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<br />APPLICATION FOR PERHIT <br />CI'l'Y OF ZEPIIYRJIILLS <br />BUILDING DEPAR'lMENT <br /> <br />DATE REClilXVED <br />PLl\NS RIllVIEW I'E& <br />,'\SCO PERMI'f.-SERV/CE <br />813-188-5314 <br /> <br />3'/J!o~ <br /> <br />OWNER'S NAME 1<CL~ 'Rt.r-a..d .',5 <br />JOR ALJDRESS <br /> <br />PHOI'k <br /> <br /><::.::.--_.... <br /> <br />PARCEL, ID ,,",/-;1..(,- :2/-IJ/Jt.lO-OOO()t)-I/;;'O <br /> <br />LOT / I~ <br />SUBIHVISION Eme..ro../d PO/~r KV Kes~rf <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />IJLOCI~ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />1.11"1\1)/)1'1' 1 ON <br /> <br />100'I'1\IN FROM PROPER1'Y TAX NOTTCEI <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />D SIGN <br />PHOrOSF.LJ usr~: ~l, E'AMll,Y LJWI';Ll,ING <br /> <br />o MOVE <br /> <br />o LJEMOLISII <br /> <br />o COMMERCIA', <br /> <br />OMULTI-F1\MILY <br />o lIWUSTIUAL <br /> <br />0" OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />r J RESTAURANT I< IIEA1;I'II DEPARTMENT APPROVAL _ J r <br />WeQA rrClI'he.: <br /> <br />DF:SCRLP'l'lON Of' WORK ~C~;~~~. W/V'f1';jl lAJiV\dows on wo~ deck} ~ shed On :>'~, <br /> <br />BunDING SIZE ~ r SQUARE FOOTAGE L/10 t/J HEIGHT S~e d.:;:'^-~, <br />6c.'f"e~ ~"'" I~)(. 3 1 .sk~ef .g 1<.l:2.. , <br />RESIDF:NTIAJ,: ATTACH (2) PLOT PLANS & (2) SETS OF OUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. 'Ilk <br />PROPERTY SURVEY REQUIRED F'on ALL NEW CONS'I'RUC'I'ION. <br /> <br />~UILLJING <br /> <br />$ Z'lS5D.OO <br /> <br />PERMITS REQUESTED <br /> <br />VALUAT ION OF TOTAL CONSTRUCTION <br /> <br />o ELECTltICAL <br /> <br />AMP SEnVICE <br /> <br />o <br /> <br />F'LonIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIAl,'l'Y <br /> <br />......._----.. ~ ~-, <br />~ <br /> <br />// ,......-------.' \ <br /> <br /> <br />o o:~:~^'l'lON OF MEellMem INS'l'ALlJ\'l'ION;~-;-~~~f'v~) <br /> <br />o "'VIM. 0 STE.L' 0 01'U.R (' I ~f~ <br />IS PROJEC'l' IN FLOOD ZONE AR~O <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />. .. <br /> <br />BUXLDER COMPANy/I!/k~ tull/''a,/-t(s (],J1.strucIIA~ <br />v) Ii' () ('/:'Y7 cC' STATE CERT OR REGIST 1# <br />SIGNATURE ,JJrf' W \ .(2.) /(/V.t1~~?;''-J CI'l'Y pnOCESSING !t-- _~ <br /> <br />**************************************************~*:::~*.* <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CER'l' OR REGIS'I' " <br />CITY PROCESSING 1# <br /> <br />*****************************************************.......*.*..* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CER'l' OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />MECIIANICAL <br /> <br />**.****..*~.****.*******.***************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PHOCESSING II <br /> <br />SIGNNl'URE <br /> <br />A.A......***..........*....**.*.......*.................*........ <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PI\OCESSING II <br /> <br />******************.....****.............................*........ <br /> <br />'" <br />\I <br />