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<br />CITY OF ZEPHYRHIIJLS PERMrf APPLICA'l'ION <br />BUILUINI:! DlllPAR'l'MBlN'f 5335 8th 8TREE'f ZlllPIIYRHILL8, PL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 l' <br />DATE RHClllIVlllD -2:....L~_=fL"?-_ <br />PLANS REVIHW FHH <br /> <br />, OWNER f S NAME ~ /Jill{ fLJ~-I?~(Xn >-_ __~____ _____ PHONE ('ONTACT <br /> <br />,JOB 81'1'8 ADDRESS -~...J36---I-2-ff--i!----u2..fJ1Lf~/JJI/s-____ _ ___ ______ ________ _____________ <br /> <br />LEGAL DElSCRIP'l'lON: LOT(S) CJ!f) /Cf;,2,Q_ BLOCK __~_... SUBDIVISION '_______ <br /> <br /># (OBTAIN F'ROM PROPERTY TAX NOTICE) <br />PARCElL ID / I';' 16--' 2 / ... 0 (! / 17 -'" 07/ Of) - O-LZd_ '_______ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION L1 ADDITION []ALTERATION [] REPAIR [] INSTALl, <br /> <br />[JSIGN <br /> <br />rJ MOVE: <br /> <br />rJ DEMOLISH <br /> <br />PROPOSED USE: L1SGI., FAMH,Y DWELLING <br /> <br />[Jr'1lJLTI - F'AtHLY <br /> <br />[J# OF' UNITS <br /> <br />[J MOBILE HOt-1El <br />[] OTHER <br /> <br />DCOl1MERCIAL <br /> <br />n INDUSTRIAL <br /> <br />rJ SWIMMING POOl, <br /> <br />D RESTAURANT & HElALTH DElPAR'l'MElN'l' APPROVAl, <br />DESCRIP'l'ION OF' WORK -(/}A...~'/~g-~~_'7i!? Q ;:::;-,q <br /> <br />Bun/DING SIZE <br /> <br />----------- <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RES IDElN'I'IAL: <br />COMI\1ERCIAI~ : <br /> <br />A'I"I'ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />A'I"I'ACII (3) SETS OF BUIJ,DHm PLAllS & (1) SET ENERGY FORMS, <br />PROPElRTY SURVEY REQUIRED FOR ALl. NEW CONSTRUCTION. <br /> <br />~,BUII,DnlG <br />[] ELEC'l'RICAI, <br /> <br />PERMlr~REQUESTED <br /> <br />$ <br /> <br />. . ,oG <br />Lo~5:D'- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Fr.~RIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[] PI,UMB ING <br /> <br />LJ IvJECHANICAL <br /> <br />$ <br /> <br />--- VALUATION OF' MECHANCIAL INSTAI,I.AT ION <br /> <br />[J (~AS <br /> <br />LJ ROOF ING <br /> <br />[] SPECIAI/l'Y <br /> <br />[J OTHER <br /> <br />'l'Yl-'E OF CONSTRUe'l'lON: [] BLOCK <br /> <br />[J FRAME <br /> <br />[] STEEl" <br /> <br />[J OTHER <br /> <br />FIlHSHED FLOOR EIJEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDHR <br /> <br />COMPAtlY ~ <br />STATE CEJRT OR REGIS'!' It _...____ <br />CITY PROCESSING # <br /> <br />SIGNATURE ~~ ~ /Z-, t:.L-.--1'_g. RP <br /> <br />****************************************************************** <br /> <br />ELBC'!'RICIAN <br /> <br />SIGNA'l'lJRE <br /> <br />COMPANY ______,......_____ <br />STATE CERT OR REGlST # <br />CllY PROCESSING # <br /> <br />---_..__.._----.~_.._- <br /> <br />****************************************************************** <br /> <br />---_._-~------"-,---. <br /> <br />PLUMBER <br /> <br />COMPANY- '_____'___ <br />STATE CERT OR REGIST # <br />Cl'l'Y PROCESSING # <br /> <br />S 1 GNA'I'LJRE <br /> <br />MECHANICAl. <br /> <br />****************************************************************** <br /> <br />----------- <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />--------- <br /> <br />S IGN1~TUREl <br /> <br />.-------------.-------- <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CI1Y PROCESSING # <br /> <br />-------------- <br /> <br />***************************************************************** <br /> <br />! <br />------.-...... <br />