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<br />~';;'LJ.~I !......)/ !..'~'U...'f J:!l..!, t:., ...:..} ID'.'. t.J.,'Jlll.!.illJ..t~.} V'.JJ.l.J.llll"lU <br /> <br />!';"'d.. 1~1J. 0LJ- !CI,,'-;~".!i..l <br /> <br />~ ,:J IJ : <br /> <br />CITY OF ZEPHYRHIL1.S PERMIT APPLICATION <br />BUIWING Dt\pA..~ 5335 aU st, Zephyrhi.lls, n; 33542 <br />813-780-00:40 FAX: 813-780-0021 DAfl RECEIVED ~ <br /> <br />PBONlI GONDC'r FOR PDHr'l''l'ING ~ - <=1 <O(} -~~\ ~ <br /> <br />oWNER' s }lAM~~'0U\ ~~\-\-\Cs <br /> <br />JOB ADDRESS 4344 J'f01'l.~ . <br />. - , / ""7.? <br />LEGAL DESCRIPTION: t,CYL'(S) 1 (..,13/17 BLOCK "=. ~ <br />PARCEL m # iLl- U;,- 1) -<::::010- OZ3C'l) -0/7-'.') <br /> <br />PHONE C€\~) "/B3 -- ~G; /<g <br /> <br />SUBDIVISION <br /> <br />IOBTJHlIl FROM PROPER1'Y'l'PJ!: NO'I'ICl!{1 <br /> <br />PROPOSED <br /> <br />o SIGN <br />U8~L Fl'.MILY <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR )2"INST1\LL <br /> <br />WORK l?ROPSED,DNi7.. CbNS~!l.UCTION <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />OMlJLTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />DSWIMMING POOL <br /> <br />[J MOBILE HOME <br />r, <br />,~ OTliER <br /> <br />o RESTAURANT I< HEALTH DEPARTMENT APpROVAL <br />DESCRIPUON 011 WOlU{ \\\l ~etj\)4\ c'cy>..~e_ Ol.Y+ (_-\-0(\ ~...o:.,?-;{V~ L,J'd-Yl A r\ z ~ <br />BU1LDING SIZE . SQUARE roOTAGE G, I Z HEIGHT _ . <br /> <br />. . <br />ReSIDENTIAL:. ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY ~RMS. <br />COMMERCIAL: ATTACH (3) SETS OF .BUILDING PLANS &(1) SE'!' ENERGY. FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PRoPERTY SURVEY REQuIRED FOR ALL .NEW CONSTROCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o 'BDrLDr~'G <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTaUCTION <br /> <br />o ELECTRICAL <br /> <br />, ' <br /> <br />AMP SERVICE <br /> <br />o Progress JO:n~rgy d <br /> <br />W.R.E..C- <br /> <br />o PLUMBING <br />AECIWUCJU. <br /> <br />;; L/~9'Q . CO <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 S.PECIALTY <br />TYPE OF CONSTROCTION~LOCK <br />FINISHED FLOOR ELEVA'l'l:ONS <br /> <br />o O'1.'aER <br /> <br />o F'RAMl;; <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PRDJECT IN FLOOD ZONE AMAO n;s 0 wo <br /> <br />~~'--~-~~~~~~._~.~~-~- -- -~-- - ~--~~ -~---~~"- -"- ~ :,~\: <br /> <br />. BUILDER <br /> <br />COMPANY <br /> <br />SIG~L'\.TURE <br /> <br />STATE CERT OR REGIS'!' , <br /> <br />:****~~***W*********~***.~*******7**********.****..*********~*.*~~ <br /> <br />ELlilC:rlUC:I..'\N <br /> <br />SIGNP.TlJRE <br /> <br />COMPANY <br />STATE CERT OR REGIS'!' iI <br /> <br />**W**~*******~**~*.*********.**+*****W*T****~%~******************* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGI>lATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />SIG~'l.TlJEE <br /> <br />~*********.****~*******.****+*************~**********~***~ .-- <br />/2 . I. COMPAN1 ~\(. J Z F:. \t"~-\{ C J-n L <br />j J..u~ ! ~ STATE CERT OR REG 1ST 1* (".k Or::'./;8 z... Z5{ <br /> <br />MECHANICAL <br /> <br />*****************~W*k***~*********~*******+*~**!*~*~************* <br /> <br />OTHl!\lt <br /> <br />COMPANY <br /> <br />S1GNA'tURE <br /> <br />STATE CERT OR REGIST t <br />