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<br />CITY OF ZEPHYRHIIJLS PERMI'r APPI..ICA'rION <br /> <br />BUILnIW~ DBPAR1'MEN'r 5335 8th STREE'f ZEPIIYRHILLS, 11'1, 33540 <br />PhoneI813-780-Q020 FaxI813-780-0021 <br />DATE RECHIVED <br />PLANS REVIEW FEE <br /> <br />, OWHER' 9 . ,iAMB -4Cl"\ "lL~GJ-Q <?oJ,\ i-J'~-L __________. PIl~B COHT'C'J11{~IfS: - irfi~ <br />JOB 8 I'l'E ADDRESS 3_1~~_.lrL +k _. &~_~_ ~}!-~---~-~-~u%_'__~_'~_____.____n.__ <br /> <br />dAdLz__ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />-------,----.-------.- <br /> <br />PARCEL ID # <br />WORK PROPSED; 9(NEW CONSTRUCTION <br />[JSIGN <br /> <br />(OBTAIN F'ROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[J AL.'fERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALl, <br /> <br />rJ MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE; ~8GI,' FAMIl,Y DWELLING <br /> <br />DCOMMERCIAI, <br /> <br />o MUL'I'I - F'NULY <br /> <br />0# OF' UNITS <br /> <br />[) INDUSTRIAL <br /> <br />OSWII-'1MING poor, <br /> <br />[) MOBILE Hot-1E <br />[J OTHER <br /> <br />Cl RESTAURANT & HEALTH DEPARTMENrr APPROVAL () <br />O'BCRIP'l'lOH OF WORK~z~_n~__~~'-\~'~ - J\c-kt*;:_~Q "- <br />BUIl,DING SIZE --.Lrf~ / Q~'-~ SQUARE FOOTAGE HEIGHT t.{ I ~'\::'I-:1L <br /> <br />RESIDEN'l'IAI, ; <br />COMI\1ERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SE:T ENERGY FORl\lS. <br />ATTACH (3) SETS OF BUII,DHm PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR A1.,1, NEllW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />'7 /A. c C- <br />$~--'--- <br /> <br />PERMIr~REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL, <br /> <br />AMP SERVICE <br /> <br />[] F'I,ORIDA POWER <br /> <br />[) W.R.E,C. <br /> <br />[] Pl,{JMB IN<3 <br />o MffiCHAIHCAL <br /> <br />$ <br /> <br />---- VALUATION OF' MECHANCIAL INSTAIJI,ATION <br /> <br />[J GAS <br /> <br />Ll ROOFING <br /> <br />[] SPECIAIJfY <br /> <br />[J OTHER <br /> <br />'1'YlJE OF CONSTRlJC'l'10N: [J BLOCK <br /> <br />o FRMIJE <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EI,EVA'l'IONS <br /> <br />IS PRO,JECT IN FLOOD zonE AREA[] YEllS <br /> <br />01'10 <br /> <br /> <br />BUILDER <br /> <br />S lGNATURE: <br /> <br />COMPANY <br />STATE CERT OR REGIBT <br />CITY PROCESSING # <br /> <br />**************************************** <br /> <br />ELEC'!'RICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY ___________ ___.____ ____ __. ____,_ <br />STATE: CERT OR REGIST # <br />- Cll~ PROCESSING # <br /> <br />---~~~'-'-------"---""'--' <br /> <br />****************************************************************** <br /> <br />------.--.---.----.------.--. <br /> <br />PLUMBBR <br /> <br />COMPANY---____----,________ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COl\1PANY __.~_'_'____.______ <br />STATE: CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />------------.--------- <br /> <br />S IGNJ~TtJREJ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />cm'1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />----------------- <br /> <br />***************************************************************** <br /> <br />! <br />----------...-- <br />