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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />'VG.- 1?lA. V~ <<... V S ~"- <br />~t45 19~' sr\.. <br /> <br />JOB ADDRESS <br /> <br />PHONE 61 >-1~'2... - ~ ~l ~ <br />~'-'.'fu-~: \\ ~ l::tJ. s "3$'f'J <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />())...~1-t..-~\-- <br /> <br />BLOCK SUBDIVISION <br />(3 \ q ~ _()<9(!)(JJC)r 1~~~TN FROM PROPERTY TAX NOTTCF.l <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION KrREPAIR D INSTALL <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: b(sGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />o <br /> <br />RESTAURANT & H~TH DEPARTMENT APPROVAL <br /> <br />~ "",\\ ~ b <br /> <br />SQUARE FOOTAG <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D BUILDING <br /> <br />$ <br /> <br />~ PERMITS REQUESTED <br />r ,~ <br />'1 ~ 7 VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL $ <br />D GAS ~OOFING D SPECIALTY <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 />...---"\ <br />~ /) <br /> <br />:// <br /> <br />COMPANY l-\ <s M ~.\);~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~\+ :t\--\~~ \~ <br /># <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />