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<br />CITY OP ZBPBYRBILLS PERMIT APPLICATION <br />BUILDrNG OBPARrMENT 5335 8ft S~, Zephyrbills, rL 33542 <br />813-780-0020 rAX:813-780-0021 /)_ \ 11 _ ~LJ <br />DATJ: UCEIVED ~ <br /> <br />PHCR CON%ACT i'OR PERMIT'frNG (9;(Q~-lr1o l-l~E <br /> <br /> <br />0_0".... ~~a :t:~c> . '"ONE ~~~-~I~l <br />JOB AD1lR&8S It \ S-rt::IG ~~qt'lln; Jl.p.{1.q CWJl\ W k ~ fl <br /> <br />LEGAL DESCRIPTION: L T(S) BLOCK SUBDIVISION <br /> <br />PARCEL In II <br />WORK PROPSED: ClNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL F~ILY DWELLING <br />~ERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />IOBTATN FROM PROPF.RTY TAX NOTrCF.l <br />o ALTERAT ION ~AIR 0 INSTALL <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0, OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT , HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION 01' lfORK~~'\'t7 A~~{,,)'<7n.\d ~\~\~ \0.~ ~~~---..oa~'(""~~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE 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 />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS RJ:QUl:STED <br /> <br />o BUILDING <br /> <br /> <br />o ELECTRICAL <br /> <br /> <br />o PLUMBING <br /> <br /> <br />o MECHANICAL $ <br /> <br /> <br />o GAS ~nNG 0 SPECIALTY <br /> <br />s <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAt INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FAAME <br /> <br />o STEEL <br /> <br />o OTHER. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECt IN FLOOD ZONE AREACJ YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />******************-***********************************~.****.***** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />*************************..*************~*~.*********~************ <br /> <br />PLUMDlUl <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CE~T OR REGIST t <br /> <br />MECHANICAL <br /> <br />****+******.**********.******~**********~************************* <br /> <br />/' <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br /> <br />i <br />~**************** <br />/ <br /> <br />STATE CERT OR REGIST t <br /> <br />STATE CERT OR REGIST i <br /> <br />'d <br /> <br />PISP'ON <br /> <br />SlllHHAHd3Z 30 A1IJ <br /> <br />IllVO~:L POOl '51' qa3 <br />