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<br />V~J/U4/LUU4/MVN U4.UO rM it(hl~1J~ ~JLUjNU <br /> <br />HA NO. bJj- IbU-UULJ <br /> <br />r. UU j <br /> <br />CITY OF ZEPBYRHILL8 PERMIT APPLICATION <br />JlUILOnW llJIPAlt'l!WEN'l' 153315 8n 8t, lephyrhilh, I'L 33!l42 ~_ <br />813-780-0020 I'AX: 813-780-0021 '3 (J tl) <br />DATE 1U:Cl:IV&P <br />i'BOIQ CClI{'tAC'l' FOR PJ:JlHIn'IMQ ~ /3 - Cj~ 0-99" s <br /> <br />~~' .;Q ~~.. mcyv/cA <br />OWWER'S NAMi. 1<.17A- p~=- 4 ..- Ti3.~ 3'15- '1;;/30 Wat5VN <br />-'OBADORJ:88__ _blh.,~___gh,IJ.s Fe 33539 <br />LEGAL DESCRIi''TION: LOT (S) / BLOCK90BDIVI BlON P A e.kh ~ I I <br />PARCEL ID t Cd -:2' -~~ d80 ":"~- 0:::>16 <br /> <br />WORK PP.OPSED: D NEW CONSTII.UC1'ION <br />DSIGN <br /> <br />051:: ~GL rAHILY <br />OCOMHERcrJ\L <br /> <br />DADDITION <br />b l<<lVB <br /> <br />(O~~AIN FROM pROP~RTY ~AX NOTTr.~1 <br />DALTi:RATION D REPAIR ~INSTAl.L <br /> <br />D DiHOLISB <br /> <br />~ <br /> <br />PROPOSED <br /> <br />DWELLING <br /> <br />ONULTI-f'lI.MILY <br />o INDUS'lR I IU. <br /> <br />0, or ONITS <br />o SWIMMING POOL <br /> <br />o MOB I LE RC>>I!: <br />d in HER <br /> <br />BOILDING SIZE <br /> <br />CJ RE8TAUJl.ANT (, HEALTH DEPARTMENT APpROVAL <br />P.~pl Ace. S WlrJJowS ;:;1 '2..e.. ~(Z.. <br /> <br />SQOAU FOOTAGE <br /> <br />s;;~ <br /> <br />D..catp~ION or WOaK <br /> <br />HEIGHT <br /> <br />, (1) SET ENE~GY RHS. <br />FORMS . <br /> <br />/ 5", ~-.) <br /> <br />f:;Ly b. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS (, (2) SETS or BOILDrNO.pLANS <br />COHHERCIAL: ATTACH (3) SETS OF.BUILDING PLANS (, (1) SET EWERGY <br />II' SIGN PERMIT ONLY (2) SETS or ~NGI~EtlED P~s' REQUIRED. <br />PROPERTY SURVEY REQUIRED rea ~ NEW OONSTRCCTION. <br /> <br />PZIlMI!l'S :RlI:QU!.:S'l'KD <br /> <br />o UECTRICJ\L <br />o PLGiBHlG <br />o HECHAWlCAl. <br /> <br />, <br />AMP SERVICE <br /> <br />D Pr<><;jre"" Energy 0 <br /> <br />N.R.E.C. <br /> <br />VA-llA-e <br />~ 3, 5) (;, <br /> <br />o BOILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONBTROCTION <br /> <br />1I <br /> <br />VALUATION OF ~CllANCIAL INSTALLATION <br />o OTSER <br /> <br />-.- <br /> <br />o GAB 0 ROOFING 0 SPECIALTY <br /> <br />TYPt or CONS1ROC'l'I0bl: 0 BLOCK <br /> <br />o I'RAH!: <br /> <br />o ST5:EL <br /> <br />D OTHER <br /> <br />FINrSllED rLooP. Ii:Li:VATIONS IS PROJECT IN FLOOD ZON!: AREAD YEll 0 NO \ <br />", . ~t~d. tA) .~"\ MO,nJ{', <br /> <br />,INC. <br />SIGNATORE . . . TI CEaT OR RIlOIST' C3 (A) \ d-S '3 Ef <br /> <br />.............~....**.*..~....~........~..............**** <br /> <br />&l.lIC\"R.r C:u.N <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERr OR REGIST . <br /> <br />~ <br /> <br />*.*.***..**.**..~...*...~......**w******.**......*.****..._._+_._. <br /> <br />~ <br /> <br />COMPANY' <br /> <br />ilGNATURZ <br /> <br />BTATE CERT OR REGIBT . <br /> <br />...~*._..P*.......+....*~*'..*'*..'.......****.*,*,*"_*....._.... <br /> <br />)4QUUfI CA.L <br /> <br />COHPANY <br /> <br />SIGNATURE <br /> <br />STATi CERT OR REGIST . <br /> <br />........................................,*..........**........... <br /> <br />07HX.R <br /> <br />COMPANY <br /> <br />r, <br /> <br />SIGNATORE <br /> <br />STAT! CERT OR R!GIST . <br />