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<br />0/ -I h : '17 <br />j\fV\.- <br /> <br />OWNER'S NAKE 7f/6/IA J(/) L.. F ~ /l)tj)/~ 23, 0 )3/(/ J!NONJ ~ /3) '7 gO -- G17S- <br />OWNER'S ADDRESS 3903S- I 9'::!:-d! A -vf - 7~ P//Yl( /rk?L5,//t:! 3.3.5!/eJ <br />JOB ADDRESS -5/) ML 4..5' 4 ?jc-v:L <br />LEGAL DESCRIPTION: LOT(S) 9~.J1-. /? :21 BI.OCK.-SUBDIVISION Y /.Nt-L//y~ s- A j)j)) J/O/l J <br />PARCEL 1.D.' );)....... ~( -- /) I - 0 6 j(] '- {J /3tJ tJ --CJ9~ I (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration ---.Jtepair ~ta1l <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />_Sign <br /> <br />---'love <br /> <br />_Deaolish <br /> <br />PROPOSED~E: ~~eF~i~ <br /> <br />_KIF -'--, of Units ---1'l/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: /j /))) S))W~Jf wA/i 7VlbJ)) J~jJ/Jftj,ej) W$t?(j~ ll~??/}Cf ])eeJ?.s <br />I' / / <br />BUILDING SIZE:~b X /79: /(,If' Square Feet. =- Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATtACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />.!J. 000 <br /> <br />, <br />, <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAlUCAL <br /> <br />~UKB~NG <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block -L6raae _Steel <br /> <br />Other <br /> <br />FIl[[SBED FLOOR ELEVAITONS: 0 Ff . <br /> <br />IS PROJECI IN FLOOD ZONE AREA'l <br /> <br />~ <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RUTT .DER <br /> <br />Signature 02 <br /> <br />COKPANY <br />~ "\ State Cert. or Regist. , <br />).}VI' City License Registration . <br />.......................................... <br /> <br />Rl.RCTRIClAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />.......................................... <br /> <br />SimlAture <br /> <br />PLUMBER f'\ <br />SignaturQ -::r G'~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />.......................................... <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />" <br /> <br />Signature <br /> <br />OTR'RR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />