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<br />'" <br /> <br />gAPPLICATION FOR PElUfiT <br />no 1'7 CITY OF ZEPHYRRILLS <br />~I BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 1/'~{A..r..It ~.AAt'2:rU <br />JOB ADDRESS ..3 t'J ~ L/.1.J. .:...CJ.~L: &~ <br />LEGAL DESCRIPTION: LOT(S) I BLOCK <br />~ O? -e?C - :U-c:JOIC - ODD 0 C - C) Q / 0 <br /> <br />PHONE f / -3 <br /> <br />-'" <br />7 / 0 //, ~ <br /> <br />/' <br />SUBDIVISION {./<-LLL6f..~ ~ o-t..JJ..J <br />t7 <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />,{(INSTALL <br /> <br />[J SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />~MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK --/'1..{> -...l.4L..:J/a.Lla7~"'()-J ,ytJ a-7la C A...A-"11..:'JiLt:; <br />Y <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />d,~+ <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 />1/ <br />..{21' BUILDING <br />" ELECTRI CAL <br />[] PLUMBING <br />[J MECHANI CAL <br /> <br />$ <br /> <br />/ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[J NO <br /> <br /> <br />SIGNATURE <br /> <br />WA~ <br /> <br />COMPANY ~lo'\ <.,r <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELBC'>RICrAN ~ <br />SIGNATURE ~ 4,11 <br /> <br />COMPANY OLuY'l ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />