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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 FEE <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />1330 ..2Dr~ slrr~J- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~W CONSTRUCTION <br />D SIGN <br /> <br />(ORT~TN FROM PROPF.RTY T~X NOTTr.F.) <br /> <br />D ADDITION <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DMOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT <br />Tn5!c II h~ tJ to-c- <br />. <br /> <br />APPROVAL <br /> <br />.cS.FA~y.j~. 4~p1~p? <br />/ / /~ <br />SQUARE FOOTAGE ry. ~9 a:::.JO HEIGHT .5& <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />r rr;,,)k <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <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 />!3-"'MECHANI CAL <br /> <br />$ /5-C; 006.06 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />B()THER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />g--STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />coNTRAc':rqa;S*Q'rXON <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************************~* *****~***~* I // <br />, L ' ~. '/..6 <br />~ COMPANY 't:7~ ./ ,r~ " d <br /> <br />. /' d STATE CERT OR REGIST # 7J~-/ '5 CJOc:t:J/OC? <br /> <br />________ ~ CITY PROCESSING # <br /> <br />II oqll"- I'?~- 2"?),3 <br />V ***********************************************'i*****p*~A****4*)( 210 <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MlCHANICAL <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />