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<br />APPLICATION FOR PE~1IT <br />CITY OF ZEPHYIUfILLS <br />BUILDING DEPARTMENT <br /> <br />ct6i(J <br /> <br />DATE RECEIVED J / - Zj - C) CJ <br />PLANS REVIEW FEE <br /> <br />OWNEH'S NAJI1E:-1-=lfl '~__26~R..:' .--.bi.:.l\i (\.\(\N <br />,lOB ;..DDHESS._~BtoIP j ILq LLis _____. <br />LEGAL DESCRIPTION: LOT (S) I~~. BLOCK SUBDIVISION r:J--/Pllfl (j,-/ / A66 <br />.35 - 25 - 2 / ~o.D~A ~ OCx..)CO-,.lj1~BTAIN FROJl1 PROPERTY TAX NOTICE) <br /> <br />PHONE Br~- ,BO'- Q'3C1'S <br /> <br />PAp.eEL ID # <br /> <br />Os I GN <br /> <br />V.c...DDITION DALTERATION o REPAIR o INSTALL <br />o JI10Vl-: rJ DEMOLISH <br />Dfl-IULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o lNDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />\-JORK PHOPSED: DNEW CONSTRUCTION <br /> <br />PROPOSED USE: ~GL FAJ'.HLY DWELLING <br />[J COMMERCIAL <br /> <br />D RESTAURANT & HEld,TH DEPARTHENT APPROVAL <br /> <br />!IESCRII'TION OF i'JORK N,EltJ <br />OAf <br />!3\JlI.DING SIZE I z..)(2. ~ <br /> <br />(LC;)c)~v... A.i)DI r'-' tV <br />e-X/ST/.(/Cj S/tT73 <br />SQUARE FOO'rAGE <br /> <br />(f{) (jTM;\~ <br /> <br />z:? ~ ':> r-: <br /> <br />/l~ rc:.'-4etU <br /> <br />AdLb~ <br /> <br />HEIGHT <br /> <br />8' <br /> <br />F.E~S T DE:NTV\L: <br />COI1MERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &. (2) SETS OF BULLDING PLANS & (1) SET ENERGY FORMS. <br />.1\TTACH (3) SETS OF BUILDING PLANS & (1) SET ENEHGY FORMS. <br />PROPERTY SURVEY REQUIHED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br /> <br />$ 18. lIP 'I .. ~9 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELt~CTRICAL <br /> <br />--_ AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o HECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INST.l\LLATION <br /> <br />o CAS <br /> <br />D ROOFING <br /> <br />o SFECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHEF. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PF.O,TECT IN FLOOD ZONE AF.EAD YES <br /> <br />o NO <br /> <br />[------. ------ <br />---_. <br /> <br />NT!tACTOR;'SECTION <br />.. '.,:': ,',., -. ; - ':..>:: :,':::: -",',-../ -:. ,;.:><::.'....::.... ;:'-'~".,'...: ,-r:.'. .'.; -~/"/:-:'''::':->'.>:-:'<' '.:;-.'~'" <br /> <br />s '~r-=:-ot~ <br /> <br />S J GNl\TUR1:~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY Cu..nrVl'''1 Hl'\M.. <br /> <br />ELECTRICIAN ~ <br /> <br />~~GNI\TUF.E-=-~. . <br /> <br />COMPANY Srb-Uj~ 8L.a.-T?L'~.- <br />STATE CERT OR F.EGIST. # tz R0600 (of q <br />CITY PF.OCESSING it >07 <br />oj(. <br />***.**********************.*****************************.********** <br /> <br />P!.,UMBER <br /> <br />COHP!\NY' <br />3TATS CEnT 01' PEGIST # <br />CITY PF.OCESSING # <br /> <br />SIGNATURE <br /> <br />MECllANICAI~H H H H;;;Ii" H.. .. H H" H '~~~;;;,~.. ';:,:;.y:.;.;,'" '~' H <br /> <br />/ STATE CERT OF. F.EGIST j/ P.viVtDOIS"O 1..0'2- <br />SIGNATURE: - .VI A~ CITY PROCESSING # '53 <br />- . '-P-' --- t!fle J ~ ~ <br /> <br />"* -J, * ** * ~ * -It- * * -k * * * -k * * ..-j. * A * * * ~ * * * * * * * * -,It * * * * k * * *.. * * *tl'* * * 'l:':l *~* * * * * * * * * * * <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CEF.T OF. F.EGIST # <br />CITY PROCESSING it <br /> <br />SIGNATURE ________ <br /> <br />**A**********"k***k**k***k***+****************************.******* <br />