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<br />/ <br /> <br />CI'1'Y OF ZEPBYRBILLS PERMJ:T APPLICATION <br />BU:ILDXNG DZP~ 5335 8m st, Zephyrhil.l.a, FL 33542 ~ <br />813-780-0020 FAX: 813-790-0021 _~~LI. <br />DATE RECEj;Y3D-- 'y ~ --.... <br /> <br />P."'" """""" >'OR P~ $i3-BIf3-qc.~~{I, <br />O"'~R' , !]'g'd.3 p!-. ~: M. R NYi It p,aA '.ONE g-;:: fS/ Gl- ~6'~ ~L <br />JOB ADDRESS ::,,~r_',..{' J"'1p'~ ~,D/~~,~ ~_ IDI _~~3,\lY+,lQ5 <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION <br /> <br />... <br /> <br />PARCEL ID # :5' y "< S Z J t1!i::7 06 00 ;;'00 ()ot; I IORTA TN <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION OALTERATION <br />OSIGN 0 MOVE 0 DEMOLISH <br /> <br />FROM PROPF.RTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:~L FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .... <;;""/1"W/ e/cj> tr ~jC'mt)/L ft, ,)/l..-t <br />BUILDING SIZE /ttj ~15'5 SQUARE FOOTAGE /c;f).::Y:? HEIGHT,n,.~ ?8' <br /> <br />Ji BUILDING <br />)l! ELECTRICAL <br />Jtr PLUMBING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIhL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINE~~LJ.--P:Q>;NS-^'REQi:itRED;, \. /J ..11 I)' ~ <br />PROPERTY SURVEY REQU~~j;;D':rO~~L N~f}Y,..ST ,R~::O,N.....) /. /~~.J:!t2~- <br />/'1 1";) /-Y CY 'i vyv I f '-' ./ ,----- ' , . <br />/' PERMJ:~S 's-~-- ~:LFD I :'3..2-t '( ~,'" , <br /> <br />$ gf5'~ ''C)D RU~----'---"'LJ._~-_... <br />V' 5 S}4.k..s - k>.ces- ~~Jo~ <br />/66tf AMP SERVICE 0 Progress Energy 0 W.R.E.C. ~ <br /> <br />.sf MECHANICAL <br /> <br />$ G'~~o <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS .t:S'ROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 1;3. BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />SIGN <br /> <br />"'ROJECT ':nooo "NE~YE~M~NODt'Q~~ <br />. ::::;/ <br />.,., '" ," ,::D\G <br /> <br />STATE CERT OR REGI~~~.yeL""~ <br /> <br /> <br />****************************************************************** <br /> <br />=~~y~.~..............:::~:~~;~~?~i~~ t~~ <br /> <br />MECHANICAL f P 0 COMPANY <' _~ M 7i!:C.HIt-N ~ L <br />SIGNATURE '1>, r ~ ,{, STATE CERT OR REGIST # C Me!. 12lf 9 g b ~ <br /> <br />***************************************************************** <br /> <br />O'l'BER f/Rc.Di' Vl j <br />SIGNATURE~~LC- <br /> <br />COMPANY I " <br /> <br />'Hl"lh)p <br /> <br />Pro Se~ v I CE's.. ,I 1'\ L <br />c.Q.~ I ~d Sf< ~ Lf <br /> <br />STATE CERT OR REGIST # <br />