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<br />, <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTltERT <br /> <br />.' <br /> <br />OWNER'S RAHB f/$ fl () II? <br />OWNER'S ADDRESS .3 Ii- CJ O~- <br /> <br />/2IAo.de~ <br />LA- W~IVOA <br /> <br />I-ef?OLJ <br />, <br /> <br />PHONE tf(J. - ') 8"'3 "toy? <br /> <br />f)~ Iv ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ~t f BLOClL--SUBDIVISION l~//9. VIL/ /J.I<.P ).I~/;? <br />... I <br />PARCEL I.D.' /'1- ).6-,;).1- CJ(t 0 ."OC\:::tl:) - OslO (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />IiOJlK PROPOSBD',--.JIew CoostEuction -.Mdition --"lteration ---..RePair 0nstall <br /> <br />_Si8n --...Hove _Deaolish <br />norosw~E: ~~eF_i~ ! <br />_KIF _' of Units 4~/H <br />_ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />.-Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOIi OF WORK: Jr,f/>flf//~o~ of:' ~t<1e Jk~.e. <br /> <br />BUlLDIliG SIZE: J4Yl/ X 45' , I,) '])., Square Feet, Height <br /> <br />RESIDEBTIAL: A1"lACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />CmtKERCIAL: A1"lACH (3) SETS OF BUlLDIliG PLANS & (1) SET ENERGY FORMS. <br />nOPERTY SURVEY REQUIRED FOR ALL NEW COIiSTRUCTION. <br /> <br />-6U1LDIliG <br />~ELEcnuCAL <br />-.4mCIWIICAL <br />-LPL~~G <br /> <br />$. <br /> <br />PERMITS REQUESTED <br />'17 1<.'&1,,41(. <br />0" 1)0 {J Valuation of Total Construction <br />/ <br />/.~'o AIIP Service Florida Power Corp. W.R.E.C. <br /> <br />$. /'?:.xJ. <br />, <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFIliG <br /> <br />SPECIALTY <br /> <br />TYPE OF COIiSTRUCTION: ~loclt <br /> <br />_Fraae _Steel <br /> <br />/ <br /> <br />Other <br /> <br />-L <br /> <br />YES NO <br /> <br />FlliI.SHED FLOOR ELEVAnOIiS: "'. <br /> <br />IS PROJEct Iii FLOOD ZONE AREA? <br /> <br />......................................*... <br /> <br />::=\~y2~ <br /> <br /> <br /> <br />}~-.Ii COKPANY V/<;( <br />~ ( . State Cert. or Regist. <br />Signature liS ~ .) City License Registration' I <br /> <br /> <br />IlECHAliICAL ~ ~...,..:.,.."~.~.~r;s::::..::[~~ ~~ <br /> <br />. . I State Cert. or Regist..;o J9~.s <br />Signature ~e ~ J" City License Registration . J l>.S <br />.... ....*..................***.**........ <br /> <br />COliTRActOR SEctION <br /> <br />.mIDBR ~:PO~- . COMPANY is.\? <br />, . State Cert. or Regist. . <br />Signature . . ~ City License Registration . <br />..........*............. ............... <br />b.. ",-Inv. \:.11 r-.. <br />. t t d~COKPANY liCO(t I"Q ~ e(t./J <br />1:fi j, ~ State Cert. or Regist.' . <br />, . "'-I? ~/) . ~. /' City License Registration . <br />.~.......***.**.*.*..**.******.....*..*.*. <br /> <br /> <br />~ <br /> <br />PLtDlBER <br /> <br />OTRRR COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />***********.********.******************... <br /> <br />APPLICATIOIi APPROVED BY PERMIT OFFICER. <br />