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<br />OWNER'S NAME C ((1/ r efl-e. PII VCA... <br />JOB SITE: ADDR~SS7:::4o. . K/clge Way <br />LEGAL DESCRImON':'- LOT (S) ~ -{I tJ BLOCK <br />PARCEL ID # 05 - c? ((, - (). / - O!30 - oOoDO -()t.;6 () <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION <br /> <br />CITY OF ZEPRYRHILLS PERMIT APPLICATION <br />BUILDINQ DBPARTMBNT 5335 8~ STREBT ZBPBYRBILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RECBIVBD 10 - ':;I(-o~_ <br />PLANS REVIEW FBB <br /> <br />Dr, <br /> <br />PHONE CONTAC'l{g/3) r; / V - 9 VI 5' <br />Z ep /z i..1 rr-h / /15- <br />'/, <br />SUBDIVISION Ce;?.hjV- k/;.fq'e <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />~OBILE HOME <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />New <br />, dt'X5&' <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />fV7{)b; Ie <br /> <br />thn7E '-Pltl.C e y'l'eflf <br />SQUARE FOOTAGE IS w j' <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (-2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />Ii' BUILDING <br />nf ELECTRICAL <br />[B"'PLUMBING <br />hCHANICAL <br /> <br />$30/0{) 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />GY OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDBR <br /> <br />Q~/?~ <br /> <br />SIGNATURE <br /> <br />PL"""BR ~" <br />SIGNATURE' ~81J-7-- <br /> <br />BLBCTRICIAN~' ....:.. ..~.. ....~. ~. .r...... ... ::: .;:~: ~~: E nHr iff ze < <br /> <br />~. ~~ STATE CERT 6R REGIST <br />SIGNATURE C-.. - fJY P.ROCESSING # <br />, 7]);.1 ~M;) <br />********************************* * ~~***** p , . <br /> <br />COMPANY - r. J?u II kr <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />SIGNATURE <br /> <br />******....72....~...........****"'** *,**** t"'***. *'**-*'*. <br />4.. . COMPANY"~ ,~S ~ms <br />' / <br />I/o /./ STATE CERT 0 REGIST # C;4f'()$71IF <br />~--- ~-I - C~TY P~o SS NG # 17'" <br />, ..................................~~~~~~~ <br /> <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />