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<br />1;:',,' /0" ~ iJ115MON 0:: 32 PM ZEPHYRH ILLS HI..I I LD I NG FAX N Q, 8: 3 -780-0021 p, I:i D: /'')01 <br />CITT or ZEPHTR8ILLS ,~~ a>>.LICATIOH <br />aUltDlHCI DIlPAI''1'MI:NT 5335 ,!II st, "phyrhi.U., I'L 331142 ~ <br />81J-780..00:20 rAX1'U-710-0021 1 'IJ OJ <br />DAft RlOI!VIlD <br /> <br />" <br /> <br />g;r; c.:r 5f?~R1S l'HeM CON!ACT J'OJt hRMI!ltlMO <br /> <br />OWNER'S NAHI LOflClre... ce(\-terSi._~'(')c.. ' <br />.roa AClDUIS. 7~ ~S-,6~JJ J2!yd, Zep~r~lj,s J FL <br />LEGAL DESCRIPTION: LOT'S) aLOC~ SUBDIVISION <br />~ - -....----- <br /> <br />PARCEL 10 t ~;''''d.l 0 Lb-{) O{)Q..(}O_()O 10 <br /> <br />PHON~ q '-II ''-I <;; ~ <br />3 3S 4. \ <br />.. <br /> <br />oa. 70 <br /> <br />{~TAt>> rRnN PJap~RTYTTAX NOTtC!l <br /> <br />WORK ~ROPS~Dt ON~TRUCTION <br />~IGN <br /> <br />o ADDITION <br />o lVJOVE <br /> <br />o AM'E AAT I ON <br />o DEMOLISH <br /> <br />CJ REPAIR <br /> <br />(J INSTALL <br /> <br />PROPOSED USE:CJ9GL FAMILY DWELLING <br />DC<HfERCIAla <br /> <br />OMUL'U-FAMILY <br />o INDOS'l'RIAL <br /> <br />D. OF ONITS <br />o SWIMMING POOl. <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DEaCRI.rION O. WOkK <br /> <br />c:J RESTAURANT & HEALTH,DEPARTMENT APPROVAL <br /> <br />I (\..sf-cti.L .I~n _I t s I fj-n '. _ <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SUE <br /> <br />HEIGHT <br /> <br />RES!DENTIAL: ATTACH (2) PLOT PLANS & (2) 5!TS O~ BU110ING PLANS. (1) SIT tNE~QY FORMS. <br />COMMERCIAL: ATTACH (3) SETS or BUILDING PLANS & (l) SET ENERGY FORMS. <br />IF StGN ~ERMIT ONLY (2) SITS OF ENGINEERED PLANS ~EOOIRED. <br />PRO~gRTY SURVlY REQUIRED FOR ALL ,NEW CONS~ROCTION, <br /> <br />o BUILDING <br />o EtmCTIUCAL <br />o PLUMBINQ <br />CJ MECHANICAL ., ..... <br />o GAS (] ROOFING 0 SPECIALTY <br /> <br />. <br /> <br />P&lVCZ:~' UQUBSTJ:D <br />J flY <br />~~ VALUATION OF TOTAL OONS7RUCfION <br /> <br />:Ji ~/'(1 <br /> <br />AMP SERVICE <br /> <br />o Proqr.se En.~qy 0 <br /> <br />W.R.i.C, <br /> <br />.. VALUATION (iF HECHANCIAL l:N81'ALl.ATION <br />o OTHER <br /> <br />TYP~ I)r CONSnUCTION: 0 IU.oCK <br />FINISHED ~LOOR ELEVATIONS <br /> <br />o fRAME <br /> <br />Cl STEEL <br /> <br />a OTHER <br /> <br />1$ FROJ!lCT IN fLOOD ZONa: AR~AO ytS 0 /110 <br /> <br /> <br />WIWI:,R ?e..+r-O~ s. MtlYlola.:: 'OS COMPANr, <br />SIQNATrJR~ yL..-:: ~ArE CER'!' OR REGIS'!' f (~C{)&'OIt.fO <br /> <br />1'\e <br /> <br />.*****..*.*~*.*..........*....**.*.....*****....**....*******..*.. <br /> <br />1WlC'l1\1ClIAH <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STAT! CERT OR REG 1ST * <br /> <br />~......*...*.......*~*......**.***.......*...........***......***. <br /> <br />.LUM8I:A <br /> <br />COMPANY <br /> <br />SlGNATOR&: <br /> <br />STATE CEI\T on ftEGIST . <br /> <br />lGQJWflCAL <br /> <br />.....................*............*****......****.....**......*... <br /> <br />COMPANr <br /> <br />SIGNATURE <br /> <br />- <br /> <br />O'tHlla . <br /> <br />~ STAT! CERT Oft REGIST f <br />;1 , , <br />........***......**~**~.**..*......**~***.*.**...**.**..~.....*.. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR I\EGI~T . <br />