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<br />CITY OF ZEPHYRH~LLS.PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZBPRYRRILLS, PL- 33540 <br />Phonea813-780-0020 Paxa813-780-0021 <br />DATB RBCBIVED <br />PLANS RBVIBIf I'BB <br /> <br />;J2"lenJ <br />? 14 Sf, <br /> <br />OWNBR'S NAME <br /> <br />VO/JIlA <br />!iLl '3 'I <br /> <br />JOB SITE ADDRBSS <br /> <br />PHONE CONTACT <br /> <br />7;/2 -302;-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />_IGN <br /> <br />D ADDITION <br />D MOVE <br /> <br />DALTBRATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />1Dy. {;; S"- <br /> <br />SQUARE FOOTAGE 26 tJ iJ <br /> <br />HEIGHT <br /> <br />7 / <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 ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />/ SOO <br /> <br />PBRHITS RBOUBSTBD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES' 0 NO <br /> <br /> <br />BUXLDJ!lR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLIOCTRXC:J <br />SIGNATUR. " a.....~ <br /> <br />****************************************************************** <br /> <br />COMPANY C!.-.f-c.., 1!Let-~C- <br />STATE CERT OR REGIST # ~_~I~~ <br />CITY PROCESSING # (;,5' <br /> <br />PLUllBJ!lR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATVRE <br /> <br />MJ!ICRAlIIlCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CBRT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />f <br /> <br />. <br />