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<br />L:l"l'Y OF ZEl?HYRHILLS PERMIT APPIJICATION <br /> <br />BUILDING DEPARTMENT 5335 ~th S'l'REE'1' Z.IllPHYRHILLS, iL 331540 <br />~hon.IB13-780~~020 FaxIBl3-780-0021 <br />rlA'.1'E RBCEI1/JIlD ___._~~_.~__ <br />Ii'r,ANS RBlVIIllW i'IB__._~- <br /> <br />miNER'S HABE ~~ ~y <br />,JOB SI'l'E ADDRESS ,.-l..d 70 ~qK'6'L <br /> <br />PHONE CONTAC'%1,~-(.,q~~~ <br />!?i.J~s.t~-JkJtje5/-'C cJi9jcf ~/u IIJ~K .. <br /> <br />70 <br /> <br />Br~OCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # ;;;2+- cJ.. & - C)./-OODO - (!JO/.;JD - <br />WORK PROl;lSED; ~W CONs'rRUCTION 0 ADDITION <br /> <br />009o'OBTAIN Ii'ROM PRQPERTY TAl{ NQ'l'fCliJ) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[] INaT#I~.l1 <br /> <br />DsrcaN <br /> <br />[]MOVE <br /> <br />o DEl"10LISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAl, <br /> <br />DMUW'I - FAMILY <br /> <br />o rNDUS'l'RIAl~ <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />[] MoSn,E HOME <br />IJ Cl'fHEit <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT &. HEAlmI DEPARTMENT APPROVAL <br /> <br />/:<;L56 fh~j~<-U4J <br /> <br />SQUARE FOOTAGE 00(:) HEWH'f <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDEliTIAL: ATTACH (2) PLOT PLAliS &. (2) SETS OF BUILDING PLANS &. (1) SET E/NIjlRQY FORMS. <br />COI>1IY1ERCIAL; A'!"l'ACH (3) SETS OF BUII~r)'mG PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />R~RHIT~ REOUE~TED <br /> <br />o BUn,DING <br /> <br />$ <br /> <br />/ 330 -coo <br /> <br />VALUATION OF TOTAL CONSTRuc'rION <br /> <br />D ELEC'J'RlCAI, <br /> <br />AMI? /3ERVICE <br /> <br />o FI.oRIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMB ING <br /> <br />o I<1ECHAJ:H CAI~ <br /> <br />9-- <br /> <br />VALUATION OF MECHANCIAr, INS'l'ALLATION <br /> <br />[] GAS <br /> <br />[] ROQFIHG <br /> <br />o SI?B:ClAI,TY <br /> <br />[] O'l'HB:R <br /> <br />'l'YPE OF COU8TRUCTrol~: [J BLOCK <br /> <br />o FRAME <br /> <br />D S'l'EEL <br /> <br />o OTHER <br /> <br />FINISHEO FLqOR EI,EVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO ~ElS 0 NO <br /> <br /> <br />ElUILnBlR <br /> <br />CQtiJPANY <br />STATE CEJRT OR REJGIST # _..__ <br />CITY PROCESSING # <br /> <br />fJIGNATURE <br /> <br />k**.'.*..*t_*_**...***.****...****.*._.*_*._.*.*_*.......**..*.*** <br /> <br />lGl.BCTRICIAN <br /> <br />COIV]PAl~Y <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE: _,__ <br /> <br />.--.--------;-------..........---..-..- <br /> <br />**..*_...**k***...*******__*._*.__._****..***...**_*_.***._.***.*. <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR ~EGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*********.**_t*_*********************__**.*************.***.*....* <br />COMPANY <br />STATE CERT OR REGIS'!' # <br />CITY PROCESSING # <br /> <br />M.IllCHANICAL <br /> <br />**************************************~*******~*******t***.*..*** <br /> <br />OT8._ C"" c^"'{~ <br />SIGlU~TURE~......c <br /> <br />COl1-t-,UJ[. fc> ~ <br />~~ <br /> <br />CONPANY ~5Lr<..('b Cou~,e~/.e ..)-PJ--?:ii:n,.R'lkc _ <br />STATE CERT OR REGIST # rAok<;a 00'7777 <br />CITY I?ROCESSIliG # A ~' -.r ., <br />1.IJ(t.-~ =-<,J o~, . <br /> <br />*..*.*.*.***.****.*.**.**.*...._*.*..._*..*_...*.****.t.*.*.t*.*_ <br />