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<br />.~cl <br />Li~' . <br />OWNER'S NAME~mclhcrl\Sf 0-hu.rchQt- 'A.-Hd 15 PHONE ~\3l8d 50LJ'S <br />JOB ADDRESS'6~l~S '0~ ClUE.. 7..-e.phlA\'n\~ \~ 8 <br />\ ' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZE~HYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # U . '6L.o . ~\ . WID. \c:)Q.X)' 0 \loO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION Of' WORK f\drl (y\.chhDl\OJ R\ ~ +0 SllIldCU~ SC' h.oal Qoom <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COHMERCIAL: <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 />n BUILDING <br />L.J <br />0 Ji:LECTRI C.l'-I.L <br />0 PLUMBING <br />0 MECHANICAL <br />D GAS o ROOFING <br /> <br />$-- <br /> <br />I <br />-'- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$_j~8R JOD <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o F'RAME <br /> <br />D STEEL <br /> <br />o OTHER . <br /> <br />FINISHED f'LOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />L_ <br /> <br />CONTRACTOR .,. SECTION <br />~.. .. ;-' ~">:':':'" :.....,:..-:.,., )"..:../~:-., ',:':', :.> '::.: ::. .. .; '"j,::.. ': ';;f-, _' /~.. :.:;< >'- ::;../~_.:'<'_ "',:' .c. ',.:::; ".-:,::',:',-.. ,:,' <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />******~~'k*************************k******************************* <br /> <br />ELECTRICI~l ~ <br />SIGNATlJ~~~""",o..... )\~ <br /> <br />C I D. -~~ <br />COMPANY00r\ \'\' ~ \ <br />STATE CERT OR R~I ST # ~~ ill ~ ~ <br />CITY PROCESSING # d.O ( 0 <br /> <br />*****************~**************************************~********* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br /> <br />· H...... H' H W H.... H' HH HH~~~::;'~ .~tilj~")'~': ~f-R~' <br /> <br />STATE CERT or~ REGT ST H 0() \ <br />(:]'["1 l'H{)CI~:SSlNC H ao'S <br /> <br />MECHANICAL <br /> <br />A***k*~******~*************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />