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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~. <br />;, :5i L~ <br />DATE RECEIVED' <br />PLANS REVIEW FEB <br /> <br />~ <br /> <br />OWNER'S NAME JOH-tJ l?. P~\{LL-15 PLE"lJ..)E.3 <br />JOB ADDRESS &> Sl.f S- N 0 f2..Tl-I-LA; (,..€" D (L. <br />LEGAL DESCRIPTION: LOT(S) /...OT 1. ,f'T"'€f'ttii:o~~~ <br />PARCEL ID # 03/.:1.' I:v /0 /50/00000/0(5 10 <br />, I I I ' <br /> <br />PHONE <br /> <br />S'LVcre. OAK (/f)?Se.t <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />lilALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />o SIGN <br /> <br />[JMOVE <br /> <br />PROPOSED USE:,oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />ENCLO~E SC~~ PD~G...1 LPITH- LDIAJOou.)~ <br />4-"/"7-- J ~ I <br /> <br />SQUARE FOOTAGE <br /> <br />0~D" <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ j ~, 7V:.)..OD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />,0 MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />"':" . GOO . <lIb <br /> <br />VALUATION OF MECHANCIAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />M FRAME <br /> <br />o STEEL <br /> <br />INSTALLATION _iJ ~ ~ J- <br /> <br />~. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br /> <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />YES 0 NO <br /> <br />BUILDER COMPANY G.t. Sn:.-VE" eoJ...JSTtU...JC.~( OAJ <br />~ STATE CERT OR REGIST # t'B-C.O';>.;l'3<;l <br />SIGNATUR , CITY PROCESSING # 3o$" <br />~ ({){. '20 C" <br />. ***** ***********************************J******f**t***.~********* <br /> <br />ELECTRICIAN ~ <br />SIGNATUR~~_ @ <br /> <br />{"2e:.-C-rerc ~,~ <br /># (j ~ ?--,lG ~ <br />~Co ___ <br />V <br />****************************************************************** <br /> <br />COMPANY l.e'Pt.wt2.w.cu...s> <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />,.JJA <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* **** ******.** **************** * * * *** * *** ****** ********t:t*********** " J\ / <br />COMPANY "B -Ft...J(e. I ~ ~ P AU € G A-5. 1 '""\- L- <br />~b / STATE CERT OR REGIST # CA C '" Y-?9 yJ' . <br />. .. <' /L_____H. CITY PROCESSING # /7,.,..-- <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />...........*..................................................... <br />