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<br />APPLICATION FOP. PElQO:'l' <br />CIn 01' ZEPHnlHILLS <br />BUl:LDDlG DEPAIl'l'MEN'l' <br /> <br />DAB DCKIVED <br />PLANS RBYIEW I'EB <br /> <br />OWNER'S NAME ~ I na...... WD k. <br />JOB ADDRESS, 1rJ54 ("fa} I 61 vd. <br /> <br />PHONE <br /> <br />Zepheylr)'/IL<::. I <br /> <br />33 5Lf I <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br />WORK PROPSED: pI:IEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />JilJ COMMERCIAL <br /> <br />IOBTJ>.TN FROM PROPF.RTY TAX NOTICEl <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEl'.LTH DEPARTMENT APPROV1U. <br />DESCRIPTION OF WORK -M wi H, ric'{!. c.aok.e..Y', stqo.m mil, smokR-r I ;) ~l..rs. +f" rinJ ~ok.. <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECH1\NI CAL <br /> <br />~ GAS <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />J\MP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />/9025. ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION:!Q BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />BUILDBa <br /> <br />SIGNATURE <br /> <br />J:LBCTlUCIAH <br /> <br />SIGNATURE <br /> <br />PLUYBEll <br /> <br />SIGNATURE <br /> <br />YRCBAInCAL <br /> <br />SIGNATURE <br /> <br />0'l'IIZR <br /> <br />.. '~..~~~~t~.fl4~~~~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />**************************************** <br /> <br />COMPANY 0::t~m ~1"B?.~ ~~ . <br />STATE CER'l' OR REGIST # fi '1/&,5 <br />CITY PROCESSING # <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**.**********................******.*****.*********************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************************************************.*******.* <br /> <br />~ . d <br /> <br />SlllHHAHd3Z ~O AIIJ <br /> <br />~d91:8 IOO~ '18'uer <br /> <br />LO~O'ON <br /> <br />G aBed <br /> <br />~lIIId9G:~ <br /> <br />:pa^,:aoal:/ <br /> <br />~s.Ja:t-sellllset) <- <br /> <br />~o/ ~~/ ~ <br />