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<br />~h"~t~~ <br />JOB SITE ADDRESS ~9Cc~'&Z>~ ~~~~ ~ ll2."L <br />\ <br />LEGAL DESCRIPTION: LOT(S) ~ ~ BLOCK <br /> <br />CITY OF ZEPlfYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTKBNT 5335 8~ STRBBT ZBPRYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021' <br />DATE IUlCEIVBD <br />PLANS RBVIBW FEE . <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT?I 377 ?-Yo3y <br /> <br />~~~ ~( r <br /> <br />SUBDIVISION ~Of\QOd. p~ <br /> <br />PARCEL ID # ~ <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br /> <br />~- 00000 .... D~O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />(I INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMI~Y DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />DRESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ru yf Up PA~ 'fnod...to <br />BUILDING SIZE ///1 r '/) / I SQUARE FOOTAGE k{]1 <br /> <br />RESIDENTIAL: ~TTACH (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 />HEIGHT \ \ V'2/ <br /> <br />~BUILDING $ <br />fit ELECTRICAL <br />'fl1.. PLUMBING <br />~MECHANICAL $ <br />o GAS 0 ROOFING <br /> <br />I sbO b~ <br /> <br />/()U <br />. <br /> <br />PBRMITS RBQU8STBD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />. <br /> <br />W.R.E.C. <br /> <br />/3S--D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLqCK 0 FRAME <br />FINISHED FLQOR ELEVATIONS J?o<l'~I.Wr <br /> <br />o STEEL Pf OTHER <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO <br /> <br /> <br />BUILDBR it '- <br /> <br />SIGNATURE. ~1.1r; <br />. /' <br /> <br />COMPANY l}... s (J. 4l.. ,) 5 01 ~5 <br />STATE CERT OR REGIST # :r I..L~uui), 6DY <br />CITY PROCESSING # .2q'1 D <br /> <br />ELECTRICIAN <br />'7 <br /> <br /> <br />****************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY ))olplr.,;Y\) E.Jft<='A/ DY' J'_'S~5 <br />STATE CERTOR REGIST # C:ROonCJ,-<6;~ <br />CITY PROCV,gG It / /'ff? f. <br /> <br />****************************************************************** <br /> <br />~ <br /> <br /> <br />COMPANY \A. s A.- a.. U St:i ~ ) <br />STATE CERT OR REGIST # J\\ (')CX::.obo'f <br />CITY PROCESSING # . c2Q 'I L> <br /> <br />PLUJlBBR <br /> <br />">, '0 SIGNATURE <br /> <br />SIGNATURE <br /> <br />**************************~**************** 7t <br /> <br />COMPANY~{)I~ ;~) fI i \II ?;.\/1 e-/J//3 <br />STATE CERT OR REGIST # ry It Co?) .5'? J J f? <br />C~TY PROCESSING # /1'~ <br /> <br />********************************************~*t?~************ <br /> <br />IOICHAHICAL <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />