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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHI <br />BUILDING DEP <br /> <br /> <br />c /) i _ -- ~ '7(}-'(' <br />o 00 / ::; ,rLf' / .' .~ <br />/- 1J '., <br />DATEc:Jc~711-1? <br />PLANS REVIEW FE~_/~/~ <br /> <br />OWNER' s NAMEC~CI~t;: ~..,t.w~ ~. <br />,JOB ADDRESS/'~D lOcll '&\~ <br /> <br />PHONE~ {~--7B~~~eA- CUL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />~GN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PR0POSED USE: D~L FAMILY DWELLING <br />'(,Z(COMMERC IAL <br /> <br />o r<1U LT I - f'AMI L Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF t'lORK ~~ ~~~l~s~sf~ \:Rw . ~ct~ )-Je..W ~ ~ ~/u:j.J <br />BUILDING SIz40~';)~ \ 6t/ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMJ.1ERCIAL: <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 />0 BUILDING <br />0 ELECTIU CAL <br />0 PLUMBING <br />0 MECHANICAL <br />0 GAS o ROOFING <br /> <br />$ <br /> <br />iJD <br />/.3 /-j ~I/- <br />, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FI{AME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />1__- <br /> <br />CON'.l.'RACTOR-~SECTIO~ <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******~*~**********-k********************************************* <br /> <br /> <br />COMP~Y~~t-.l~ St~ 4 ~ ~l-\. <br />STATE CERT OR REGIST ~ E~~3. <br />CITY PROCESSING # \ 4-"16 <br /> <br />****************k***************.********************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # . <br /> <br />SIGNATURE <br /> <br />***********.*******A****************************************k****** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************~*~******.**************k************************~*** <br /> <br />SIGNATURE <br /> <br /> <br />COMP~~~'t't~~ <br />STATE CERT OR REGI ST SO "3- <br />CITY PROCESS ING # ~141 ~ <br /> <br />OTHER <br /> <br />*****************~*****************k********************** <br />