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<br />CITY OF ZEPHYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 <br />DATE RECEIVED <br />PLANS REVIEW FBE <br /> <br />OWNER'S NAME 4/iM('~ <br />JOB ADDRESS !?>2 5r F~ <br /> <br />e At(/2C~ <br />~~~ <br /> <br />Q.f <br />/Ccl <br /> <br />2 c-j1J, y'LA ,;lis PHONE <br />, <br /> <br />2~Ay~4, Ib ~L- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br /> <br />(ORT~TN FROM PROPRRTY T~X NOTTrR) <br /> <br />[J ADDITION <br />[JMOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J RE:PAIR <br /> <br />~TALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK F;'A? E --4/A4M. 5( 57'c/Yl <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET E:NERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br /> <br />.~- <br /> <br />PERMITS REQUESTED <br />132~9,. uO VALUATION OF TOTAL CONSTRUCTION <br />" <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />co~w6i(.. S.b~~OH. <br />...,......'.".. '''''-':''--':'''''', "....!..-."..,.,. .,.,.;--,'_.---.,' '-",',,'-,. '., <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT, OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************,~******** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />Ml!:CHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************,~******* <br /> <br />0...... H:e" 117 <br />SIGNATURE.~ . <br /> <br />COMPANY S;?Z-ci~k// .E/C-C}~iJN/C 5V5&~ <br />STATE CERT OR REGIST # EF OOO/O~~ <br />CITY PROCESSING # c:<--5;;2-::z, <br /> <br />***************************************************************** <br />