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<br />APPLICATION FOR PEl'WIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTM\i:NT <br /> <br />DATE RECEIVED <br />PLANS REVIEW DB <br /> <br />OWNER'S NAME %\? h ~\ -e ('SO(\. PHONE ~~~- 3'-1?ZJ <br />JOB ADDRESS ttJ r Ii 3 I{)o ...- +\r. \ 9 i-h ~-tr--e,..:t- ~ f' 1/1, d 5 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />33558 <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />rD(\(\p<\~ <br /> <br />(\ '" d--fl ~ ~, (') V\. t- <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />'d " 1 ct S 00 VALUATION OF TOTAL CONSTRUCTION <br />\ <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o P~BING <br />~CHANICAL <br /> <br />$ 'J \ 1q:5 c> D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />SIGNATURE <br /> <br />****************************************************~*~********* <br />. COMPANY \..A.- ~ A I L <br />~ /J ~ n .O/J STATE CERT OR REGIST # C; to ~ r-; I <br />'-1Yl~~..l -xoJ) CITY PROCESSING # <br /> <br />********* ****************************************************** <br /> <br />MB:CIlANICAL <br /> <br />0'l'HER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />