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<br />Pe.C2.7~vJ'S '~_I( ;:.;- fJuT~ c~(2.Tc,i//~'j <br /> <br />I <br />OWNER'S NAME t:=" \ ~ . <br />..-- f'1r\ \ e ~G dL rv-.. 0 ~ <br />JOB SITE ADDRESS '3> 2 03:1' Nor '+h A v'C-, _ <br /> <br />I I <br />CITY OF ZEP!tYRHILLS PERMI I~ APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET m!:PHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 cy~~~ <br />DATE RBCEIVED -f '( d7!tJ- 5 <br />PLANS REVIEW FEE <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />0;;;' <br /> <br />BLOCK ~ v, <br /> <br />SUBDIVISION <br /> <br />."J/ <br /> <br />: <br />PARCEL ID # O~ -;}.lo 'd.-( ~ O'Oc> 0 -CO(c,DO-Oo/Q (OBTAIN <br /> <br />WORK PROPSED: ONEW CONsTRucfrroN 0 ADDITION DAL'J~]i:RATION <br /> <br />FROM PROPERTY TAJ: NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />~IGN <br /> <br />D MOVE <br /> <br />D DHI'10LISH <br /> <br />PROPOSED USE: []SGL FAMILY D~ELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o fJlOBILE HOME <br />o OTHER <br /> <br />[] SWIMMING POOL <br /> <br />D ~ESTAURANT & HEALTH DEPARTMreNT APPROVAL <br />DESCRIPTION OF WORK ~l..:::ri!aAl: "'8 ~~~& g<- O_C\,~ -L../'o....lL~ <br />BUILDING SIZE I C\ X lo q SQUARE FOOTAGE --1J 40 HEIGHT <br /> <br />dD' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2)PLO~ PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3 ) SET~ OF BUILDING PLANS & (1) ElJ~T ENERGY FORMS. <br />PROPERTY SURVE~ REQUIRED FOR ALL NEW CON~ITRUCTION. <br /> <br />. . ._) D('br~ <br />PERMITS RBQUES1~1m (fJ) 13 () _ 85 / S <br /> <br />VALUATION OF TOTAl. CONSTRUCTION <br /> <br />$ <br /> <br />o BUf:LDING <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALty <br /> <br />VALUATION OF MECW"'CIAL INSTALLATION ~ ,.5t} 0 / <br />o OTHER ~r <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: [] BLOCt <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />SIGNATURE <br /> <br />L)'l, .S-~. COMPANY_ L ~ CO C-o f'"> <br /> <br />/ ~ Z;~ J,{ ~i. ~i~~ P;~:~~S~~~'GIST <br /> <br /> <br />***************~****~********************~******** <br /> <br />i <br /> <br />BUILDER <br /> <br />ELRC'l'RICIAH <br /> <br />.:----..---.--.j- - <br /> <br />COMPANY__ <br />-~-.--_.- .STJITE-~CH]IT"-OR"REGTST-~'# .-.. <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****************************************~,************************ <br /> <br />PLUMBER <br /> <br />COMPl'.NY..----- _____.._____ <br />STATE Cm~T OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***************~*~*******.***************.************************ <br />COMPANY__ <br />STATE CmtT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************~************************************************* <br /> <br />OTHBR COMPANY <br />STATE C]~RT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />*************** ************************************************* <br />