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<br />CITY OF ZEPHYRBILLS PE~T APPLICATION <br />BUILDING DEPARTMENT 5335 8"" St, Zephyrhi~~s, FL 33542 <br />813-780-0020 ~:813-780-0021 ~ Il~'-'- <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT roR PERMITTING <br /> <br />OWNER'S NAME J'ESrLE. ,- VA-rJ3Z<, Alol<1H If'#M)C/If;:;u::. PHONE V3 <br />'0 , <br /> <br />JOB ADDRESS 4330 ';207# ~CEr -zE/1f y.A/-I1L.t- 5 ./ PL <br />LEGAL DESCRIPTION: LOT(S) ~A BLOCK .#A- SUBDIVISION $!- <br />PARCEL ID # r? - 2b --21 -0C>70 - 0c.floo '"{x'2= (OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />- 7&3 -/C/?9 <br />"33SyO <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />E31tLTERATION <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />S;;:;DUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />[] OTHER <br /> <br /> <br />APPROVAL <br /> <br />~nvrA""v <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~ILDING <br /> <br />$ 400 Jt..:;e>C) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(), "leJ <br />~Oc..--- I~ , <br />,;;;---- ("'/tel>. <br />~/rn - CL1M S?I~ \2.."9/~f>(- <br />?lC\)S -8"D - J ,,, 9: l..2- DO)? c~ <br /> <br />PE~TS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o P:'UMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />r;) <br />'P <br />~.(r <br />\~ <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # rUc::a f?J5 <br /> <br />SIGN;>; <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIG:A~ STATE CERT OR REGIST # <br />o ~~~~~~ ~**7~:;J'******************************************************** <br />1)1. \00' ""* PL~.y~~~& COMPANY <br /> <br />~ SIGNATU~ <br /> <br />STATE CERT OR REGIST # <br /> <br />(" MECHANICAL <br />SIGNATURE <br /> <br /> <br />( OTHER COMPANY <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />~ -=SS T\J(Y1IC-'--:'.) l.CO....::.> ~/) I~\<.._ L.-f'cJ" k.z::.; ~. et~:"C\C:~.>tLk '-_ ()d_~ <br />--t\u-"'''> ,l.c-"'<'-"''0--*: \~co...~ ~b l~1 ~)<) C u'-...-ctiLcJ... v" c'lLc_ ,::J."_LY1~~ '5235 <br />\ c y~ ~-c.( '-\ 5-,+ h~ 'L.;\;- \6. ,<~ ~ SL\)f) L<-( fi3 ,......=-.) <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br />