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<br />L:l.'!'X Of' ZEIJHYRHILLS PERMIT APPI-4ICATION / CA1?i!t-rf I tJ -';[--02- <br />aUILDIN~ DBPARTMIllN'I' 5335 B.th S'fRIllIll'f ZIllPHYRHILLS, Ii'L 33540~. ~~.. . ': . q. <br />PhoneI813-780-0020 FaxI813-780-0021 <br />.., \UiYV'1 DA'l'Ill RBCllIIVBD 1Q:-: :(J:::tZ_ <br /> <br />OW,"R' 8 HAl"E +::LIJN~ -S ~ meRe M47 S :::: :::,:,:~;~~~ -'1- (,"'77 <br /> <br />,WB SITE ADDRESS 7. s~ S. {rAil BLu~__ L~i4JhJL- _ <br /> <br /> <br />LIllGAL DESCRI1'TION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PAU(.,'~'L ID # Jt..../. - '\ l.-"'- '1 (OBTAIN F'ROM PROI?ER'l''l TAX NOTICE) <br />A .", -...:> coo{ i:::! - rA }- QQOo- 00300 -00 z.~ ' <br />WORK I?ROI?SED; DNEY/ CONSTRUCTION 0 ADDITION 01tLTERATION 0 REPAIR [] lNSTAI,I, <br /> <br />OSIGN <br /> <br />o JVIOVE <br /> <br />o DElvlOI/ISH <br /> <br />PR01'OSED USE: OSGL FAMILY DWELIJING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF mUTS <br />oSY/IMMING POOL <br /> <br />[] MOB H,E HOME <br />IJ OTHER <br /> <br />~COMMEJRCIAI, <br /> <br />o INDUSTRIAL <br /> <br />D RESTAURANT & HEALTH DEPARTMEN'I' APPROVAL <br />DESCRIPTION OF WORK ~U~-rfjf/ (J(dfrtecJ Cdd,ees.s;:)3>J~ <br /> <br />F~L nJC;R.h <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />BElrm'!' <br /> <br />RESIDENTIAL: <br />COlvlMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUIIJIHNG PLANS & (1) SE'r EN ElRr#'t' FORMS. <br />A'!"rACH (3) SE'rs OF BUILDING PLANS & (1) SEJT ENEJRGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />fERMITS REQUESTED <br /> <br />o I3IJrUlING <br /> <br />$ <br /> <br />t1~600Z- <br /> <br />VALUATION OF TOTAL CONS'I'RUC'rrON <br /> <br />[] EJLEC'I'RICAL <br /> <br />AMI? ~ElRVICE <br /> <br />[] FLORIDA POWER <br /> <br />o W.R,E,r.. <br /> <br />[] PLlJ/I113ING <br /> <br />o I1ElCHANICAL <br /> <br />9 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFWG <br /> <br />o SPEcrAL'I'Y <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCTION: lJ BLOCK <br /> <br />o FRANE <br /> <br />[J S'l'EEL <br /> <br />[] OTHER <br /> <br />FINISHED FI,OOR EI,EVATIONS <br /> <br />I S .PRO'] ECl' IN !.<'LOOf) ZONE AREA 0 YElS <br /> <br />[] NO <br /> <br /> <br />5UILDIilR <br /> <br />CDt-1PANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***.**.*.**-**..****.*****...*.*.****.**********.*-.****.*.*.**... <br /> <br />lIlLBlCTRICIAH' <br /> <br />S I GHNfURE ____.______ <br /> <br />cor"1PAHY <br />STATE CERl' OR REGIS'!, # <br />CITY PROCESSING # <br /> <br />---------------...- <br /> <br />*.*.**.****.*.**..**.***.._*-**...*****.****.*.***_._-**t***t*_**. <br /> <br />PLUW:lIiIR <br /> <br />COMI?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGHA'l'l1RE <br /> <br />MBCHANICAIJ <br /> <br />..*.*.**.t*****..*.*****.*.********.*******.*****.**************** <br /> <br />CO/vlI?ANY <br />STATE CER'f OR RElGIS'l' # <br />CITY PROCESSING # <br /> <br />SIGNA.TURE <br /> <br />*******.****..*.*-****.****.**********~*..******.**..*-**-.****** <br /> <br /> <br /> <br />Om. ~ C Jc,~ <br />SIGNATURE )~ _ <br /> <br />COMPANY .5eCuf<...,'T/ CCY'J ce?TS <br />S'l'ATE CERT OR REGIST # e.F--C>oollc!:.:3 <br />CITY PROCESSING # <br /> <br />*..******..*..*****.****.*.*..*.***********.**....*.*.**.**... <br /> <br />