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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIlYRHILLS <br />BUILDING UEPAR~~NT <br /> <br />DATE RIilCEXVED ctI- /'1-60 <br />PLANS IU!Wl:JCW I"JU: <br />'ASCO PERMIT SERVICE. <br />813-78&-5314 <br /> <br />OWNER'S Hl\M!': Ear I J: Lea-v itt <br />JOB AUDREss3.Ll~;1.. MCLla..ch;+e 'Dr,) <br /> <br />PHONE <br /> <br />l-o t ;;),62 <br /> <br />LEGnI, DESCRI PT ION: LOT (S) <br /> <br />BLOCI\ <br /> <br />SUBDIVISION EmeroJd. "Po\~t- <br /> <br />PARCE:!. ID 1I/~1~.;l(P-;lI-IJO~o-tJ(X}OO-O~4>O <br /> <br />10BTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WOHl\ PHOPSED: ONEW CONSTHUC'I'ION <br /> <br />M"AIJIJI'1'IOIl <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os 1 GN <br />l'nOrO~;EIJ USE: ~GJ. l"l\MJJ,y IJWF:J.I,.LNl; <br />o COMMEHCIAl. <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />CIMUI/I'.L - F'l\MJ.1.Y <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INIJUS'1'IUl\L <br /> <br />[:=J RESTl\URJ\NT ,. IlEl\LTIl DEPJ\RTMENT APPROVAL <br />DESCRI PTION OF' WORK _~ -t- 5h eJ. <br />/~ x.. 39 <br /> <br />BUILDING SIZE <br /> <br />SQUARE E'OOTAGE <br /> <br />~(pg <br /> <br />HEIGHT ..s~e pla../.,~..t;, <br />. <br /> <br />RESIDENTIAL: A'l"l'ACIl (2) PI,OT PLl\NS ,. (2) SETS OF BUILDING PLANS,. (1) SET ENERGY FORMS. <br />COMMERCIAL: Al''l'ACIl (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. .~ <br />PROPERTY SURVEY REQUIRElJ P'OR ALL NEW CONS'rRUC'l'ION. <br /> <br />PERMITS REQUESTED <br /> <br />1!1' BUILlJING <br /> <br />$ <br /> <br />VALUNl'ION OF TOTAL CONSTRUC'l'ION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />I. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTIIEH <br /> <br />'l'YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o F'IV\ME <br /> <br />o STEEL' <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARE1\D YES <br /> <br />o NO <br /> <br />" <br /> <br /> <br />BUX"''''' h <br />SIGNATURE" p w.~ <br /> <br />II] 'I I, Ii"" , ", .,. .., " " . , '." <br />,I III! II., . ;,. ' ,'" . ,. <br />COMPANytJf :(t(c= CJ / (( ~t#/-/N'S C!:6,<.u5f/toc't ~~~ <br />, , <br />STATE CERT OR REGIST It <br />CI'l'Y PROCESSING It 3<6 8-- <br /> <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OH REGIS'r It <br />CITY PROCESSING n <br /> <br />*****.**********..***..******.....************.******************* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST n <br />CITY PROCESSING n <br /> <br />SIGNATUHE <br /> <br />***********~****************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIS'r ,. <br />CITY PHOCESSING It <br /> <br />A.........................................*...................... <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />.....****..******...............AA....**.******.....**.*.*....... <br /> <br />.. <br />.. <br />