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<br />-!J~# , t( <br />, , /' . <' J ~ l-\iMt <( S -fL{ tL("/e~ <br />Yiop6L U, J -' Sg b<A ( g (;L S.J- <br />~1(f' <br /> <br />- v~aCRIPTION. LOT(8) <br /> <br />CITY OF ZEPnYRHILLB PERMIT APPLICATION <br />BUILDINg DePARTMBNT Sl35 8th STReHl' ZHPHYRHILLS. FL 33540 <br />Phon..913-790-0020 raxI913-790-0021 J~. <br />DATe ~RCHIVBD ~~CI~ <br />PLANS RBVllItf FBB , <br /> <br /> <br />PIIONE CONTACT <br /> <br />BLOCK <br /> <br />SUBIHVISION <br /> <br />PARCEL 10 # <br /> <br />1(~r3..~ ~()-./ - 00'/0 - 01(POU- DIJ.O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITlOl;t <br /> <br />fJ AI.'fERI\T ION <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />[] REPAIR <br />~.Q-I\O~ <br />UN rf8 <br /> <br />o IN8TAI,'. <br /> <br />, <br />PROPOSED U8E: OSGL FAMIl,Y DWELLING <br /> <br />DMUL7I-FAMILY <br /> <br />0# OF <br /> <br />[] MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />D INDUSTRIAl, <br /> <br />o 8WIMMING POOL <br /> <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAl, <br /> <br />3", P 31,~ lU',wt / 3 C7 l3u <br /> <br />8QUARE FOOT~E <br /> <br />HEIGHT <br /> <br />~E8CRIPTION OF WORK <br /> <br />RES IDRN'rIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLAN8 & (2) 8ET8 OF BUILDING PL1\.NS & (1) SET RNERGY FORMS. <br />inTAcil (3) SETS OF BUIl,DlNG PLANS & ( 1) SET ENRRGY FORM8. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />PERMITS REQUaSTED <br />~<q(y~oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] BLRCTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o MRCIIANICAIJ $ <br /> <br />VALUATION OF <br /> <br />[] W.R.R~C. <br />'/ ' <br />1~ qfJ <br />/ 0 <br />MECIIANCIAIJ IN8T~"LI\TI N rf~?- <br /> <br />/ <br />-'" <br />o OTHER <br /> <br /> <br />o Pl,UMIHNG <br /> <br />[] GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLqCK <br /> <br />o FRAMR <br /> <br />[] STEEJJ <br /> <br />FINISHED FLQOR EL8VATIONS <br /> <br />18 PROJECT IN FLOOD ZONE AREAO YRS 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY QU) <~c!fr._..{lr oJ:~,wc _ <br />STATR CRRT OR RE(HST cc.. --ct)S'Z/ <br />CITY PROCESSING # <br /> <br />.................................................................. <br /> <br />IILBCTRICIAR <br /> <br />SIGNATURE <br /> <br />'r <br /> <br />COMPANY <br />STAT8 CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.................................................................. <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />... ". SIGNATURE <br /> <br />MBCHANICAL <br /> <br />.................................................................. <br /> <br />COMPANY <br />STATB CERT OR REGrST # <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />................................................................. <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIBT # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />................................................................. <br />