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<br />CITY OF ZEPHYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 ~ - ;:2D-O I <br />DATE RECEIVED - - <br />PLANS REVI:D I'IlJll <br /> <br />11 /ra$~~ 1<.&.~'O.o~) <br />OWNER'S NAME{lAPSfPt'lE.. (1APtTDL LC~ l. J./-e s. Pt rltL ~ONE <br /> <br />JOB ADDRESS ~ 7 &.( 8 ~ ~ tL n LVi:> <br /> <br />LEGAL DESCRIPTION: LOT (S) -rRAe.T 2S BLOCK <br />PARCEL ID # 0 z,. '2.." 2., 00.0 e> z.$i:)C 002.D <br /> <br />SUBDIVISION ~,., a,~ Q, U+AJbS <br /> <br />(OR~~TN FROM PROPF.R~Y ~~X NO~Tr.F.) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION DADDITION ,2!J.ALTERATION D REPAIR D INSTALL <br /> DSIGN DMOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~~aCI2JllL. '-RE.~obS'.L - A't>t> ''S'~l<~, I~" I r t.UATI.It ~le5~,... <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />I 'J t!7 <br />/&1~ <br />5 <br /> <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br /> <br />YES D NO <br /> <br />FIHISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />SIGNATURE <br /> <br />k:;O-t <br /> <br />~, :.' ~ _ ' - " \:." ,'~ r,' >y;~;~; ~1:'.,;"' ,~: 'f,'; ~: _~.: .'h' ,-::, ::',';,.:;: '1';:~~-1':,'?/ ': ;,."~ ': '. .;, r~ -~'~~,\"~j \~ ':' :);~-' ::. '~';:"::'>'t.' .,) <br />Q~O~~QB".II.I,~QIf <br />~~ COMPANY (l.A)lYf.m~ (!.,,~ <br />.. STATE CERT OR REGIST . ~ e ~3.:S'l <br />CITY PROCESSING <br />~ ~ . /)A7i~ <br />************************************************ ******* <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />SIGNATURE !~~) '0- <br /> <br />COMPANY f'u E'I!.~Ti&~ <br />STATE CERT OR REGIST # F~OOo4.0L.\ 0 <br />CITY PROCESSING #//o/~ <br />V' <br />****************************************************************** <br /> <br />(L <br /> <br />COMPANY LU. (.L,,4-ms l1..uW\~'Nc, <br />STATE CERT OR REGIST # oo97~S- <br />CITY PROCESSINGtY /CJ JD <br /> <br />********************************************~******************~ <br />MJIlCHANlCAL~~ COMPANY _"'UlR/)NhI~ _7'1l:"~S <br />. - . _~ __ STATE CERT OR REGIS * MC!O.a9SIrcl. <br />SIGNATURE ~_______________ CITY PROCESSING # ~ <br /> <br />*********************************************<t*~~tf*~ ~T~ ~O <br /> <br />PLUMBER '_. J . <br />SIGNATURE ~~jr-lL~ <br /> <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />