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77Cj-j'832 APPLICATION FOR PERMI \~' i 6 ' CITY OF ZEPHYRHILL . ~ BUILDING DEPAR (.)t;\~\iTE RECEIVED 10 /2 /1 q \0 ./PLANS REVIEW FEE OWNER'S NAME \JC4 ~ c.... 0.... ~ v..- S ~,Q..\.l \ \ \Jl.L <:0 ~ f;::;>.~~ ~~~ l:::.~ ~,~~ ,~~,",I.\~:\\S \ t\ . SUBDIVISION \~.c-4J .~ (OBTAIN FROM PRO~ERTY '1':: :OTICEI PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) \~c>(''1~33 BLOCK PARCEL ID #\")-?.In-2\~~-o<::oc:>e--O\~O WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION ~ REPAIR o INSTALL Os I GN o MOVE o DEMOLISH PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME D OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~'Nn \0 \'i"\~,~ \\~~ ~\~~(U'cl \ ~ -S~c.J~~,C)~ . \ i BUILDING SIZE;J.Y'f-rJ SQUARE FOOTAGE /..21Ji HEIGHT 1 Fe RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, .~ PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UILDING ~LECTRICAL PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D FLORIDA POWER D W.R.E.C. ~LUMBING ~HANICAL $ o GAS ~OFING D SPECIALTY TYPE OF CONSTRUCTION: ri BLOCK VALUATION OF MECHANCIAL INSTALLATION D OTHER o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO COMPANY ~ ~ ,,<Ot;~ ~ CCc~Q ~t'<'C""I~L, STATE CERT OR REGIST #("4 "'LJ~9~' f 3 CITY PROCESSING ~ BUILD~ SIGNATU E:Lr~c9~)h ****************************************************************** ELECTRICIAN rJ SIGNATURE rr-A.1 (1....._i~q _ COMPANY 0~r ~ '~\.pd(''t.c._ STATE CERT OR REGIST # ~-(J\\ nctD ~ CITY PROCESSING # 'In . ****************************************************************** PLUMBER - , _ ~~ COMPANY~ \<c:j:>'.C\S:::.GA ..,...,.." ~ Pi-;;;:! ~ Y; STATE CERT OR REGIST # C 17:;0 5};r->Z;J SIGNATURE /~", /'t'f!'~ CITY PROCESSING # f3 * * * * * * * * * * *, * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * * * * * * * * * * * * * * * * * * * MECHANICAL COMPANY rt/~ p;Z. 41= T>>~./ :&~ // , /.~u-d ~/ STATE CERT OR REGIST, CA-~ Z./~fS- SIGNATURE ~~~ ~~ CITY PROCESSING # )~ '- ***************************************************************** OTIIER ~ COMPANY~O-\ 'c.., '?ct>~ . .. . TATE CERT OR REGIST # \ SIGNATURE . ~~~/~;P~ITY PROCESSING # 1,\ ***************************************************************** "