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<br />CITY OF ZEPHYlUJILLS P1l:RMJ:T APPLICATION <br />8U1LDIlIG DIlPM!MEN'l' a3315 eft at, ZePbyrhilJ.8, I'L 33542 <br />813-780-0020 rAX,813-780-0021 <br /> <br />12/10/03 <br /> <br />DAD MlCl IVJlD <br /> <br />PHl;.IfE CON'l'AC'l' FOR PJ:fMITTINO <br /> <br />(813) 818~S877 <br /> <br />OWNER 's muo: <br /> <br />AIITaI <br />7405 Gall Blvd <br /> <br />PHONE (813) 818-S877 <br /> <br />JOB ADDD88 <br /> <br />LEGAL DlilSCRIPTION: LOT (5) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PAActL 1D /I 34-25-21-0000-00300-0000 <br /> <br />IOBTAIN FROM PRnpJ;:RTY TJl.X N'O'l'Tr.w: I <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br />DSWN <br /> <br />a ADDITION <br />aMOVE <br /> <br />. aALTERATION <br />.0 DEMOLISIi <br /> <br />a REPAIR <br /> <br />a INSTALL <br /> <br />PROPOSEO USE:tJSGL ~ILY DWELLING <br />lOcCtMRCIAL <br /> <br />aMt1LT I - FAKILY <br />lJ INDUSTRIAL <br /> <br />Oll or UNI'1'S <br />o SWIMMING POOL <br /> <br />DMOBILE HOME <br />Cl 0'1'HEl\ <br /> <br />o RiSTAURAN'! & Hll:JU.TH DEPARTMItN'l' APPIJ.OVAL <br />DISCRIP'rION O. WORK Remodel t.o ret.ail spaoe <br /> <br />BUILDING SIZE Onp. story <br /> <br />sQt1ARE :B'OOTAm: 1 Ii n n !II ~ <br /> <br />HB:IGHT <br /> <br />RESIDENTIAL: A1'TACH (2) P1.O'1' PLANS & (2) SETS OF BUILDING PLANS & (1) sn ENERGt FORMS. <br />C~IAL: ATTACH (:)) SETS OF BUILDING PLANS , Il) SET ENERGY FORMS. <br />II' SIGN Pl!:RMI'I' ONLY (2) SETS or ENGIdl!:Mtl 1>tJI.NS RJ:QOlltEP. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />nma'1'S NlQaES'1'ED <br /> <br />iI BUILDING <br />2J ELECTRICJ\L <br /> <br />l? 30 .000 <br />Existing <br /> <br />VJU,UATION OF TOTAL CONSTRUCTION <br /> <br />AMP SEP.VICE <br /> <br />a FLORIDA PQlfER <br /> <br />o <br /> <br />W.1\.E.C. <br /> <br />o PLtlMSING <br />o MECHANICAL <br /> <br />, <br /> <br />VALUATION or MECHANCIAL INSTALLA'l'TON <br />o OTHER <br /> <br />o GAB <br /> <br />a ROOE'ING 0 SPECIALTY <br /> <br />TYPE or CONSTRUCTION: a BLOCK <br /> <br />o :F!Wo!E <br /> <br />o STEEL <br /> <br />a OtHER <br /> <br />rINISHEO FLOOR ELEVATIONS <br /> <br />IS PROJEC'l' IN Fl.OOD ZONE MEAD ns a NO <br /> <br />. .~:~:~?;i~-r~~~~~~;::~::5:;.~::.;:~;;~~?,~fi;.:~:f ~~:~~;7:~~ ~~{~;.~ i;~~.'~~~:~ <br /> <br />~...-. ~---.;---- -- <br />~... ';,.It~" '-I~",'.5' )':;~{<:11H~"1I\," <br />.4..<:ct~(..~'~~~.,,,,~;;. ni'ftt~M.?Wt,;; <br /> <br />~~;;~l: ~~:..:.~~{~~:~_:;.~;;:t..:.;~~~;:;"':~~~::~~~9~~qt~~~~,~~~:~~r~~l~t:~;j~:.~" ~: <br /> <br />llOI:LDJ:ll <br /> <br />cawAN'{. <br /> <br />Hnnn~~ Cq~tr~~~nr~ Tn~ <br /> <br />SIGNATURE <br /> <br />BrAtt etRT OR REGISt * <br /> <br />CGC 013859 <br /> <br />.*..**.~*..**.******~.**...***....~.**.*.*******.*******.~.*.***.. <br /> <br />&:U:C'1'RIC~ ~. <br /> <br />SIGNATtJRE . <br />DAVID L. CULLUM <br />***~*~*****.....**~~....*...*..***.~...**.********-**..*********** <br /> <br />C~ANY. FLORIDA ELECTRICAL <br /> <br />SERVICE <br /> <br />~ <br /> <br />STATE ctRT OR REGIS'!' * F. COO 0 1 5 9 2 <br /> <br />PUH!lll1l <br /> <br />CCMPANY <br /> <br />S IGNATURI!; <br /> <br />NA <br /> <br />STATE CERT OR REGIST f <br /> <br />MIlCBNfICAI. <br /> <br />*.**.***.**.*..****.**.*.*~*+****.**.*.*..*...*~****~~..**.*..**,* <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />ST~Tr, CERT OR REGTST * <br /> <br />*w*..._.*..********,..+~._*.~.~.*w....******.*******.*.....*.**.w <br /> <br />O'l'bR <br /> <br />COMPANv <br /> <br />SIGNArtmE <br /> <br />STATE CERT OR ~EGIST * <br />