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<br />APPLICATION FOR PEmfI <br />CITY OF ZEPHYRHILL <br />BUILDING DEPAR <br /> <br /> <br />S'G 7 -ocl/~ <br />"!;(J/:;tj <br /> <br />, <br /> <br />OWNER'S NAME...1a/l,v Ir-~ Oi-/flfltrJ - ;r!fl-<')),'f1-l{rn;4 I,. ;U,'tlJq UU-Sr: PHOJ'B... ? f ). -!? 3 7 g <br />JOB ADDRESS <69ot - /0 / a;:rA lj-: <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # II - d ~ -.2/ - f) 0/0 - 089 tJ(J -() /!()O (OBTAIN <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION ~TERATION <br /> <br />FROM PROPERTY TAX NOTICEl <br /> <br />D RE:PAIR <br /> <br />D INSTALL <br /> <br />D SIGN 0 MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~TI-FAMILY D#"'20F UNITS <br /> <br />D MOBI LE HOME <br /> <br />D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br />'" ~~~"\' <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL t.~" 1) \::) <br /> <br />DESCRIPTION OF WORK <br /> <br />~w s-yj(vcTH,L <br /> <br />o~ <br /> <br /> <br /> <br />BUILDING SIZE <br /> <br />z~ Go <br /> <br />C'D~--J' SQUARE FOOTAGE /3'92, 0 <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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />D ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />SIGNATURE <br /> <br />cdL f/edI <br /> <br />;:J I -- <br />COMPANY . ::J oS C"'} tV S ./ <br />STATE CERT OR REGIST # ~A. c 0 .3:3 '9 Z. J <br />CITY PROCESSING # ~ ,1'11 <br /> <br />BUILDER <br /> <br />********************************************************~********* <br /> <br />ELECTRICI <br /> <br /> <br />COMPANY 't:~s-c r?/fi-S: s Fe r +<fC ;c.' <br />STATE C~RT OR REGIST # Olo ( I s:- J 7 <br />CITY PROCESSING # /1/ c; <br />. <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />