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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />7/5-7521 <br /> <br />DATE RECEIVED 1/ /J)199 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME @ ~ l l <br />JOB ADDRESS 2> Cf C, .~ 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />w / { ( I'a.. (tv\ ~ PHONE <br />C ha NC> p~ 1< oo..d / 2e.phy Y"h/ (Is f "'fL, {cm el-Q. (J f (') /~t/e) <br />~ V 3 BLOCK SUBDIVISION <br /> <br />PARCEL ID # I <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />mo:tOY <br /> <br />fJ f) '( -t <br /> <br />SQUARE FOOTAGE <br /> <br />, <br />:JP X 1-f <br /> <br />I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />I~' <br />, <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (21 SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />J BUILDING <br />~ ELECTRICAL <br />EtJ PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />!J..~ 100 <br /> <br />.. 00 VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <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 />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY ,4~?o M ~~I(I~ ~~~(;:is <br />STATE CERT OR REGI ST # - f] <br />CITY PROCESSING # ~5 't 7 <br /> <br />* **************************************** <br /> <br />SIGNATURE <br /> <br />..COMPANY f) tni) ~,f rJ L- (e.C-, <br />STATE C~ST # <br />CITY PROCESSING # /7 Pi <br /> <br />- ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />, ~ M <br />PLUMBER <br />- -. .....--.-.-'., ,; ~ <br />C SIG~e.vRF. :j!<<:ff{ . . <br />c <br /> <br />.COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~lAtl5 <br /> <br />f ('<-001:.,' ~ <br />}?)/j:L <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 />