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<br />CITY OF ZBPBYRBILLS PBRNZT APPLICATION <br />IlUJ:LDINa DEPAIl.!rMIlN'l' !l33!l 8- St, Z~hyrM.ll., n. 33542 <br />813-780-0020 FAX: 813-780-0021 r;1 - .{). - 0_3 <br />DAn: RlI:Cl:J:VED -- <br />PLANS uvn:w !'ZB <br /> <br />OWNER'S NAME <br /> <br />4Uti.1rA/J1/ <br />:> ~S 44 n-tiI Ave. <br /> <br />JOB ADDlUlSS <br /> <br />~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID f <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DtMOLISH <br /> <br />~REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. Oi' UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT , HEALTH DEPARTMENT APPROVAL <br />!<~llteR- [Y)eT&\' t)~t <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTy SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMJ:TS REQUESTED <br /> <br />1-00 <br /> <br />AMP SERVICE <br /> <br />:ra FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br /> <br />o BUILDING <br />P' ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTy <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o 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 0 NO <br /> <br /> <br />SUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST t <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />******~**.*****.************.**.*.*************....*.*********.... <br /> <br />E~cn1CIAN~j/ ?>>/ <br />SIGNATURE .. <br /> <br />COMPANY o~tc E.JeJh'G <br />STATE CERT OR REGIST f l:.<:. cn<X) 117 <br />CITY PROCESSING t <br /> <br />*************.****....********************************....******** <br /> <br />I1t.TJHBBR <br /> <br />COMPANY <br />STATE eERT OR REGIST * <br />CITY PROCESSING t <br /> <br />SIGNATURE <br /> <br />*********~************.*****+.*.***..***.*************~*********** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING t <br /> <br />SIGNATURE <br /> <br />*....***********************..****************************.*~**** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />**********************.***...*.*.***.**.********************.**** <br /> <br />8 . d <br /> <br />181V'ON <br /> <br />SllIH~AHd3Z jO A1IJ ~VvO:Ol 800Z 'Z 'daS <br />2l:ll (3nl)8002-20-d3S dWT1/d+eo x~ <br /> <br />800'd <br />