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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~fLA~\<., ~Q O\i u'E: I3Ll\~+ PHONE(il"3) 7<6~ -5330 <br />(ql'-ll <br />JOB ADDRESS ZE.ph\~ ~C\~t 'DR., O~ ~"\~t1s, 71/_ 33S41 <br /> <br />LEGAL DESCRIPTION: LOT(S) '* \ lc BLOCK SUBDIVISION ~~~ RiA,!€. <br />PARCEL ID # 0'3 - ~lc- 2..1-01 30 -00000 - 0 I ~O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />\1\0 \0: L \-\ 0 vY'E. 5'C.. \-l.-Yf - '1: ^~ +"", \ \ Co. -t: 01"') <br /> <br />~~ (' 5" SQUARE FOOTAGE I, 49'-{ <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />.a BUILDING <br />)Q ELECTRICAL <br />1&1. PLUMBING <br />JSi{ MECHANICAL <br /> <br />$ <67,000.00 <br />acO <br /> <br />PERMITS REQUESTED <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 />$ <br /> <br />ex) <br />,/500. <br /> <br />VALUATION OF MEC~CIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 'OQ' NO <br /> <br /> <br />BUILDER <br />SIGNATUR~ <br /> <br />~~~ <br /> <br />COMPANY '))~ t-'i.R.. ~" ~ l -f-mrr.rA <br />STATE CERT OR REGI ST # -:r l-i -ooct:oCb D 1~ <br />CITY PROCESSING # i../ fJ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~~ rvY\/\A..k. <br /> <br />COMPANY OlL~C>r'\ c:r. \ f-C kf c... <br />STATE CERT OR REGIST # i-R~ ~; '-0 I <br />CITY PROCESSING # Ita <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE~ <br /> <br />1Vv\ ~k <br /> <br />'- <br /> <br />COMPANY Ne...I~Y1 ~ <br />STATE CERT OR REGIST # K F' -"00'3/:21 <br />CITY PROCESSING # -Z7lo <br /> <br /> <br />*******************************************~*****;**G************ <br />MECHANICAL' COMPANY .pA..~' As.p AIC!.- <br />..s...JJ A . J\^A k' STATE CERT OR REGIST #c.t:\C.6 4r;94<6 <br />SIGNATURE ~ ~("\p,.: , CITY PROCESSING # /, <br /> <br />( 5(''I~) <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />