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<br />L:.1'l'~ UI:" ZBiPHYRHILLS PERMIT APPIJICATION <br />BUlLDING DBPARTMEN'I' 5335 ~~li S'rREE'f ZEPHYRHULS, 1FL 33540 <br />Phonele13-780-~020 FaXle13-780-00~~ATE RBCEIVBD ~O_~;?~~ <br /> <br />PI.Al~S RBlVIEW i'BBl~___ <br /> <br />OIiNER' a HANE i.//t0/l .5d/1-k!../L <br />,JOB SITE ADDRE~S' __377oC{ IlIerA/11t- & <br /> <br />PHONE CONTACT <br /> <br />(OBTAIN FROM <br /> <br />;Z;~~i;j/D <br /> <br />'I I <br /> <br />I?RO~ER4y TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />p~ <br />~___::::::----c-. <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />BLDCK <br /> <br />SUBDIVISION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />D REPAIR <br /> <br />D lUS'I'Ar,I, <br /> <br />DaIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />J?ROJ:lOSED USE:: 08GL FAMILY DWELLING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBII,E HOME <br />[J (j'!'HER <br /> <br />D COMMERC IAI, <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEAI,TlI DEPARTMENT APPROVAL <br /> <br />77Ft. <br /> <br />f If <br /> <br />) SQUARE <br /> <br />I <br />//1, <br /> <br />J' -, <br />(!;lti011A,1~ ~.p/f~ <br />/) <br />d1EWUT .. <br /> <br />BUILDING SIZE <br /> <br />FOOTAGE <br /> <br />RES IDENTIAL: <br />COJl1MERCIAI" : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUU,DING PLANa & (1) SET ENliIR(~Y FORI4S, . <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, r--...dt, ' 0 0 W ' , "/-, <br />7(;3,;)' -7 ~/t ( <br /> <br />FI~ITS REQUESTED <br /> <br />V~lJILDIl'IG <br />[] ELEC'I'RICAl, <br /> <br />$ <br /> <br />s ~ () , l)~ <br /> <br />VALUATION OF TOTAL CONSTRuc'rroN <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E,C. <br /> <br />D PLU/'o1BING <br /> <br />[] Hii:CHhlUCAIJ <br /> <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLA'l'ION <br /> <br />o GAS <br /> <br />o ROOFInG <br /> <br />o SI?ECIIlLTY <br /> <br />o OTHER <br /> <br />'l'YPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAI'lJE <br /> <br />o S'l'EEL <br /> <br />o OTHER <br /> <br />FINISHED FI,OOR E!,EVATIONS <br /> <br />IS PROL1ECT IN FLOOD ZONE AREA 0 'lES <br /> <br />01'10 <br /> <br /> <br />BUILDER /' <br />8JGN'TURE'.~~~/ <br /> <br />CDtiJPANY /I-/1e77~/i/ rE-/1/Ct: ~ <br />STATE CElRT OR REGIST #__ <br />CITY PROCESSING # -d:2 9 9 ~ <br /> <br />**k*..*.***..........**.**.***.*.......*...*.....*.*......*.****** <br /> <br />ll1IJilCTR I C IAl'l <br /> <br />COlvJPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SJGHATURE ___"__'_____ <br /> <br />----~-------.-_-- <br /> <br />.i..*.****...**..***.......*.**.*.**.****.**...**.......**...*.*.. <br /> <br />PLUMI:lER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'l'lJRE <br /> <br />MECHAlUCAIJ <br /> <br />****....****..*******.*..**....******..**.*******.*.....***.*.*.*. <br /> <br />COMPANY <br />STATE CER'!' OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...*.**..******.*****************.****~..*...**..*..*.*.kt....... <br /> <br />OTHlilR <br /> <br />SIGNATURE <br /> <br />CO/'o'IPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.**.*..........**...*...........*......****.....***....*......... <br />