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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 />OWNER'S NAME h, IJ,eV,e).I?~.I?:7$,v7'", ./ /V(! <br /> <br />JOB ADDRESS ~'It29 ~~~Jd. <br /> <br />PHONE {i? V 9 ~?- 6d'// <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />)../ 7'"7.t.E /T,?.If,t;: .5 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />AJ",,~~/e~6"'S J'J.I'r"#~ <br /> <br />~TI'J~s... <br /> <br />BUILDING SIZE <br /> <br />J~t)'X //P,' <br /> <br />SQUARE FOOTAGE <br /> <br />/..c) :J. 0 <br /> <br />HEIGHT <br /> <br />~~ <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 /> PERMITS REQUESTED <br />~UILDING $ ~ 6q t)~t)~ ,,() VALUATION OF TOTAL CONSTRUCTION <br />~LECTRICAL goo AMP SERVICE ~ FLORIDA POWER 0 W.R.E.C. <br />~PLUMBING <br />~ECHANICAL $ ~ '7t')LJ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~OOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: !1("BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS 57/. ~~-- <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BO:IWBR n 1 <br /> <br />SIGNATURE Y:) ~ tt/. ~ <br /> <br />COMPANY H.HA>></;v.$ {1j1J"".srA'Ndf'HJ,v, /,v~ <br />STATE CERT OR REGIST # C!.{;l!.. C/Jfj'.s-9 <br />CITY PROCESSING # .Zt;7b ,.,.-- <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN \ <br />SIGNATURE i<<L- <br /> <br />cJj~ <br /> <br />COMPANY ~(M'I.n~ E~tirA./tJJU.. oS liU 1/)(7;: <br />STATE CERT OR REGIST # 2. c vO 0 /s-1'(2. <br />CITY PROCESSING # 8D V..... <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />PLUMBER <br /> <br />SIGNATURE i/~ j~, ~. <br />:5~ " ~c ) <br />****~*****~******************************************************* <br />COMPANY ..6 e.1O ~/,R (1 'A'~~~ <br />STATE CERT OR REGIST # ~ <br />CITY PROCESSING # 'K' v---- <br /> <br />COMPANY {!LHTIP'J"-IO 1",J.J./I?"J.lh~ <br />STATE CERT OR REGIS! # <br />CITY PROCESSING ~ 93 <br /> <br />tt~if~ <br /> <br />SIGNATURE <br /> <br /> <br />********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />