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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED Jj - ~ 7-0 D <br />PLANS REVIEW FEE <br /> <br />PHONE 9frf rP{t!7}lIf:34 <br />'"P. 3J..rI( <br /> <br />OWNER'S NAME <br /> <br />Edt~ ~Iue/l <br />-6 n:r. - J~ 6f&~ r <br /> <br />JOB ADDRESS ..:fil ?J <br />LEGAL DESCRIPTION: LOT(S) ~~~~LOCK <br />C-~J.>~~~~_~i)-o /1-2' -2/- 00/0 - l~C.oo." 00<../0 <br /> <br />-'_-~""-'--:~':~~-:-":'::':'-.- --: - .-" ::;- ,-.,..~-~~ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION AALTERATION <br />o SIGN 0 MOVE 0 DEMOLISH <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o <br />DESCRIPTION OF WORK t?~~~ <br />3ft It' <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />erfS rf.,~f C<$v <br /> <br />SQUARE FOOTAGE <br /> <br />~ <br />f <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />1000 !!fl.-- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />COMPANy,I_~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER a // ~ ;-::;..... P' <br />SIGNATURE~ ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />(~ <br /> <br />~) <br /> <br />COMPANY tk-~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />