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<br />CITY OF ZEPaYRHILLB PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STRBBT ZBPHYRRILLS, PL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATB RBCRIVBD <br />PLANS RBVIBW PRB <br /> <br />OWNER'S NAME fJ tL -r /-1 U/ r<- 0 I?. j? ,I} r 1< :J c. '!-fl- g /5 :JIII;;.3i z.. PHONE CONTACT 7 r.2 -,-7 tJ 0 <br /> <br />JOB SITE ADDRESS 3 g- L/ 35 5' r If ;:; II t=/y ~,e <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID ## <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />[]MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0## OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~_ "TN! J!/Z ~ e V , <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 ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />[] 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 />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />f)w~ <br /> <br />I <br />SIGNATURE. <</'1.70/1...- ~ ~ . <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />~~ <br /> <br />COMPANy--1) o..J ~ <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />SIGNATURE <br /> <br />MBCHAHICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />***************************************************************** <br />