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<br />APPLICATION FOR PERMIT <br />CITY: OF ZEPIIYRHILLS <br />BUILDING UEPAR~~NT <br /> <br /> <br />~()aJ <br />5~ojrftJ <br />m R&CJUVIID -..,- - {,4.3- " <br />PLANS RBVIBW I'D ~ ' <br />-1? I . <br />a.~CO &rmt' ~erJlce-' <br />7Ri?- S31 <br /> <br /> <br />OW!"ER'S NAME J2\cJ ph l:/ I.U\...fl e~ <br />JOB ADDRESS (QqJ-{ 3 Step-hens P<<.-th > <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PIIONE <br /> <br />L. ephy r hi ( l s <br />SUBDIVISION "=='11 ver Oa...ks <br /> <br />I : <br /> <br />BLOCK <br /> <br />PARCEL ID H tJ3-,}.&-;L1-0/~O-OOOC()-O,-/qO <br /> <br />IOB'rAIN FROM PROPER'l'V TAX NOTrCIIH <br /> <br />OSIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~l\DD 1'1'1 ON <br />[] MOVE <br /> <br />o AL'l'ER1\'l'I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />OMUL'l'I-FAMILY <br />o INIJUSTRIl\L <br /> <br />0" OF UNI'fS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RES'l'AUR1\NT & IIEl\L'f1l IJEPl\RTMEN'l' APPROVAL <br />DESCRIPTION OF WORK Qreen ~[ OSU['l"" ./ <br /> <br />BUILDING SIZE <br /> <br />/ J.. X I;)., <br /> <br />SQUARE FOOTAGE <br /> <br />I Jf'l <br /> <br />HEIGHT <br /> <br />8/'+0 l:;i f <br /> <br />RESIDENTIAL: A'rTACII (2) PLOT PLl\NS & (2) SETS OF BUILDING PlJ\NS & (1) SET ENERGY FORMS.., '1' <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PlJ\NS & (I) SET ENERGY FORMS.'~ <br />PROPERTY SURVEY REQUIREIJ FUR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />J 7 00. [!O <br /> <br />. <br /> <br />VALUATION OF TOTAL CONSTRUC'l'ION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o F'LORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />I'. <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUl\TION OF MECIIANCIAL INSTALLATION <br />o OTHER <br /> <br />.j. <br />!i <br /> <br />$ <br /> <br />>, <br /> <br />'l'YPE OF CONSTRUe'l'lON: 0 BLOCK <br /> <br />o f'IV\ME <br /> <br />o STEEL' <br /> <br />o O'l'HER <br /> <br />I: ' <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES' 0 N9 <br /> <br />~ 'f' <br /> <br />" <br /> <br /> <br />111'1 I; II' " . ,. "~ ':" . .' ':-.. <br />, 111.1., . . <br /> <br />BUILDER '~ ~ COMPANy,~tLhr's AllAW\lnlA~ <br /> <br />fi'vA lV,AAII 1/\ S'l'ATE CERT OR REGIST It <br />SIGNATURE ~~ CITY PROCESSING 1# I~ <br /> <br /> <br />.."'''' "''''''''''........'''...'''.''''''....'''....'''.'''...''''''''''''''''''..''''''................ <br /> <br /> <br />BLECTEUC:U\N <br /> <br />COMPANY <br />STA'l'E CERT OR REGIST D <br />CITY PROCESSING H <br /> <br />SIGNATURE <br /> <br />.............................~...................."''''.'''............ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />......... ................................ ... ..........**.. ........*..... <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />MECHANICAL <br /> <br />..."'.."'.."'."''''.............'''...........'''.......''''''........."'....... <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />"''''.'''..'''.....'''.'''....***.......................''''''.....'''............ <br /> <br />" <br />" <br />