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<br />CITY OF ZEPHYRHIIII.JS PERMltl1 APPIJICATION <br />BUIJ~DING IHllPARTMBlN'f 53315 8th S'fREm'f ZEPHYRHII,IJS, FL 33B40 <br />PhoneI813-780-~020 ra~1813-780-0021 <br />fJA'rm RBCSIVllID ~2:::?f::.. ~__~ <br />PI,ANS R!llVIBlW B'llIB1_uu____._ u <br /> <br />lMtlEJR I 8 llA~1E__J1_~__._.&~__._.._____________________________ PHONE C()N'1'l\?~C?_~{3~~~€~~~\I!gE <br /> <br />,T08 SITE! ADDRESS ~~-~~-~-______=rQKL~~~.lJ~e_J)L:_____________ u______.______________ <br /> <br />LEGAL DB1SURlPTIOlll LOT(S) ___~3___ <br /> <br />BLOCK <br /> <br />SUBDIVISJOll <br /> <br />~ ~e.('~_~__.P~~;t__ <br /> <br />P1\R('ElI, II.I II /')t..{- ':1/ -~l- OD5D-rv-.OflF)- dS30 (OBTAIN PROM PROPER'rV 'l'AX NOTWEl) <br />__..P.'__~._...____.___._ __ __~_~________.._____..._____ ________._.___________._______.. _.__._...____________ <br /> <br />~WRK PROl?8ElIJI ~NBlN l'ONS'l'RtJCTION [] ADDI'l'ION o A I/I' BlRAT ION (] RElPAIR lJ INSTA!,I, <br /> <br />IJ 8IGll <br /> <br />[J MOVBl <br /> <br />[J DEltIJOI,ISII <br /> <br />PRlW08EJIl USE: I rXSGI, FAfvlILY DWElLI,I11G <br /> <br />[lt1lJI.1'I - FAlvJU,Y <br /> <br />C]# UF mUTS <br />rJ SNH1MING POOIJ <br /> <br />lJ MOB H.El ImllJE <br /> <br />[]CCJtIJMHiRCIAI, <br /> <br />o INDUStl'RIAL <br /> <br />U OTHER <br /> <br />o R~18TAURANT & IIElAU1'1I DEPART~,1ElNT APPROVAL <br />)lEJ8CRIPTlON OF NORK .-~~g~--....19j)j.J.n.~hlLd,j)-~5>- <4-_Sh!?~_________ <br />BUILflING SIZE __lD)( 2~__.________ SQUARE F'OOTA13El ___,;;)2:Q_____. <br /> <br />IIEJ !GilT <br /> <br />RES IDElN'I'IAL I ATTACH (2) PLo'r PlJJUIS & (2) SETS OF BUnnING PI,ANS & (1) SElT EJNElRGY FORMS, <br />COl'1MBlRt!IlU'l A'I"l'AC!H (3) SETS OF BUtLDING PLANS & (1) SElT ENEIWY FORtlJS, <br />PROPERTY SURVEY RB1QUIREJD FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BllJLIJIN(~ <br /> <br />$__________._____ VALUATION OF TOTAIJ CONSTRUCTION <br /> <br />[J ELElC'I'RlCAI, <br /> <br />___________._-'- AlIJP SElRVICEl <br /> <br />o FLORIDA POWER <br /> <br />[] W.R,E),C, <br /> <br />[] Pl.tJtIJBING <br /> <br />o '.1BJCHANIC!AIJ <br /> <br />, <br />$------ <br /> <br />- VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] (3A8 <br /> <br />r:.J ROOFING <br /> <br />[) 8J?EctAUl'Y <br /> <br />[I OTHER <br /> <br />'l'YPBl OP' CON8'l'RtJCTION: [] BLOCK <br /> <br />[] FRAJIlEl <br /> <br />[] STElEI, <br /> <br />[) OTI{ElR <br /> <br />FIH ISHElll nooR EJI,ElVATIONS <br /> <br />IS PRO,fEC'I' IN FLoon ZONEl AREA 0 VEla 0 NO <br /> <br /> <br />BunnlllR <br /> <br />-..._-----'"-~---.._--~-..._---_._._--~_.~-------- <br /> <br />emlJ PAN Y __ _________.___ ________ ____ ______ __u__ ____._.____ _____ <br />S'I'J\TEI CfiJR'l' OR REGIS'I' # _______.____________,.____.__. <br />CITY PROCESSING # <br />---.-.. - '--~~_.". --------.--------.-- <_ ... ___..''''0 __ ____ __._.~ <br /> <br />8lr3H1\TtJREl <br /> <br />****************************************************************** <br /> <br />!llrJBlCTRICIAN <br /> <br />8 J lHlA'l'lJREJ ______ <br /> <br />.... -_.._----~-_._-._-,-~-- ~-,_.._-~ --- _.-._~_._--- <br /> <br />C0l1PANY _____.___ ___________ ________._ ____ _______ ___ <br />STATE CElRT OR RE<H8T If <br />CITY PROCESSING If <br /> <br />-----.---.--.,---. --..-...----. -.----..-..---.'""-- <br /> <br />*. ~ * * * * * * * * * /0: *. * * * * * * */0: * * k * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * *~* * * * * * , <br /> <br /> <br />PLllMBIR \ \) ~ ~~~~~N~~~~-:::l"--(;S~S~l- ~.-.-.~... <br />S1<""'1'I1RO -Q~1:'(l ~~......_._. CITY PROCESSING # ~..,Iij~~ <br /> <br />." * * * * * * * * * * * * * * * * * * *\* * : * *.* * * * * * * * * *,~ ~ * I-: ~ * * *. I-: * * * I-: * * * * * * * * * * * * * * * * * * J~ /J /~.A":r~..t. <br />M!llCHANICAT. <.<JI,1PAllY.--------______.______+~_~7~~-. <br />STATE CE1RT OR REG! 8'r # _______________.__ ________________ <br />STGNA'l'llRE1 CITY PRUCESSING # <br /> <br />-----~---_.._-----_.~--_._--_....---_.._-- <br /> <br />**************************************~************************** <br /> <br />OTUBlR <br /> <br />-+-----~---------_._-.~----._- <br /> <br />COI:1PANY <br />STArI'E CE1RT - OR - REGr8T -W-----....-.----.----- ___d_._._.___.._~..~~ <br />CITY PR()(~ElSS!NG # --------------------.----------... <br /> <br />-..-.------------.---------..------.-. <br /> <br />S I <HIAtl'IJR E: <br /> <br />******1-:********************************************************** <br />