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<br />VG1/U4ILUV4/MVN U4:U~ HI t.trnIMJ~ OUILUJlVu <br /> <br />rill, NO, OJ J-/OU-UULJ <br /> <br />r, UUJ <br /> <br />OWWER' S NAHi: <br /> <br />PA-t12-I'C"4- <br />'~bD S' I fa I:L <br /> <br />CITY OF ZEPHYRHI~LS PERMIT APPLICATION <br />JlUIW:cNQ llItPAA'lHDfl' 5335 on St, ZephyrhiU_, n. 33542 .' 1 6'~. ~-?;I_.f>L, ../) <br />013-780-0020 VAX: 813-780-0021 J-P ~. .J ..L- 't (..' c....l'5~5 <br />DATE RJ:CI: IVKP <br />PRONK Cotl'r1.C'l' FOR PJ:llHln;n,g 'i/3, - CJd. (p-99~ S <br />.' rnCIIJ / CIf <br />[J<-WI/,Jd PilON!: ~i3 .7fg- / [~( W0:t5vN <br /> <br />S-r ~<-ft,.y/?Ad(.j' Ft 3-.:>S-YL <br />BLOCK SOBDIVISION PAtZk 1+,' ( I <br /> <br />J'OJl ADDU.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARl2L 10 t ()?-.-Z""-'2/-(){f()-t>~'-C>c>/D IOBTAIN FROM pROPERTY TAX NO'I'T~r.1 <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION OALTi:RATlON o REPAIR Cl !NSTALL <br /> OSIGN DMOVE 0 DEMOLISH t2e-P! A--0un ~ r <br />PROPOSED OSE:J6GL rAMILY Ol<IELLING OWULTI-rI'J1ILY 0. or ONITS o MOBIJ.I: HOME <br /> o COMKERCIAL D INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BOILDING SIZE <br /> <br />c:J RESTAURANT (. HEALTH DEPARTMENT APpROVAL <br />12e..p l A 4 ..... :;l. u.):. N d. c ~ .s 5/;> .t:J <br />SQUARE rOOTAGE <br /> <br />I~/'~ <br />. <br /> <br />.:-.-- 0/ <br /> <br />DI8catP~ION or WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS or BUILDING PLANS, (11 SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS or'BUILDING ~LANS , (I) SET EN~RQY fORMS. <br />IF SIaN PERMIT OWLY (2) SETS OF ENGIN!E~ED PLANS. REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTROCTION. <br /> <br />o BUILOING <br /> <br />PJ:RKITS REQUESTED <br />, / (, 7 '1:. CJo <br /> <br />VALOATION OF TOTAL CONSTRUCTION <br /> <br />o EL!:CTRICAL <br />o PLUMBING <br />D HECIlIUIICAL <br /> <br />, <br />AMP StR'VIC! <br /> <br />o Progress Energy 0 <br /> <br />N.R.E.C. <br /> <br />VA-) lA-€.. <br />~ 1~7Cf-()O <br /> <br />, <br /> <br />VALUATION OF MECllANCIAL INSTALLI\TION <br />o OTHER <br /> <br />_.- <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE or CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STi:EL <br /> <br />o OTHER <br /> <br />fINISRED FLOOR i~VATIONS <br /> <br />A-lkd. ~A~.1\~~ <br />~ , '. . .INc/f1~;:J-O~; <br /> <br />. -...-- ~ '../ ITATE etRT OR REGIST t 03 c..o \ ~ '3 Er - C_____-./ <br />Cl.AJ' .-'\A r. I f'\ ~ 't::. <br />~.....*.**.'*..*******.....lr.'~..**.*.*.*.*.**..*..*.*...***.*.* ll)~. ~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />[J NO <br /> <br /> <br />BUIUlU <br /> <br />SIGNATORl!: <br /> <br />l1..acnucUN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />*.**.....****.*.~.....***.......*****.*.***...~*.***.***.........* <br /> <br />~ <br /> <br />COMPANY <br /> <br />SIGNATUIU <br /> <br />STATE CEar OR REGIST t <br /> <br />...*.*....*.....*..*....*.*..*..~.*.......***..**..***............ <br /> <br />~ClWliIa.x. <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST t <br /> <br />......................................................*******,*.* <br /> <br />~ <br /> <br />COMPANY <br /> <br />SIGNATUU <br /> <br />STATE CERT OR REGIST t <br />