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<br />/~~'''?I <br />APPLICATION FOR PERMIT . tuJ C I' J j ,I <br />CITY 01' ZEPHYlUIILLS L.- \ 1 ~ A () <br />BUILDING DEPAR ,./OCD D RECEIVED '. tl t> <br />tj10 PLANS REVIEW I'D <br /> <br /> <br />:E::RE741?;c~~P~ <br /> <br />LEGAL DESCRIPTION: LOT (S) d t BLOCK ;;) G, SUBDIVISION;;) I <br />PARCEL ID #' p;l-c?&-Cl-/~ 0 OS-O - e00l5{)2(/ (OBTAIN FROM ;ROPERTY TAX NOTICE) <br />WORK PROPSED: ~ONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />PHONEJI3- 0;).) -5501 <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />BUILDING SIZE <br /> <br />o RESTA. URANT !J HEALTH DEPARTMENT APPROVAL <br /> <br />Male/' I6rV - <br />, <br />SQUARE FOOTAGE 1{) 5 ~ <br /> <br />HEIGHT <br /> <br />'1 <br /> <br />DESCRIPTION OF WORK <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 />~LDING <br /> <br />$-2f,3S-u Dp <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~~~C~ <br /> <br /> <br />COMPANY <br />STATE CERT OR RE 1ST <br />CITY PROCESSING # <br /> <br />/&L- <br />L:-C::- &01:7 b-,? <br />. <br /> <br />ELECTRICIAN <br /> <br />***************************************************!***~~****** ~ <br /> <br /> <br />PLUMBD. ~ ' COMPANY /Jul/f u,H/b/l4J- <br />,; ....../2 STATE CERT OR REGIST # <br />SIGNATU,,% /;!ZJ:: ~ CITY PROCESSING # 2. ( I Q. <br /> <br />***********~****************************************************** <br /> <br />IdBCRANlCAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTIIBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />