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<br />APPLICATION FOR PERMIT <br />CITY 01' ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 1/ &/60 <br />PLANS RZVID I'EB <br /> <br />JOB ADDRESS <br /> <br /> <br />iJ I~ <br />r!~S ,,--1-'00' ('. <br />I <br /> <br />PHONE <br /> <br />--7I:'/I')~ /, ')-('-7 <br />('C/o (,J~ ... ) <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />5:/ vtf (1kj K/l}( <br /> <br />PARCEL I D # 3~;J&-..); - L") )C~l().- OP~"7- 0 b [;() <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />o SIGN <br /> <br />USE:;(SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />/l;'f'ev <br />0- <br />db " 57 <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />fIo,~ <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />l'Ify <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />fJ BUILDING $ fet), (.0(:; VALUATION OF TOTAL CONSTRUCTION <br />pq ELECTRICAL /';;J 00 AMP SERVICE ? FLORIDA POWER 0 W.R.E.C. <br />~ PLUMBING <br /> jJ/Pr <br />Jti MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />q1rO <br /> <br /> <br />SIGNATURE <br /> <br />" COMPANY 6cid /41:zi/lV7 <br />.--<~;;? .--. STATE CERT OR REGIST # <br />.7 ~1 YJh-.-........-' CITY PROCESSING # I D ~ <br /> <br />**~************************************************************* <br /> <br />fI" ~ <br />. '1~-"" .J.r (' . <br />('I;- -'(to-3!o,~)~O <br /> <br />BUUDER <br /> <br />M&CBANICAL <br /> <br />ELECTRICIAN ~ .~/ {; vf/lfj.-d/ <br />SIGNATURE jf ~~ <br /> <br />/' <br />i*~.r**************************************.*********************** 0 .' <br /> <br />// ~. 111/ R {('Cd ,~C/ 1/)( [f L/.., Lt fJ .f4~/ <br />PLUMBER / COMPANY <br />~,. STATE CERT OR REGIST # <br />SIGNATUR(/ YJ11[ P CITY PROCESSING # ,'t'(, <br />/ <br />* * * ** ** ** * *.** ** *** * ** * * * *** *** ** * * * * ** ** * ** * ********* ******tIl:-**** * * <br />COMPANY 50 /f..././v '::::. <br />,.f}. /' ." STATECERTORREGIST# Rjrl.()()t~(t(a <br /> <br />.ll ?~ frv-.r;7~' i,..1--:> CITY PROCESSING # .~ 0 ~ <br /> <br />/ <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />-, <br />;'/ <br /> <br />SIGNATURE <br /> <br />0'l'HBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />: .~; <br /> <br />o <br />