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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />J Z /1 I ()O <br />DATE RECEIVED , <br />PLANS REVJ:EW FEB <br /> <br />OWNER'S NAME <br /> <br />&-rT'-j <br />~g'7D') <br /> <br />P ...5rn1 TH <br />tTl-l- Au <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />'? J? g' -a.;l L/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # JI-.,;)-t,- ,;)./-OO/O-/l~Do-OOII <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(ORTATN FROM PROPERTY TAX NOTICE} <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK CJ.I.A-r.rr., ~ Wf>L4 /).:)'(0 S(J.jGLE:. PAm ,t-'1 #<)A..U:: - R.S"M--oI:reL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />1st ELECTRICAL <br />rn PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />gOt 615D I OZ) <br />Jco <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ (I gro , -aD <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 />D9 FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />.. ~~~C:~~~'EQ~~~ii';.';' <br /> <br />COMPANY C. . L . Sf f::-....y e.. <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br />'r~2 ~ 7 Co( <br /> <br /> <br />.' .'.'. iT <br /> <br />BUILDER <br /> <br />SIGNATURE P;~~ <br /> <br />./ <br /> <br />(l.oA)~levcrt o,.c..) <br /># ('l./!)- (!..(),r d J 3 9 <br />.305 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN COMPANY Zt::-P/.Net-kt..4b. ~Tetc.. Sf2IiWl c.e <br />~ STATE CERT OR REGIST H <br />SIGNATURE - <v CITY PROCESSING H 9r.. <br /> <br />*******************************************************~********* <br /> <br />PLUImER ~ ~ <br />SIGNATURE C) ~.4f. &L <br /> <br />COMPANY t2ue,s &.J..Je.. <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />Pi....U~M)' <br /># ~ raoC;IS9-~ <br />/6 <br /> <br />****** *****.*** ******* ********** ** *** ***** *8 ***** *~**********i*t / <br />MECHANICAL COMPANY 41J,e ~ ~ €lM . PiC!.. <br />~/ 4"'L STATE CERT OR REGIST # C.4c-o~39 YR <br />SIGNATURE CITY PROCESSING # /~ <br />, <br /> <br />*********************************************************k******* <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****....*.******************.*******.*******.*****...*****.***..* <br />