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<br />CITY OF ZEPnYRHLI~IJS PERMI'l' APpr~ICATION <br />BUII,DING DBJPARTMEN'r 5335 8 th S'rRElBl'r ZElPHYRHII,I,S, P'L 33 e 4 0 <br />Phona,813-780-~020 FaxI813-780-0021 <br />AI h~ ViiI aje €;Mes Ph 05 e1 , ,:>/3 1"1 P6Sb q) l-ot '13 ~~~:::~:~~:D ... . , <br /> <br />' f' . __'_._._. ,_ ._ ___... <br /> <br />OWNER' 8 llAME_._..BL;g 0._--1JCttL~(je.{r._.._ _._ __ PHONS -,'Oll'1"""81J .z(~. 3.31.1 <br />,roB S ITB ADlJREJ88:3g6.I.!:L_._e'ed~~()-Yl_t__A__v:___.2.~~J4.llL;_11.~__tL____~_~_?~ Q___ __ _'__'_ <br /> <br />LBl(]AL DBl8(!RIPTION: LOT (S) __EL3_._____ BIJUC'K________._ SUBJJIVIS lOti A1r-Vtg.-V.ij.\f1.fje._T~:i>el <br /> <br />PARr.!8IJ In #__..25" ;)f!.~J. J-=-_Q.Q~ 0 ~O Q90Q--,_Q13Q._~~~TAIN._~_RO~_P_~_~.~!~~~~~. 'I'~~__~~~~I~~_~ __. <br />HURK PROPSEl[J I LJNIlJW l'ONSTRtJCTION <br /> <br />[JSHm <br /> <br />PROJ:lUSF,n USE: I ClSGL FAMII,y DWELI,Ilm <br /> <br />fJ CCJt1MElRt! IA T I <br /> <br />C:J REISTAURANT & HElAI/l'H VElPARTr1ElNT APPROVAL <br />)JIll8CRIPTION OF NORK __..i..~~J...J ___\)~_; Vf'~!l\L_________~__..____.__._____________________ <br /> <br />Burr,fJIW] SHiEl <br /> <br />.---------. ---_.~._--- <br /> <br />SQUARE: FOOTAGE <br /> <br />_. . .-.--------- <br /> <br />HEll GH'l' ._.____._____..___ <br /> <br />RESIDENTIAL I <br />COMMEJRClJU'1 <br /> <br />A'I'TACH (2) PI,OT PfJA118 & (2) SElTS OF Bm; ,[lING PLANS & (1) BEI'I' ElNElRni' FORMS, <br />A'I"IiAC!1l (]) SE'rs OF BU!LDING PLANS & (1) SEl'r ElNERny FORtlJS, <br />PROPlllRTY SURVEY REQUIRED FOR Al,L NEW CUHSTRl1CTION. <br /> <br />FERMITS REQUESTED <br /> <br />[] BllTI,IJINn <br /> <br />$ --_..Jt3...c:_~__._. _ VALUATION OF TOTAL CONS'I'RIJC'l'ION <br /> <br />L1 FJLBlC'I'RWAl. <br /> <br />-------______-'- ArIJP SERVICEI <br /> <br />[] FI,oRIDA POWER <br /> <br />[J W,R.EJ.C. <br /> <br />[] PWt1BINC3 <br />U 1.1BJUHANIC!AfJ <br /> <br />[J (m8 <br /> <br />r.J ROOFW(3 <br /> <br />, <br />$-- --.--------- VAI,UATION OF tIJEC'IlANC rAI, HISTAl,I,ATTON <br />fJ f:!PElCJtAUry [] OTHER <br /> <br />TYPE OF' CON8TRUCTION I [] BLOCK <br /> <br />[J FRAtIJEJ <br /> <br />[] STElE I, <br /> <br />[J OTHER <br /> <br />FINISHBl[J FI,(jOR EIJEVATIONS <br /> <br />.---...-------- <br /> <br />IS PRO,TEC'I' IN FLOor> ZONE AREA [J YES <br /> <br />[] Ho <br /> <br /> <br />BUILIJBlR <br /> <br />****************************************************************** <br /> <br />CotlJ PAN y-l1!~(b ~_._.(.c 1V,5r:';e.--~(;' :...._ ___._ '_ _. __..,.._ <br />STA'I'Bl CElRT OR REIGle'!' # --.';A,~~/q-::7.6...____ . ,_._.._ <br />CITY PROCElSSIN(] tL_(~~'_'_____._n __'~__'__ __ <br /> <br />SlrmATUREl <br /> <br />~.?,.fi;4-(J---_. ---.-.~ <br /> <br />B1r.BICl'rR I C!AU <br /> <br />S J cnlA'1'l1RBJ ____.__ <br /> <br />'.---.-.- .----.---- ._-~---~- .__._-~-~.__..__.._--_._------ <br /> <br />COI.1PANY_.___ ___ __________ _______.___ ___ <br />STATE CEJRT OR REGIST # <br />CITY PROCESSING # <br /> <br />._-_.,,-_..._._-~..-. -'-_._._-~ ..- --.. -_._-"-_. --- <br /> <br />*********************'******************************************** <br /> <br />---- ----.---. ---..-.-.---- ---..--,.--. - '''---...-.-., - -...--.--.- <br /> <br />PJ,UMSBlR <br /> <br />"- ._~.~--...-._._~----..._--- ----- <br /> <br />r~OM P ANY --..------.__._.__.________________.._.__.__.. ____._...___ ._....__ <br /> <br />STATE CER'I' OR REGIST # ___.____..___..._._..._______.. <br />CITY PROCESSING # <br /> <br />SII3NA'l'IJlUJ <br /> <br />MIllC!HANI CAr, <br /> <br />****************************************************************** <br /> <br />---.......-- -'.'- _.- ----_.._~._.. ---.~------_.__._,...- <br /> <br />---------.------...-----------...--..--- <br /> <br />(!O/\1PANY___u_____.___.__...__.______________._... <br /> <br />STATE C@RT OR REGIST # <br />CITY PROCESSING # <br /> <br />-~---- -...-.-.---------.-------.---- -_. -....'-- <br /> <br />S [GHA'I'UREl <br /> <br />******************'*******************~************************** <br /> <br />------._-----._-_.._.~.-..__.__. -- ---~-~ <br /> <br />OTUBlR <br /> <br />.~-------------_._-- <br /> <br />COI'IPANY <br />S1'A1'E cmRT OR - REl(~ISfr -fj---------- '~------.--.----.__.._-..._...-.-- <br />CITY PROCElSSING # ---.-----------._________.__..__ <br /> <br />-----.--...---------.-------------.-- <br /> <br />S [(mATURE <br /> <br />***************************************************************** <br /> <br />-----------. --.--.-.-.-.---.--...-. -._~.,- -....--.-.. -....- <br />