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<br />CITY OF ZEPBYRBILLS PERMIT APPLICATION <br />BU:ILDING DBPAR'l'MBN'r 5335 Oft at, Z..phyrhills, I'L 33542 <br />013-700-0020 FAX: 813-780-0021 / / t/ <br />DATE RJ:CJ:IVJ:D /,)./ f7Z IV <br />. vll.~ '. <br />PHONE CONTAC'l' FOR PEmc'TTI.~~:-t/;~ . bg? -I ~5 ) <br /> <br /><-..~-'~'--_.'-'--_., <br /> <br />PHONE 8'1-3 -77<1- '6110 <br /> <br />OWNER'S NAME 6.bne'v -1Y)u.-tl-e:I- <br />JOB ADDRE8S '5"r"-1Q 1'1-H... ~ Z ~'1 v L' I Ls- . -R <br />. <br /> <br />...... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCE~ I~) <br />-:=-..- ." --" ..-'- <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~AMILY DWELLING <br />o COMMERCIAL <br /> <br />BLOCK <br /> <br />~TION <br />o MOVE <br /> <br />3~<:l/~ <br /> <br />SUBDIVISION <br /> <br />IORTAIN FROM PROPF.RTY TAX NOTTr.F.1 <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DBSClUP'l':ION 01' WORK. GQ(Cl-~ adM'ln- <br />BUILDING SIZE <l-S"{ X 28/ SQUARE FOOTAGE /L7() 5"11 rf- <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 />.- <br /> <br />PBRMITS REQUESTED <br /> <br />(0 <br /> <br />/ <br />~'JILDING <br /> <br />g' ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ /tJ - /~. coO - VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy D <br /> <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br />~~E <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />jo <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />r;d~ 9 <-{ljud <br /> <br /> <br />****************************************************************** <br /> <br />zucnuc,," ~ ~ .. _I <br /> <br />SIGNATURE . . ~ <br /> <br />BUiLDBR <br /> <br />SIGNATURE <br /> <br />() /.)...JA.LV <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST * <br /> <br />COMPANY <br /> <br />~ <br /> <br />STATE CERT OR REGIST I <br /> <br />****************************************************************** <br /> <br />~. <br /> <br /> <br />COMPANY &)l.4~ ~ <br />/' ......... <br />STATE CERT OR REGIST # <br /> <br />MIlCHAN:ICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />O'l'HBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REG 1ST I <br /> <br />STATE CERT OR REGIST t <br />