'RtJCTION <br /> <br />o AODI'l'IOH <br /> <br />~AurBlRA T 101'1 <br />o DElMOl,ISH <br /> <br />[] REPAIR <br /> <br />) <br />[J IN8'l'$\f.l, <br /> <br />DSHm <br />I?ROJ:108En USE, ~c]L FAMII.Y DWELLING <br />[]COMMBlRCIAI. <br /> <br />[] MOVE <br /> <br />[]MtJW'I - FAMILY <br /> <br />0# OF {/NI'l'S <br />o s~nNMING PODl, <br /> <br />o MOBIl,Bl HOMEl <br />IJ OTIlBll\ <br /> <br />o INDUS'l'RIAT. <br /> <br />D RESTAURA~~T & HBI}n.'rH DEPARTMENT APPROVAL <br /> <br />DllJ8CRIPTION OF WORK -~~..$-.ea Uvtd~r e..)! l.~t(~~r'"t._cpci~. <br /> <br />~ 1/ X1:2.. _ SQUARE FOD'rAGE _-'-3;1. L HIilWH'f .~~~,~_ <br /> <br />Rlll8IDBlH'l'IAld AT'rACH (J) PL.OT PLAllS & (J) SElTS OF BUILDING PLANS 6c (1) SIll'r SlNIlIRClY J'Cl;lU1S, <br />(~OMMB1RmAI~ I A'J"l'1H1H (3) SIiI'l'S OF BUILDING PLANS & (1) SElT ENERGY FORN8, <br />PROPBlRTY SURVBl~ RElQUIRElD FOR ALL NEW CONSTRUCTION. <br /> <br />BlJIIJnING SUE <br /> <br />II IDltMtT S 1\BlOIllSTIl2 <br /> <br />~ 13l1rLlJ!klG <br />L1 IllLBlC'I'RICAI, <br /> <br />$ IgOO. (j1) <br /> <br />VALUATWN OF TOTAL CONSrrRlJrl'rION <br /> <br />-.--- <br /> <br />AMI? I3E1RVWBl <br /> <br />[] FI,oRIDA POWER <br /> <br />IJ <br /> <br />W,R,B.(J, <br /> <br />o PLUMBING <br /> <br />o 11BJUHA.NWAIJ <br /> <br />$ <br /> <br />VALUATION OF MIlJCHANCIAI, INS'l'AI,LATION <br /> <br />o (JAS <br /> <br />II ROOFIHrJ <br /> <br />[J SPECIALTY <br /> <br />o O'j'HER <br /> <br />'J'YPE OF CON8'J'RUC'1'1ON I [J BLOCK <br /> <br />o FRANE <br /> <br />o S'l'B1ElJJ <br /> <br />[J OTHBlR <br /> <br />ll'llnSHBln Fl,OOR BlLEVATIONS <br /> <br />I S PROd EC'l' IN l<'L.OOfl ZONE! AREA [] YalS [1 NO <br /> <br /> <br />BUILnllll <br />81f1NA'rlJRBl &~~ <br /> <br />UOt-lI?AN'l t1. i ~,.fA)i I tilld!~,S_COli\.st~___..__, <br />STA'I'BI CElR'l' OR REGrST # ~.__'____..______._"____ <br />CITY PROCESSING # <br />-----------_._--_......-.-..-~_--....-.... <br /> <br />*****************************************************************. <br /> <br />ml,JlOTlU alAH' <br /> <br />8] (mATURE: _..__'________________~ <br /> <br />COHPANY <br />STArE CERT OR REGTST # <br />CITY PROCESSING # <br /> <br />~--_._-...---~ <br /> <br />.-.-"-.-------.-----.-.--.....-......-- <br /> <br />"*********"'**"'****'*"*'****************'*****'******'***"'* <br /> <br />-"~-_._-~----" .._-_.....-.._~----_. <br /> <br />PLUMElIllR <br /> <br />S WHA'l'IlR"ll <br />r _____..______ <br /> <br />COMPANY __.._.._,_____, <br />STATE CERT OR jtEGIST #; ____________.... <br />CITY PROCESSING # <br /> <br />MmClHANICAI. <br /> <br />'*"""*'*"*******'*"*"**'***"'******"**""**'****'*'*'**" <br /> <br />-_.._---~--._,_._-------- <br /> <br />COMPANY_____,______.___.________,_..____ <br />STATE CElR'r OR REGl S'i' # <br />CITY PROCESSING # <br /> <br />-.--.------------------.- <br /> <br />SIGNATURE <br /> <br />**********************************************4****'*******'***** <br /> <br />o'rH~R <br /> <br />-.....-....-.------ <br /> <br />COI>1I?ANY <br />STATE! diRT OR RJj)(HST # <br />CITY PROOESSING # <br /> <br />SII~HAT\JRli: <br /> <br />.._--~~----------- <br /> <br />-------_.~-'.--~_......__.- <br /> <br />*"****'**"**'**"'****""*"*"'**"'****'*'**"'*''****"**" <br /> <br />------~----.--..-_-_..._- <br />