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<br />APPLICATION FOR PElUaT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME flAN f( <br />JOB ADDRESS 317J7 5" 1- <br /> <br />1(2 - ID& c{ <br /> <br />L 'e" J=- pVi~1L <br />tv r;U i:o /Y\ <br /> <br />PHONE <br /> <br />1-0" 2- <br />SUBDIVISION c;/4ftJJ f/-ott Z tJ;) <br /> <br />A-vlr <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # s4 -2 f7 - ~/-OO{D - 013 00- {)O 2-D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br /> <br />o ADDITION <br /> <br />~ <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL 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 /> <br />~HER <br />gi I+ITAIt;+ <br />A-L-VMI /.)~iH. <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRI PTION OF WORK _tt A TTAC"l4 It LJrYll Ai If 1)1. P II- (/C~(;~ <br />, <br /> <br />'-1ft{ <br /> <br />BUILDING SIZE <br /> <br />111 tft( <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT f I <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 /> <br />~UILDING <br /> <br />$ful5'.oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~O <br /> <br /> <br />SIGNATURE <br /> <br />f4^-J <br /> <br />-13~ <br /> <br />COMPANyj3t f4. (Uv$17Z()( 7/0;\1 CF uZiJr!lAL j=t . <br />STATE CERT OR REGIST # ((},CO S'7? t'"Z- <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />B~CTRICIAH, \ ill @ <br />SIGNATURE i\\;C \___ h ,. ('~ <br /> <br />COMPANY~ E:.- <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /># E,~;'( <br />l~/ <br /> <br />****************************************************************** <br /> <br />PLUHBER <br />SIGNATURE ~ 1... L-v,~ <br /> <br />COMPANY V6<JAJr:) L.. w>U {i~s PL:vM~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ,t:( 2 V <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 />