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<br />,Jun.;l,2002 9:48AM <br /> <br />CITY OF ZEpuYRHILLS <br />.IIU' K .u~" LArtOH rea ~EIaIII'l' <br />C1:'l'% or ..Pfl!U'XLLI <br />BOJ:LDI:WCJ DRPAaftlERr <br /> <br />rJ 0 ' 1 9 3 ~ p, I. <br /> <br />DAB UCllrvBD <br />PLU'8 uvnw I'D <br /> <br />DmlI1iR' S NAME <br /> <br />/) a -..1- <br />1"),~~.~~,,f',;1 <br />-j& s I ______~__ '~ <br /> <br />PHONE 4:7; Z 77 '75"/0 <br /> <br />J'iJB ADDRltSS <br /> <br />LEGAl, DESCRIPTION: LOT IS) <br /> <br />BLOCK <br /> <br />SUDOIVISIOH <br /> <br />PARCEL ID # <br /> <br />'O~ATN PROM PROP~RTY T~ NOTICE} <br /> <br />WOR~ PROPSED: Dwgw CONgTP.UCTIO!~ <br />~IGN <br /> <br />o ADDITION <br /> <br />OAL'l'EMTION <br /> <br />o REPAIR <br /> <br />o INS'fALL <br /> <br />o MOVE <br /> <br />o Dr.MOl.I8ft <br /> <br />PROPOSED USE: [JSGL F~LY DWELLING <br />~MKliRCIAL <br /> <br />01,!tlL'rI - FAMILY <br />o INDUSTRIAL <br /> <br />[J. OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br />I <br /> <br />CJ RESTAURANT r. HBALTH DEPARTMENT APfROv:AL <br />DEseR,I PTION OF WORK r~...;- G<J~-t? s: !3- J; 5 <br />BUILDING S1Z~ flLln-r.f {q/D -,(.. 6~O (o...j~/c;~dARE FOOTAGE..;20 ~ /h 7 <br /> <br />/ <br />HU~H'I' ~ <br /> <br />RJ:SIDENTIALs <br />COHMBRCtAL: <br /> <br />AT~ACH (2) PLOT PL1\NS . (2) SE1'S OF BUILDING PLAN! t (1) Slfi ENRRQY FORMS. <br />ATTACH (3) SE'rs OF BUILDING PLANS, III 8ET EHERGY roRMS. <br />PROPERTY SURVEY RKQUIRED roR ALL NEW CONSTRUC1' I ON _ <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br />o !r.ECTRlCAL <br /> <br />$- <br /> <br />30 Ilb D <br />) <br /> <br />~UATI0N OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POtiER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br /> <br />}Joe <br /> <br />o PL\1rfUNG <br /> <br />[j MECHANlCA.L <br /> <br />$---- <br /> <br />VALUATION OF MECImNCIAL IHSTALLATIOIl <br />[J OTH&R <br /> <br />o lihS <br /> <br />o ROOfING <br /> <br />o SPECIALTY' <br /> <br />n PI Of' CONSTRUCTION: 0 BLOCY. <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~lKr5HED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN !'LOOD ZONE ..&J\D..D YES D NO <br /> <br /> <br />COMPANY ~/2(c/~ <br />STATE CERT OR REGIST # ~ <br />CITY PROCESSrNG * ~q <br /> <br />SIGNATUP.K <br /> <br />**~....~.*........***............*..*.........*................* <br /> <br /> <br />/ ,//. COMPANY , <br />STATE CBRT OR ReGIST # <br />CITY PROCESSING . <br /> <br />~~jA <br />ee~ 'flK/ <br /> <br /> <br />..*...~..*_.~...*........~.*............................ <br /> <br />I'LOIIIID <br /> <br />SIGHATURE <br /> <br />COK~Nn' <br />STATE CE~T OR RBGIST 8 <br />CITY P.~OCESSING i <br /> <br />..~.*............*............~.......^.............**........**... <br /> <br />"CllUICAL <br /> <br />CctofPMY- <br />STATE C!RT OR RgGIST ._ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.......................................................*...~**.** <br /> <br />OTlllD\ <br /> <br />C(ll.fPANY <br />STAT& cmRT OR REGIST . <br />Cl'l'Y PROCESSING . <br /> <br />SIGNATURE <br /> <br />......*+...**....~*~...*............*......*.....*..*K****....*** <br />