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<br />APPJ.ICATION FOR PERHIT <br />CITY OF ZEPHYRHYLLS <br />BUILDING DEPARTMEnT <br /> <br />J -C_t)U <br />DATE RECEIVED - g... <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME-lLS..H---1<E It L fLI <br />JOB ADDRESS ~ ~b CAlf If/f./& I ' 2eiJA yrl1;/ll <br /> <br />LEGAL DESCRI PTION: LOT (S) BLOCK <br />II J.GJ,-/ {)()CJeJo J~oa ~ /500 <br /> <br />PHONE 7<[/ -t;Lg - ;790 <br />~{ <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 1# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORI( PROPSED: DtlEW CONSTRUCTION DADDI'l'ION DALTERATION D REPAIR D INSTALL <br /> ~S I GN D HOVE D DEHOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DNULTI-FAMILY On OF UNITS o MOBILE HOME <br /> o COHJl.1ERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HF~LTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK -:{t7SfAlt .!/l-<{,,' 5~,1I "" Ex,sh;1 <br />~( I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />:Py/;" / /fklJ i~~-I/911 tJA-llsiyn <br />Iv 5: ij; HEIGHT II ( <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 .1\1,1, NE\'1 CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$~ 1S-o,oc) <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />f.J ELI:O:CTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o NECHANICAL $ <br /> <br />) <br />.I <br />VALUATION OF MECIIANCIAL INSTALLATi;;~~ _ q r c; Iff}' I <br />o OTHER ,I "" 1:;' 1/ ~ . ,p-tf:; <br />o F'RANE 0 STEEL 0 OTllfR :;} <br />I S PROJECT IN FLOO\ ZONE AREAD X~ <br /> <br />..'------.--.. ." <br /> <br /> <br />D PLUMBING <br /> <br />o GAS <br /> <br />[J ROOF'ING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED i"LOOR ELEVA'l'IONS <br /> <br /> <br />BUILDER <br />--- <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING # <br /> <br />**~~*****************~***************A'**************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**h*************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING n <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST n <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****k**************k********************************************* <br /> <br />OTHER ~Vf . <br />SIGNATURE '. ' !f-c4/- <br /> <br />COMPANY f/j)..j IS- S' i" OJ r> 9 <br />STATE CERT Ort REGIST n ~r Oo:JO 5'0/3 <br />CITY PROCESSING # ~~ <br /> <br /> <br />***************************************************************** <br />