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<br />... - <br /> <br />., <br /> <br />CITY OF ZEPH~~HILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT '5335 Sth STRBET ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RECBIVED <br />PLANS REVIEW FBB <br /> <br />.~ <br /> <br />'" <br /> <br />OWNER'S <br /> <br />NAME &~\I/~ :h~r"-~+ <br />ADDRESS G-a. \..;. <br /> <br />PHONE CONTACT <br /> <br />JOB SITE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />~TERATION <br />[J DEMOLISH <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />DESCRIPTION OF WORK <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~COMMERCIAL <br />c:J RESTAURANT & HEALTH DSPARTMENT APPROVAL <br />\ ef\CW\+ --e:u'l \~ .'r:M+ LA", ~ f r~ 1/ <br />SQUARE FOOTAGE / S; 3 7 S- HEIGHT <br />, <br /> <br />[JMULTI-FAMILY <br /> <br />r/J # OF UNITS <br /> <br />[JMOBILE HOME <br />[J OTHER <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />SIGNATU <br /> <br /> <br />****************** <br /> <br />COMPAN~lld 3: 'S;f{~~ 4 <br />STATE CERT - OR REGIST # ~ 0 <br />CITY PROCESSI~~ 4~2. 7 <br /> <br />*********************~J2~************** <br /> <br />COMPANY Pc~( .... ')~ l <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br />I ' 0 <br />'-1'-, <br /> <br />BUILDBR <br /> <br /> <br />)< <br /> <br />PLUMBBR <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />~J:TY~CE~SING # <br /> <br />******~*~**~~~*********** <br /> <br />COMP1\Ny SifY100 K~ ' <br />STATE CERT OR REGIST #e, 0. r <br />CIT ROCESSING # <br /> <br />............ . .~~..~....... <br /> <br />