Laserfiche WebLink
<br />ern OF' ZEPBYRBXLLS PERMrT APPLZCATXON <br />aun.oIM Dl:PM'IJ<<liIT !5335 8'" St, Zepby.EtU.l.l.., 1'1. 33!542 /V _ "/ -03 <br />813-780-0020 ~:813-780-0021 ~ <br />PAD qCZ~ <br />PLAlIS JlI;YlD n.a <br /> <br />~:S/j50n me Curlu PRON&: ~13:q:?d--If)OdO <br />JOB lII)l))Qlss '- S 5,-5 3 ) ~ +h S-\-.. I I <br />LEGAl, DESCRIPTION: LOT(S) 5 +b BLOCK / / boL~~jIvISION-EB I P<b,~ <br />ODID / IIL)~O OOSDCOBTAHI.FROM PR~~ERTY TAX NOTJf;R) <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID f I / ;)( 17 ;1/ <br />, <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTl':RATION <br /> <br />~AIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />~ROPOSED USEI~AMILY DWELLING <br />o COMMERCIAL <br /> <br />(J MO"""E <br /> <br />o DEMOLISH <br /> <br />0/1U1T1 - FAMlty <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHEP- <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />o RESTAURANT' HEALTH DEE'ARTMENT APPROVAL <br />DESCRIPTION OF WORK T eD.-r" 0.9+ (}fl6 (' e -lOO~ aw\'i 0e-vJ GAf d5 ~(j.A ~~ <br />BUILDING SIZE SOU~ rooTAG~C:SO Hl':!GHT, ~ S',,..rr A..., <br />/V)~~ <br />8,,-w~-I <br />~o <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS Of BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING P1ANS & (11 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BtJnDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~FING 0 SPECIALTY <br /> <br />s~ ) ClOD <br /> <br />PBRHl:TS REgm:S!.'JU) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVJ; CE <br /> <br />o n,ORIJ)A POWER <br /> <br />o If.R.E.C. <br /> <br />VALUATION OF MECBANCIAL INSTALLATION' <br />o OTHER <br /> <br />TYPE OF CONSTRUC'rION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~Ea~ <br /> <br />FINISHED r-uOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BOUmlR <br /> <br />SIGNATURE <br /> <br />COMPANi.'~ . . , <br />STATE CERT OR REGIS! t <br />CITY PROCESSING 4 <br /> <br />*~+**.**~******.*************4*******.~W~*~~~WW*****+~*~*~.***+**. <br /> <br />:nsCD:rCIJIlf <br /> <br />SIGNATUlU; <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCtSSING t <br /> <br />**~*.**~.*~+**~.**++*+*+**+~*******.*.*~~.*.....**..***.......*.~. <br /> <br />PI.tHml. <br /> <br />COMPANY <br />STATE CERT OR REGIST f <br />CITY PROCESSING . <br /> <br />SIGNAi'oae <br /> <br />HlCIIAM'I:CAL <br /> <br />**+;**~~.*.~~*W.*.*W*...*~+..**.~*_*.*..**~*w***~.**~**~~~*.**.**. <br /> <br />COMPANY <br />STATE CERT OR REGIST f <br />CITY PROCESSING t <br /> <br />SIGNATURE <br /> <br />"'"'" -RO:5:' Y1 cy ~ <br /> <br />SIGNATURE ; - _ <br /> <br />****+***.******~**********~**************.******~~~*~******~w_**w <br /> <br />COMPANY sto.-j D"I Rof"l~~.p 10mpCt &y I~ <br />STATE CERT OR GIST tt CC 0 q ?O <br />CITY PROCESSING J . <br /> <br />.~ lIr'lr**'**** ******"**'*'**********",,....... * *"'*'fIIIt~w",,*,.~.. .,.*...._~.*:***....***...+..*. <br /> <br />, ~ .., <br />