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<br />3s;tl <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S 'NAMEJYlOJlLle) L-~ PHONE81c17~-~2lLJA <br />JOB tDeR't'J;~ aotb 81- 2e fhyrh:\US I -Pc. 3?YY-I1.J <br />LEGAL DESCRIPTION: LOT(S) \ BLOCK SUBDIVISION f?~ Acre.... s <br />PARCEL ID # \ -3 'c9\D . 0:>\ . bl aD . r:::c:::c:co. ~l D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEWCONSTRUCTION [J ADDITION [JALTERATION ~ REPAIR [J INSTALL <br /> [J SIGN [J MOVE [J RbD-P- <br /> DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING ~MULTI-FAMILY [J# OF UNITS [J MOBILE HOME <br /> [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />S, ,- reJle Re - RDO-+ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />/80t) <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL $ <br />[J GAS ~ ROOFING [J SPECIALTY <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />/" <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />,.,/-.. /) <br />(.~. ./A~jb <br />I ./ I / <br />" \ L/ <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />=TU~~ <br /> <br />COMPANY 1YJ i J fur (lDr\s-J.rud, ~ I vt(! <br />STATE CERT OR HEGrST # C1f3(JFiJ~;;>" <br />CITY PROCESSING # ~ <br /> <br />***************************************************************** <br />