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<br />. . <br /> <br />CITY OF ZEPHYRHI~LS PERMIT APPLICATION <br />BUILnING DZPARTMENT 5335 8ft St, Z.phyrhill., FL 33542 <br />813-780-0020 F.AX:813-780-0021 <br /> <br />DATI: RECEIV&D <br /> <br />'3 - 17 -0<.0 <br /> <br />P1fONE CONTACT FOR PIIlRMITTING <br /> <br />0'''''''' MANE GltHrJ~'( I \.(o~ <br />JOB ADDnsS 1i1EIC- & _ W~ (OII:K~ <br /> <br />C'G'C "'CR""O., LO",,-,~-;r 'COC, <br /> <br />PARCEL ID .1l~2It2f (){_ 00000 1070 <br /> <br />,"0.,(JL:&) 7/5" {g~g7 <br />lY.. <br />:::::;:'::~. :!:,~~!~--r <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />IIl'INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />i!Et'.li?rfA N (;- Px~ 0 ~ <br /> <br />J)1o~ <br /> <br />aUIi.,D:i:NG SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: 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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~BUILDING <br />o ELECTRICAL <br /> <br />s <br /> <br />PERMITS RlIQUESTED <br />I qq).fX) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL 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 />- <br /> <br />BUILDBR <br /> <br />COMPANY <br /> <br />SIGNATURE __ <br /> <br />STATE CERT OR REGIST . <br /> <br />**.*****.**..*****.................**..........***................ <br /> <br />ZLJ:CTJUCIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />...................................****.....*....**..........._*** <br /> <br />PLtJNBltR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MJ:CHANICAL <br /> <br />*********.****..***.*..*.*.**.**.*...*..*...*.********............ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br /> <br />O1'HltR <br /> <br /> <br />.......***..**...******...******.**..........*....***.****** <br />) . <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST I <br />