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<br />CITY OF ZE~HYRHILLS PERMIT APPLrCATIO~ <br />BUILDING DBPAR~ 5335 em St, Zephyxhilla, FL 33542 <br />813-790-0020 rAX:913-7S0-0021 <br /> <br />DATE RECEIVED <br /> <br />~k1/t;) <br /> <br />PHONE CON'l'AC'l' roa PElWIT'l'ING :3'?1~-73i- ;;;'S0l{ <br />Ga./J Blvd Rea,,/ ~!:+(\...fe/::.j,1c' <br />OWNER'S NAME c/o ~L-t,.Wt w..+ ,S"/no. t, PHONE <br />JOB Al)l)U88 S-8sc:;- Go..l/ Bt vd ' <br />LEGAL DESCRIPTION: LOT (S) l q -c2. L/ BLOCK q SUBDIVISION <br />PARCEL ID # tt-"2-(..-~I-DD{O-cc)crCO-C{<=?O (OBTATN FROM PROPF.RTY TAX NOTTeF.) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />~IGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />)d.cOMMERCIAL <br /> <br />D ADDITION <br />D MOVE <br /> <br />D ALTERAT ION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DMULTI-FAMILY <br />DINDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />C:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />D..auFnoat or WOJUt ~$+af I cQ Ir. ~.E:=;r VIAlYL t \ 5 U).}c.'JCO Ie I e*rJ 011 (1011" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~ BUILDING (~(rIJ) <br />Et.ECTRI CAt <br /> <br />REs I PEN'l'IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. - MlV (_ J <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO~) rr ff! 1 J (jt/ffV" ~ <br /> <br /> <br />PERMITS REQUESTED f;U-,. cL vi <br /> <br />VALUATION OF TOTAL CONSTRUCTION !P~ 1 " .' n L <br />) 7 r (~p <br />AMP SERVICE D Progress Energy D W.R.E.C ~. <br /> <br />$_ 560.06 <br /> <br /> <br />o PLUMBING <br /> <br />[JGAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL ,;::'( OTHER <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />.,:::f <br /> <br />, "';' _~~~~,.QIi <br />COMPANY.-t}I U W!{ >7t.l WI Pius <br />7tfS e I""'/... SPw'l BLIIO. DE-t-ANtJ,Ft.. 3:J.74 <br />STATE CERT OR REGI ST # C B e. (() 5 ~ '83;)" <br /> <br />m ,;".:". .....~... ....'f{f':, <br />'/'.'" ',.\",,";i;. . .... ':"""'("'",,,,;'I:t::I:),., <br />. .' '. ,", " -..' .;.,: : ,(t.~~,;.:..'. """,,:(''''.~.';'(I~;'''''-' <br /> <br />BtnLDD <br /> <br />SIGNATURE <br /> <br />/1Jr <br /> <br />****************************************************************** <br /> <br />&t.KC'1'JlICIM <br /> <br />COMPANY---- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUIlmBR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MKCHNfICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />0THEa <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />