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<br />CIn OF ZEPHnmILLS PERMIT APPLICA'fIOlf <br />BUXLDDIG DEPn'DIERT 5335 8'" St, z-phyrhill., F'L 33542 <br />813-780-0020 F.aX:813-780-0021 <br /> <br />DATE RECErvJm <br />PB<&t COBTACT roa PEBKI'1"1'IRG ~.5 ~ ~ 1 q 't . l q ')... ~ <br /> <br />OWNER' 5 NAME ~/;}R '\ ~,~~ 'HONE 1S' I:' - '1 n . 0 'II b <br />JOB ADDRESS ~ g Ie J ~'L <br />P rHo'! t'f 13 r' 8 no '" ".Ill \ <br />LEGAL DESCRIPTION: LOT (S) 14 ,'5~ oU BLOCK , u SUBDIVISION \.... ~~ ~ ,L..(.)rn '"tJ2..'h ~ D <br />PARCEL ID t ,1- l. L. - "1) J~O/O - i Sgoo -OJ.30 (OBTATN FROM PRoPF.RTY TAX NOTTCE! <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />~IGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />.AfCOMMERCIAL <br /> <br />OHULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEI;'ARTMENT APPROVAL <br />DESClUPTIOR' OF li01Ut ~c.u..\ rfm~ ~ ~ \,\.J <br />BUILDING SIZE '~; X 7'"'..::r SQUARE FOOTAGE ':.13 '').5' <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ArTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (I) SET ENERGY FORMS. <br />FORMS, <br /> <br />o ELECTRICAL <br /> <br />PERMITS REQUES'l'ED <br />$ aq..7 '.J. ~D <br />, <br />3.0 <br /> <br />f'JbL- J <br />- CL"~ CeA,k>e ~6.CD <br /> <br />o BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E,C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECf'.ANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />CONnACTOR SECTION <br /> <br />BUI:LDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />EUCrlUCI:AN .. ........~. ...... ........ ........... ::~:.~~~... i' :~. ~"'C~. ~~ <br /> <br />SIGNATURE ,~- STATE CERT OR REGIST i G ~DO OC..." , '7 ,):, ~.~ <br /> <br />**********++****************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />HECRAliII:CAl. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />OTHER ~;:=..... ...........:::.;:.~::;;:~.s.:~~...tLP <br /> <br />SIGNATURE STATE CERT OR REGIST i E'So ccoc.'-t 17 <br /> <br />~;:~ <br />'-' <br />.~ .) '-' <br />JL; <br />