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<br />OI'lNEJR I 8 IlM1E:___~__I_e._~~_J:::l_\.,;_~_~iL___.____ ____ <br />.JOB B I'J'El ADlJREl8S_S_~_L.,s_ ___L( --tb___?L____________ <br /> <br />CITY OF ZEPHYRHIIJIJS PERMIT APPIJICATION 0J.i<j) J- - 11 <br />BUII.rJING DEPARTMENT 5335 8th S'rREEl'f ZElI?HYRHILI.S, FI, 33540 <br />PhoneI813-780-Q020 FaxI813-780-0021 <br />lJA'rm RDlOIllIVIIJD ~t~:-IJ(::R-3__ <br />rn.ANS R!llVIBlW rJllI_~____..} _.._ <br /> <br />PHONE: CON'J'lWPASCO PERMIT SERVICE <br />- -----813~-iEI8-53f~r- <br /> <br />LJ81GAL IlESCRIPTION : LOT (S) __.Jj________ BfDC'K -d_~____ SlISIJIVIS JON -al-_________.___ _h_.____ <br /> <br />'--.-.'--.- .__._.__..-..~--_._---------.-- <br /> <br />PARClErJ III #_--t!L<!2 I 0 --D~.(l (1') - Qa.L\O <br />WURK PRO/?SBllJ I [JNElN l'ONS'l'RI1CT ION mIlD rrr ION <br /> <br />._~-----_._--_._-------_..._-----_....- -'-_~'_.4__.__.____.~_ <br /> <br />(OBTAIN PROM PROI?ER'I'Y 'PAK NOT Will) <br /> <br />[J ALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTAl,!, <br /> <br />[]snm <br />PRt)1l0SEJll USE: I ~ FAMIT,Y DWELI,U1G <br /> <br />o MOVE: <br /> <br />[) DElr1ot/I811 <br /> <br />[h.1lJu]' r. FAfvrIt,Y <br /> <br />0# UF {JNITS <br />[) SNlr,1MING POOL <br /> <br />(J MOB ILEl not1Hl <br />[J OTHElR <br /> <br />[J CDr1f\1BlRC JA I I <br /> <br />[J INDUSTRIAl, <br /> <br />o RE1STAIJRANT & IIEJAI.TII DEJPARTt,1BlN'1' APPROVAL <br />11Bl8CRII?'I'ION OF NORK --~.fld.~_Lrv \ ~~C.(.') \~__*- --~-!t\...1.~..1\a~____~_ <br />Bl1Ir,nIN(~ SIZE __~ 3 L~__o_______ <br /> <br />SQUARBl FOOTAGE <br /> <br />RESIDBlNTIAIJ I <br />(~O~1MBlRCIAII : <br /> <br />--... ------~--- <br /> <br />HE1Hm'r <br /> <br />A'I"r1\CH (2) PI,OT PT.Al1S & (2) SETS OF BUII.IJIN(1 PLANS <br />A'I'TAC!H ("3) SElTS OF BUiLDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONS'I'RUCTION. <br /> <br />_._".._-~-~---_._-- <br /> <br />RERMITS REQUESTED <br /> <br />& (1) BElT BlNHlROY FORMS. <br />FORfIl8, <br /> <br /> <br />~ \~tY <br /> <br />tg:.. B I II I.IJ I W~ <br />~LE!JC'I'Rl (~Ar I <br /> <br />LM;5W.W. <br /> <br />VALUATION OF TOTAL CONS'1'RlJCrrION <br /> <br />-------___ At1P SBlRVICEl <br /> <br />o FI,oRIDA POWER <br /> <br />[] W.R.El.n, <br /> <br />~ P WMB ING <br /> <br />'~..J.1B:(]HAN I C:AIJ <br /> <br />[] (JAB <br /> <br />, <br />$------------.---- VAIJUATION OF j.1ECliANCIAI, H1STAI,l,ATTOloi <br /> <br />LJ ROOFING <br /> <br />[j 8PECIAUry <br /> <br />[] O'I'HER <br /> <br />TYPEl OF' COH8'I'RtJC'l'ION: [J BLOCK <br /> <br />~ FRAJIIEl <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />F IN ISBEll FI.OOR llJIJBlVilTIONS <br /> <br />-------- <br /> <br />IS PRO,JElC'I' IN FLOOD ZONE: AREA [J YE1S 0 Nu <br /> <br /> <br />pr.UMBl!JR ~ ' <br />e !<lNeT".. y-~~1 ~~ ,{ ).....J! J.-, ==>--~~ <br /> <br />BUnn1llR (7 cor1PANY-~....Ll2~*!??~IJL~_?:"~(}"'st <br />"1 GNAT"R'~~~ :-t:)~ _ ___ ~'~~~. p~~~~e~~N~~;:~{j2~=:~:~:_=:u::::::: <br /> <br /> <br />**************** ******************************~**~r*******",**** <br /> <br /> <br />ilI.!llOTRICr'Z\ ~/ n COMP'NY_E~t~~k~____ <br />8] <ll"TIlR;''i_U~___ _ . .~. _~___ ~~~~. P~~~~S~~N~'~ r e~11 ,L?_{~=~~~-=~: <br /> <br /> <br />******"'********* *** ************************************"'******** <br /> <br /> <br />COM PAN Y .ilu1J,)~~----L___1l:!j,~_LL~1._~___).__~__L_______ <br />STATE CER'I' OR REGIST # _~Ecl'-:L~.~f?o:L__.__ <br />CI'!,Y PROCESS ING # --151.2.0_________________ <br /> <br />SIGNA'l'lIREI ' <br /> <br /> <br />*********************************"'************~***********~*~**i/ ~~~ <br /> <br />~ COlvrPANY~&~ ~ ~--..t:!:-q------__ ____ _____ <br />' STATE ('E:RT OR R GIST # <br />- CITY PROCESSING # / 8~---------------- <br />------ .._---~--. -------- . .---- - ----- ------ <br /> <br />* * * ** ** * *** *** * ** * '" *** * '" **** * * ***** * **** ** * *** **** **** "'** * * * * <br /> <br />MrllCHANICAT, <br /> <br />f <br />o'rUBlR \:___--..~ <br />S WHA'J'lJREl <br /> <br />(~OI'IPANY <br />S'l'A1'El cBiRT OR-MGiEiii'r------------------..--- <br />clrry PRC>CEJSSING # --..--.--.-..-----~____________ <br /> <br />--.------------ <br /> <br />**"'**********************"'*********************************7***** <br /> <br />--------............-.......-.-----------------. .---.--......-- <br />