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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME R VII; <br />JOB ADDRESS . 3 ?S LJ 0 <br /> <br />~rh4rV~y <br />G 17 m t:) ~ "'-' It u ,;:: <br /> <br />PHONE g'1) - 7%2 - 97~ -L <br />"1-CPI1YAHII/~ FL, .>? r ~ <.) <br />, ( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />~TERATION <br />[J DEMOLISH <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />R. (Z rJ- 4c:..C <br /> <br />N CCt:f-r fJ u y&.-,p :; y S TIC 11-.. <br />AJ-" <br />SQUARE FOOTAGE / 2 ~o <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />CO <br />;; 7 tJS" <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />[J SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />/lit+- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />j}/f+ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />/VA <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *~* * * * * * * * * * * * * * * r <br />~" COMPANY: .-50uTH/E.(l-1'V C~J"l.+o,'\.. 1C..:r <br /> <br />./ ,/' ~) /1 STATE CERT OR REGIST # R.mool.~ ()? 2- <br /> <br />~ ~ CITY PROCESSING # , ~~ <br />/' . - <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />/1/ t4- <br /> <br />COMPANY <br />,STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />