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<br />.,~,-, .-........ .".i:~::' T,'r't ,~~ <br /> <br />~'"I <br /> <br />ZEPE'~:;:F. I :":.S ~;U::"D I NG <br /> <br />F~:~ ~1 813-7eJ-C;:~: <br /> <br />C~TY OF ZE~HYRHILLS PZRMIT APPLICATION <br />BUILDING DEPARTMENT 5335 a" St, Z~hy~hil18, FL 33542 <br />913-780-0020 FAX: 913-790-0021 <br /> <br />DATIl JUlQ1IVJlD -__ <br /> <br />PHon CotlTN:T Jl'Oll. HRM'ITTINGl <br /> <br />-~ I 1/ J:A . j <br />OWNER'S NAME ~i ~ {:.J J..c ~ (/itlV.-S <br />JOR ADDRESS.. LoT Z9D JE.I1'II!t2r.J4:J H;tiv/-e <br /> <br />PHONE <br /> <br />353;;;L fir /'--!i;? <br /> <br />dr <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1D 1I ?:...<f-lfo-l.I-0070,.. axoo-'L.4'OO <br /> <br />(ClR'fI\TN FROM PROPERt_L.TAK.JiQ~ <br /> <br />WOR!'. P~.OPSED: DNEW CONS'fRUCT:ON <br /> <br />o ADDITION <br /> <br />o I'Ll' EAA'rI ON <br />o DENIOLISi! <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />O;;;:;:;'JN <br />PRCPOSED USE: OSGL Fl'.MIL Y iJwELLING <br />OCO!1MI:RCIAL <br /> <br />o MOVE <br /> <br />DHULT:;:-.A1~ILY <br />o lliDOST1UAL <br /> <br />0* OF UNITS <br />o SWIMMltJG POOL <br /> <br />o MOuILE HOZ>lS <br />o 0'[ HER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVA", <br />DJ:8CllIPTION OF WORK ~6~i:7//4j' 1J~,'e 4;-- Sbe~,.1(/9J f ~/A/~.,b~ <br /> <br />eUILDlt'G SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT ______._ <br /> <br />RESIDEN'''IA",: ATT.l\.Cli (2) PLO'I' PLANS & '2' S.G:TS OF EUILDING PLANS & (I) SET EI-lERGY "")Ill.jS. <br />COMW1,RCIAl., ATTACH \ 3) SETS OF BUIL;:>ING ?LANS & ,; I) SET ENERGY F'CRI1S, <br />IE' SIGN l'BR..~IT ON::'Y (2 i SE'rs 0>' ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REI)UIREO fOR ALL NE\~ CONSTRUCTION. <br /> <br />o BOIliHNG <br />o ELECTRICAL <br /> <br />$ <br /> <br />~ PERMITS REQUESTBD <br />1.31! _ VALUATI::lN OF TOTAL CONS'fRGCTION <br /> <br />---- AMP SERVICE <br /> <br />o Proq.t-ess ,,~nergy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o ME:CIIANICiIL <br /> <br />$-,- <br /> <br />VALC,".TICN OF MECHANCIIl.L INSTALLA'UON <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o Sf'M:IAL~'Y <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o lo'R.i\.ME <br /> <br />o STEEl, <br /> <br />o OTHER <br /> <br />J;'lNlSHED FLOOR B:LlVATIONS <br /> <br />IS FRO,JECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />E:t.EC:rRICIAN <br /> <br />COMI?ANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS! . <br /> <br />*+******~********~.****.k.**+.***************.*.~**.*****...*..*.~ <br /> <br />PI.UHUR <br /> <br />CJMPANY <br /> <br />SIGNATURE <br /> <br />---------------------~ -_._--~ <br /> <br />STATE CERT OR REGIST . <br /> <br />MECIiNU;CJU. <br /> <br />~******~*~******y~********~***********~***.**.*...*~~.~.*~****~*** <br /> <br />Cl)~PANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />**.~~*******.*******~.*******.~*******w*******..********~~*.**~~* <br /> <br />OTHEA <br /> <br />COMPANY <br /> <br />SIGNATURE .____,____ <br /> <br />STATE CERT OR REGI3T . <br />