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<br />Ul'l'~ OF ZEl?HYRHILLS PERMIT APPIJICATION <br />BUILDING DEPARTMENT 5335 ~th S'!'REE'.r ZEI?HYRHILI.S, FL 33540 <br />fboneI813-780-~020 FaxI813-780-0021 <br />DA'!'E RBCBlIVBlD ~-.:~L-j)~ <br />PI,ANa RBVIEW i'IBI____~_ <br /> <br />mlNlllR'S BANE JEPFEn/!:.!L.ft. RAMey PHONE CONTACT 788-1576 <br /> <br />JOB SITE ADDRESS S8ti-(- 1;2.-ti:. ~. _ ZE'PJI'fIi!H;LL~ ,c""~':n2/"1t 33S4fO~_.._ <br /> <br />LEGAL DESCRIPTION: LOT(S) 170 BI.OCK S'ZOO SUBDIVISION Cit'"oF;?ePN4t'Jt'#~dJ' <br /> <br />I?ARc;ll:L ID #_.LL 'Z.b Zl OOlOOS2.CO OLIO (OBTAIN B'RON! I?~OI?ER'l'V TAX ~nrl'+CE) <br /> <br />WORK l:lROi'SED: ONEW CONS'rRI1CTION 0 ADDITION ~ALTERATION 0 REPAIR q nH~Tfl.I,I, <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: Q!{SGL FAMILY DWELLING <br /> <br />o COMMERCIAL, <br /> <br />o MUL'l'I - FAMILY <br />o INDUS'l'RIAI" <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D Mqa IJ,lj) 1I0Mlil <br />[) O'rHER <br /> <br />CJ RESTAURANT & HEAI,TU DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK NEW '"t>OOI2S ~ <br />. <br /> <br />BUII.DING SIZE Ib'~53' <br /> <br />R'e?A~R WI.t.J~S~ R~. HVAc...-. S~STc:M. <br />01 . <br />HEWU'r 0 ,~/~ <br />--...,-.,.. <br /> <br />SQUARE FOOTAGE <br /> <br />eso <br /> <br />RESIDENTIAL: <br />CO/Y1MERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUII,PIliH PldU\JS & (l) SET ti)NljlJtqy Ii'ORMB. <br />A'l''l'ACH (3) SETS OF BUILDING I?LANS & (l) SET ENERGY FORMS I <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />----- <br /> <br />f~~IT~ REQUESTID <br /> <br />~ BUIl.DING <br />l}l BJLEC'I'RICAL <br />[J PW1VJBING <br /> <br />$ '1 '2-7.L).O~ <br />, <br /> <br />VALUATION OF TO'l'AL CONS'l'RUC'I'lON <br /> <br />AMP ~ElRVrCE <br /> <br />o FLORWA POWER <br /> <br />o W.R,E.e. <br /> <br />!)a. I>1IilCHAN I CAI~ <br /> <br />$ <br /> <br />4,546. DO <br /> <br />. <br /> <br />VALUATION OF MIilCHANCIAL lNS'l'ALLATWN <br /> <br />'l'Yl:llii OF CONS'fRUCTION; 0 BLOCK <br /> <br />o FRAl'lJE; <br /> <br />o STEEL. <br /> <br />D OTHER <br /> <br />a,p.P- <br />1~- 9 I <br />1{9 <br /> <br />(] GAS <br /> <br />o ROOFING <br /> <br />o SI?ECIALTY <br /> <br />o O'l'HE;R <br /> <br /> <br />FIlUSHtiJD Fl.(JOR EI,EVATIONS <br /> <br />IS PROJECT <br /> <br />YES I:J NO <br /> <br />BUILOIllR <br />SIGNATURE __~~~~ <br /> <br />COMPANY D ;.4M.oNO ~~;~J INe- <br />STATE CtiJRT OR REGIS'l' # _C-1!C.o b~7r- <br />CITY PROCESSING ~ .2 76.9 <br />v OIL <br />.*t....*.*............................................*........... <br /> <br />liILBlOTucr.p.u <br />SIClHA'rURID -4~ <br /> <br />COI-1PAlH C. 11 c.. C:LE'Ci"R;c.. rNc... <br />- . <br />STATE: CERT OR REGIS'!' # E5'R- ClOI 0 o{.3 <br />CITY PROCESSING # ~~t; ~ ~ . )tf<: :~ <br />~ .. .._w.y~ <br />..................................*....*.......*.*................ <br /> <br />., LIDUUllR <br /> <br />COMPANY <br />STATE CERT OR REGIST If_ <br />CITY PROCESSING # <br /> <br />SIGNA'l'lJRE: <br /> <br />SIGNATURE <br /> <br />***.**.*............*..........***.**..*....*...*.....*........... <br />COMI?ANY 'Di4MoAJO c.oY)~c:.Ai^", rlVC- <br />~ ~ STATE CER'f OR REGIST # ~O"'Z13~~ <br />~ .I i~$~ ~ CITY I?ROCESSING # 277a <br />r . ~ <br />""" *" *" * *. *... * *. * *........ *.........."... .... *.....~ I.............. <br /> <br />MBlCHANICAI, <br /> <br />OTHJlIR <br /> <br />SIC3HATURE <br /> <br />CO/.1PJ\NY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />. i, <br />-Ii. · ** * · · · · · * · · · · · . '* .. . . .. . " .. '* .. .. . * . .. .. * . .. .. . . .. . . . . * . .. . . * * * 'it . . . . . . .. .'j;.. * <br /> <br />L <br />