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<br />EvUfJ ~~4 <br />at, <;-:t- ~ <br />. L/ 1..,-'...:v'\ <br />OWNER'S NAME l.-~ fld ,'fl'l <br /> <br />APPLICATXON FOR PERMIT <br />CXTY OF ZEPHYRHXLLS <br />BUXLDING DEPAaT.MENT <br /> <br />;z -~ -l!>~.-/ <br />DATE RECEIVED -- <br />PLANS REVl:EW FEE <br /> <br />: a , <br /> <br />,t} (Xl M)'\tle rrf-5 T(v I PHONE 5/0 7 - :/ ~9 ")_ <br />JO(:AD~~S.~ ~l.tl?~",~Ott./J. ~ k <br />., LEGAL DESCRIPTION: LOT IS) BLOCK S~~SION <br />PARc:EL io" ?,LI'" ~5""" - ? /-CJO:.JO-t:b3DO' c.cfo (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />...-1 <br /> <br />DSIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />.1, <br /> <br />o Avon'ION OALTERATION o REPAIR [J INSTALL <br />o MOVE 0 DEMOLISH <br />~TI-FAMILY [JII OF UNITS [J MOBILE HOME <br />o INDUS'l'RIAL o SWIMMING POOL o OTHER <br /> <br />. 0 RESTAURANT & HEALTH DEPAR'fMEN'f APPROVAL <br /> <br />DESCRI PTION OF WO~K B c( " I" Un t' +- jq.;'AA .Nmen+ f3u \ \dW~ <br />. . . JQI 11:\ ~ "'/ ' <br />BU~~~ING SIZE ,y --6 1\ ,C)(J SQUARE FOOTAGE.' HEIGHT ~_ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P & (1) SET ENER~Y FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING. PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED F'OR ALL NEW CONSTRuc'nON. <br /> <br />'.' <br /> <br />19~ILDING <br />~{LECTRlCAL <br />~LUMBING . <br />~CJlANIC1\L $ <br />[] GAS '~FING [J SPECIALTY <br />Ty~~,t~~:~~~~;RUCTION: ~OCK <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o . W,R.E.C. <br /> <br />VALUA'l'ION OF MECIIJ\NCIAL INSTALLATION <br /> <br />o O'fHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o O'fHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br /> <br />, !.. ... '. .!Il <br /> <br />COMPANY Sa n.oll/ De. v~ I ~lY)e.,,"t <br />STA'l'E CERT OR REGI'ST 1# (1 t3 c. .. C> 'I",;) l' <br />CITY PROCESSIN~ 1# <br /> <br />..................................................... <br /> <br />,',\ , <br /> <br />COMPANY F,'I S +- C lcos f: (~d ~. <br />STATE CERT OR REGIST 1# t::cc> ~'5"? 0 <br />CITY PROCESSING 1# I 'I It:' <br /> <br />ELBCmZC <br /> <br />SIGNATURE <br /> <br />\ : '1,/1 <br /> <br />.......................................:............K, f) A <br /> <br />. j'1JcYl~ 1~.J~~ <br />~. . (' J " r. COMPANY 1# ?!k7C F) <br />nn STATE CERT OR REGIST ~__~_ <br />.. (j.J ~J_><JO.._ ~ CITY PROCESSING II J / <br />. . . <br /> <br />.............................................:::!... .;...... ... AA. r+- <br /> <br />COMPANY 1" ,",;y... I 4!O ..., . <br />STATE CERT OR REGIST 1# I J "'^"'" ...J CI <br />CITY PROCESSING 1# . ~11 S-O f7t:j&; ~ <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />.... "!,';. .:' <br /> <br />NBCJlARICAL <br /> <br />-. <br />. t.f; t I: ,.1: .J.:"~ !': ..,. . <br /> <br /> <br />..................................................... <br /> <br />SIGNATURE <br /> <br />OTIIBR.l <br /> <br />',:,; qnj~..~..r" J't't.,.:", <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />................................................................. <br /> <br />....._..............~.,-..~';~.... ". l.'n <br />"\:"H': ; <br /> <br />", " <br />.." .'~' <br /> <br />'"... " <br /> <br />',I,,', <br /> <br />\:..: <br />