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<br />L: .1. 'l' ~ <br />BUILDING <br /> <br />UlI' ZE1JHYRHILLS PERMIT APPLICATION <br />DBPARTMEN'I' 5335 8th S'l'REE'f ZEPHYRHILr.a, FL 33540 <br />~honela13~780-~020 FaxI813-780-0021 <br />DArn RBClllIVED <br />PI,AUS REVIEW Ji'BE____~_ <br /> <br />-'-~......._-,---------- <br /> <br />ClImER I 8 HANE kG\..~ \ etJ- ~ f're.d. t. ~Q("$t:>l\.S PHONE CONTACT <br />,JCJB SITE ADDRESS 5'2.. \ (p ~"fu -SiT ___________ <br /> <br />1 g~-. ;;tD~lo <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSEU; []NEvl CONS'rRUCTION <br /> <br />PARCElL ID # \ \ - ~ - :t l- 0 0 '0 - '~2 00-. 0 t Ig 0 (OBTAIN B'ROM PROPER'l''! TAX NOTICE) <br /> <br />o ADDITION <br /> <br />hQ1ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o WS'rAI,I, <br /> <br />Os raN <br /> <br />o MOVE <br /> <br />PROPOSED USE:~SGL FAMIL'! DWELLING <br /> <br />DMUW'I - FAMILY <br /> <br />0# OF UNITS <br />DSWIMMING POOL <br /> <br />o MOBII,E HOME <br />IJ D'mER <br /> <br />[J COMMERC IAIJ <br /> <br />o INDUSTRIAL <br /> <br />D RESTAURANT & HEAl,TH DEPARTMENT APPROVAL <br /> <br />DESCRUTION OF WORK ~~ t"'"%A..- So 'fVlu j <br /> <br />, <br /> <br />~ <br /> <br />ZDO~ <br /> <br />BtHLDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HE 1m!'!' <br /> <br />RES IDENTIAL: <br />COl\1MElRCIAL: <br /> <br />A'rTACH (2) PLOT PLAl1S & (2) SETS OF BUII,DING PLANS & (1) SElT ElNElRCfV FORMS, <br />A'i"!'ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />F~RMITS REQUESTED <br /> <br />o BUILDHm <br />IX ELECTRICAL <br /> <br />$ <br /> <br />'Zoo <br /> <br />AMP ~ERVICE <br /> <br />VALUATION OF 'I'O'1'AL CONSTRUC'rION <br />)6 FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />o 11IWHANICAI, <br /> <br />:;; <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFIHG <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'l"tPE: OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAlVJE <br /> <br />o S'l'EEL <br /> <br />n OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO.JECT IN !<'LOOD ZONE AREA 0 YES <br /> <br />01'10 <br /> <br /> <br />BUILDER <br /> <br />C()tI1PANY __~_ <br />STATE CER'l' OR REGIST If__ <br />CITY FROCESSING # <br /> <br />SIGNATURE <br /> <br />***'i**'***'""""*,**"",*,*,,*,,,**********,******"'*"'**" <br /> <br />IilI,EC'rlU <br /> <br /> <br />~ <br /> <br />COMPAlW ~-ri-\ Y"\ a C--+ ;\L> l -me.- . <br />STATE CER'!' OR REGIS'I' # f:~J..C:>~D In t?.3 <br />CITY PROCESSING ~ <br /> <br />'**'******'*"'*""'*'*******'***'***"**'*'***"'*'*"** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CER'l' OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MIilCHANICAL <br /> <br />'*'****'*'*""'*'*'*'*"**'**"***"***'*"'*""*"*'**'*"'***' <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*""**'**"*****'***************'****~"'*****'***'*****""**** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SI(~NATURE: <br /> <br />**'****"'****'*******'**"*"**"*****'************'**'**,****" <br />