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<br />CITY OF ZEP>>YRHILLS PERMIT APPLICATION <br />BUILDING DBPARTHBNT 533! 8~ STREET <br />Phon.,813-780-0020 <br /> <br />ZBPHYRBILLS, FL 33540 <br />FaxI813-780-0021 ~~ ~ <br />DATB RBCBIVlW / I ;( ~ 0 3 <br />PLANS RBVIBW FBB / <br /> <br />OWNER I S NAME ClZiHvo f-/-f)(l( 2o;v /Yl..(-/ . ? <br />JOB SITE ADDRESS 'Y7 SZ-tf N'tu/(DIV\. <br /> <br />.tJ VC, <br />. <br /> <br />PHONE CONTACT '7~ Z - ) OlD L( <br />,Lo 1'"- 2- 7 <br />SUBDIVISION GI4c+;v't? IIo/ZIu.N /J1 kiP <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />PARCEL ID # If - 2'5 - 2-1 - DOl 0 <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />If{)D - 00 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D SIGN <br />PROPOSED USE: onfc3L FAMILY DWELLING <br /> <br />~DITION <br />D MOVE <br /> <br />DALTBRATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />g--!NSTALL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />DMOBILE HOME <br />~J<?t-V#l/t:V'~ <br />1M" Cfr'HER <br /> <br />D COMMERC IAL <br /> <br />D INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK ' <br /> <br /> <br />-eN fZa> IV\. <br /> <br />o <br /> <br />BUILDING SIZE <br /> <br />SQUARB FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPBRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTEP <br /> <br />J11~ <br /> <br />~UILDING <br />~ECTRICAL <br /> <br />$ f '714-5. t- ? <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. r..vlflE S-HEO <br /> <br />] PLUMBING <br /> <br />] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />] GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY . D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ 4, ~ <br /> <br />~OMPANY Sf Itct)N<;~Grlo,v if cCNTIZ/K 1='-, <br />STATE CERT OR REGIST # cOeD ~'7'7 tf" z.... <br />CITY PROCESSING # ~ <br /> <br />BUILDBR <br /> <br />. <br />**************.......********...*********...*.....*.************** <br /> <br />ELECTRICIAN <br /> <br />~;JW <br /> <br />, <br /> <br />COMPANY Ace f if G flU <:: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />/?-7 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />lo{l!:CRANlCAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...............****..........**....****...........***.......***** <br /> <br />JTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...................*....**.**.....**....**.**********...****..... <br />