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<br />7/~'i <br /> <br />DATE RECE:IVED' /2 -;0- 9)1- <br />PLANS REVIEW FEE ./;20 - <br /> <br />PHONE (.5Co/) Q{P5-'1JIO <br />, <br /> <br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTYENT <br /> <br />OWNER'S NAME M uSA f?/9rL. 7Y t-t..C- <br />JOB ADDRESS (;;,900 6,1d-'-- I3LV)). <br />LEGAL DESCRIPTION: LOT (S) ~ An/tCIiED BLOCK <br /> <br />SUBDIVISION <br /> <br />O:J- 2~-Z/-OOIO-OO'1a:J-CO/O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMI L Y <br />o INDUSTRIAL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />5'/ Nc;.uE" <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />50X80 <br /> <br />S7l)f2, Y Ce 5 ,f?G77l1 t. 81..11 L.() /1./6- <br />SQUARE FOOTAGE Lj{)OO <br /> <br />201 <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT <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 />$ <br /> <br />'2& ~ 1r1J7J <br />. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTRICAL <br />[91 PLUMBING <br />[9""MECHANI CAL <br /> <br />.250 <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />:2 31 0-0-0 <br /> <br />o FLORIDA POWER <br /> <br />o STEEL <br /> <br />/1 ~~~ <br />1-1- OOfJ / .J <br />{!;1 00/ ~ <br />'-7 l' q <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />************************************************* <br /> <br /> <br />COMPANY A""'~5f {(q~ <br />I <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~)/ ~ <br /> <br />****************~*********************************************** <br /> <br />COMPANY At) I... J... -'Iou) ~ 0 ,.J' ~,.( 68 . <br />STATE CERT OR REGIST # C! Fe. # c ~ 9 / :2. / <br />CITY PROCESSING # <br /> <br />**************************~***~Lj*~*~~ <br />COMPANY: 00 AA, <br />STATE CERT OR REGIST # ~c... OC;']f::t to <br />CITY PROCESSING # 7(P <br /> <br />ISJ.-ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br />Cjf.:,,2S- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />o OTHER <br /> <br />IS PROJECT <br /> <br />YES <br /> <br />o NO <br /> <br />I'lor,def ...II'JC <br />STATE CERT OR REG! ST # <;-6C - <3> / Cf7Z 0 <br />CITY PROCESSING # 0? <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />