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<br />CITY OF ZEPHYRUIIJLS PERMI'f APPI..ICA'l'ION <br />BUILDIN(] DBPARTMENT 5335 8th 8TREET ZBPIIYRHILL8, FL 33540 <br />PhoneI813-780-0020 FaxI81J-780-0021 <br />DA'rB RBCBIVBD <br />-------.---.. <br />PLAN8 RBVIBW FBB <br /> <br />I OWNER'S NAtIJE c-P,~J~f"Af~:':"________________,____ PHONE CONTACT <br />,....- <br />,JOB SI'l'E ADDRESS L_ c.~_t Y.J.__, /Vc._::,J5_c:""'2 }qu~____. ______________________________ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />c;..,\AA-'( ~ If on.. 0:."..:..':.___ <br /> <br />-----~---- <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o AUfERATION <br /> <br />[] REPAIR <br /> <br />IJ INSTALl, <br /> <br />DSIGN <br /> <br />[] MOVE <br /> <br />[J DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMU,Y DWELLING <br /> <br />DMlJLTI.. F'AtULY <br /> <br />0# OF UNITS <br /> <br />~E Hot,1E <br /> <br />o COHMERCIAl, <br /> <br />[] INDUSTRIAL, <br /> <br />o SlUMMING POOl, <br /> <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAl, <br /> <br />u,Jt <br /> <br />BUU,DING SIZE <br /> <br />---------- <br /> <br />SQUARE FOOTAGE <br /> <br />------- <br /> <br />HEIGHT <br /> <br />RES IDEN'l'IAL: <br />COMMERCIAI~ : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BrJIl,DING PLANS & (1) SET ENERGY FORf\IS. <br />ATTACH (3) SETS OF BUIUHNG PLANS & (1.) SElT ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED F'OR ALl, NEW CONSTRUCTION. <br /> <br />PERMI~~REQUESTED <br /> <br />[] Bl1JLDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONS'l'RUCTION <br /> <br />[J ELECTRICAL <br /> <br />--------- <br /> <br />Af'.1P SERVICE <br /> <br />o FIDRIDA POWER <br /> <br />[) W.R.E.C. <br /> <br />[1 Pl,UMB ING <br /> <br />o [V]E:~HANICAL <br /> <br />$--- <br /> <br />---- VALUATION OF' MECHANCIAI, IlJSTAU,AT ION <br /> <br />(] (3AS <br /> <br />LJ ROOFING <br /> <br />[] SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF' CONS'l'RUC'l'10N I [J BLOCK <br /> <br />D FRAME <br /> <br />[] S'I'EEI~ <br /> <br />o OTHER <br /> <br />FlIHSIIED FLOOR EIJEVA'I'IONS <br /> <br />IS PROJECT IN FLOOD ZONE AREACJ YES <br /> <br />[] NO <br /> <br /> <br />BUILDBR <br />SH3NATURE _W~V- _ <br />****************************************************************** <br /> <br />ELlIlC'l'RICIAN <br /> <br />SIGNATlJRE <br /> <br />v.P~ <br /> <br />COMPANY J1-C <-- <br />~----------~-------_.._-_.- <br />STATE CERT OR REGIST # <br />CITY PROCESSING #__%____,_-==~==-=,~.: <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />v ~~f1i:2 -- <br /> <br />CQtIJPANY- tJ.~7 _____'_______,______., <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />~OMPANY-ft c:=. <-- ________,______, <br />ZJJt- STATE CERT OR RE(HST # _____ ______...._____ <br />t.:.J ~,..,tf,~~ ....___.__, CITY PROCESSING # ./{fi 1~7 _________ <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />----..---------- <br /> <br />***************************************************************** <br />