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<br />.\:1 <br /> <br />'- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 3lz~ I ~ . <br /> <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 5~ y <br />JOB ADDRESS 31 E;'f 3 <br /> <br />In {)f1fi.' 5 <br />LANPI.s <br />'7! <br /> <br />PARCEL ID # 'gif -2--5" - z-t - oao - Of;>W - Cb'78' <br /> <br />PHONE <br /> <br />Lo T ?f <br /> <br />11\/ IE , <br /> <br />BLOCK <br /> <br />SUBDIVISION ~f} J.l-O/l....{ 26'" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br />~VE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />m oVJ; €. <br />2fx ;;r <br /> <br />(l..O; G ( /1'l blJ I ~ <br /> <br />!-Ie /Ill €. <br />Ib~tf <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~LDING <br />~ECTRICAL <br />IB""; LUMB IN G <br />~ECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />HEIGHT <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 /> <br />$ <br /> <br />(p~{)o. 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER 0 <br /> <br />2-J>b <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />S5s-. fi)D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />Ih IJ~ tY~ <br /> <br />COMPANY IIlll&tl,w;.. 1#~U7.> <br />STATE CERT OR REGIST # :::rH ()(x)o 307 <br />CITY PROCESSING # 20'10 <br /> <br />****************************************************************** <br /> <br />~ Il< ~ <br /> <br />COMPANY Act: Ut~c. ffL,l C, <br />STATE CERT OR REGIST # <br />CITY PROCESSING #---1 r '7 <br /> <br />****************************************************************** <br /> <br />~ 4~ (lM <br /> <br />/Yl fJ-t..t /-tAU Pile LI / <br /># Tt-I- 0000 "$0'7 <br />? r> qo <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />* * * **** * * **.* * * * ***** *** ** ** **** ** ** ***** *** * **** ** )1** * * * ** * * ** *** <br /> <br />COMPANy-N~ IlL (lOA/I/. <br /> <br />~ !I-~ ~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 4-5 <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />