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<br />APPLICATION FOR PEmaT <br />CZTY OF ZEPRYRHILLS <br />BUZLDZNG DEPARTMENT <br /> <br />.. <br /> <br />DATE RECEJ:VED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~ k~~AyL..cf ~Qvn..,?e(l..JrY'~ <br />JOB ADDRESS 530 I / 7SI ~I-. Zep h \{ l~ h// )r <br /> <br />PHONE ~ /3 - I f)j-- ~&, 1'-/ <br />3.3 s-<-/O <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o 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 />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL _ I <br />0~~ C'^--*- ~ ~~~..P~? '3'fJ.~ <br />tu2 ~<t-- ") ~1') 1- .z-,SM led <br /> <br />w/7.~KtJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />$ <br /> <br />VALUATION;OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />...;20 <br />1;7~.~ <br /> <br />AMP SERVICE <br />1- Ct 'J-~,f k'..f <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ tLIL(S-O. ~ <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 />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUZLDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST #- <br />CITY PROCESSING # <br /> <br />****************************************************************** I' <br /> <br />~ \ j2<J P-e;<..,J- +e: ~ <br />ELBCTlUCIAH it i;[!L COMPANY b"'lL.f- h-...,\ ~ / ~.j..."eeaw.e<> <br />. STATE CERT OR REGIST # eeooo 10'1'0 <br />SIGNATURE U ~ ' CITY PROCESSING # 19q <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** . ~.~ <br />MECHANICAL' COMPANy\:)e.NVV\~ Lee ~(l..eA.Jjs.l-o..v/~P~) <br /> <br /> <br />SIGNATURE lt~!1...(:. .~~...... .. .*::::~::~~:::~:.:~~~~~~=~~ OO~ <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />