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<br />CI'l'Y OF ZEPBYRHII..J..S PERMIT APPLICATION <br />BUILDING DEPARTMEN'f .5335 8TR St, ZephyrhilJ.s, F'L 33542 <br />813-780-0020 FAX: 813-780-0021 !tJ ,/_ tJ yr <br />DA'rE RECE IVED ___L____. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />UWNEP' 8 NN1E: t/~~f.~Ylc.ltYl~tL___________ <br />,JOB ADDRESS S2.DS lQth Street Zeph~rhi/ls I FL. <br />LEGAL DESCRI PTION: LOT (S) Y, t I t:J, 1/ BLOCK /t/S' <br />PARCEL ID # lJ-;)f; - Cl/- 'fi'IOJ - L1.rr- S~oS <br /> <br />PHONE J~13) 1fl2.-3z(P1 <br /> <br />SUBDIVISION <br /> <br />-1.D.B1'.8.1 N F'R OM...J?E.QJ2.E.RI.L..1'AX-NmJJ.:.E':..L._.. <br /> <br />o SIGN <br />PROPOSED USE: ~(~L FAMILY DWELLING <br /> <br />~ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTAI~ <br /> <br />\'lORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o DE110I,ISH <br /> <br />o <br />COMMERCIAl" <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />[J t-108 I LF.: <br /> <br />!-1 L~ '~.f~" <br /> <br />o OTHER. <br /> <br />D RESTAURANT & HEALTH DEFAETMf.NT APPROVAL <br />DESCRIPTION OF WORK _12W..IL~rt Qni brce:lewj.J_,!!ffu,h~jp_tkjsh~ 81A."".,-c <br />BUl LLl LNG 81 ZE 1i..'1"4' CA'f(JO'rt:/ 4~1?i).: bruUW;''jsQUARE FOOTAGE _ 4D~.2!i:- Pt. __ HEIGHT _ ~ i <br /> <br />RE:SIDENTIAL: ATTACH (2) PLOT PLJ\NS & (2) SETS OF BUILDING PLANS & (1) SET ENEP'~'{ fOPJ-!5. <br />CUMNERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SE:T ENEHGY FOHNS. <br />IF SIGN PERMIT ONLY (2) SF:TS OF' ENGINEERED PLANS PEQUIP.ED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />r/RlJILUJtlG <br /> <br />$_---.-lJ; 40D. 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E:.C. <br /> <br />I] 1"1.1)1'181NG <br /> <br />LI Hf~CHAN lCAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIA1. INSTALLATION <br /> <br />[J GAS <br /> <br />atROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE: ':1F CONSTRUCTION: D BLOCK <br /> <br />ur'F RAM E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES <br /> <br />fM"N ) <br /> <br />- -------.--------------.----------- <br /> <br />CONTRACTOR SECTION <br />COMPANY~~$~dl6YIJ In'. <br />STATE CERT OR REGIST ff C8 CD4.71J.S <br /> <br />BUILDER <br />.'31 GNATURE X <br /> <br />t'ff;l~ <br /> <br />*************************~****************'+********************** <br /> <br />ELEC'I'RICIAN <br /> <br />COMPANY ___________._____ <br /> <br />.'3 I GNATlJRE <br /> <br />STATE CERT OR R~;GIST ff ________.__... <br /> <br />*********************************************************~******** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />3 I Gl'J,1\TURE <br /> <br />STATE CF:RT OP REGIST it <br /> <br />************************************************~**-~~****~~*****~~ <br /> <br />H8CHANICAL <br /> <br />COt1PANY <br /> <br />3 IIJNI\TURE <br /> <br />STATE CERT OR REGlST # <br /> <br />************************************************************~A+** <br /> <br />OTHER <br /> <br />cOMPAlrL__________.___.__________________._._ ._ <br /> <br />'; rGW\'L'URF: --_______._____.____________..__ STATE: CEHT OR P.S(; rST it <br />