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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIlLLS <br />BUILDING VEPAR~~NT <br /> <br />~;TE R&CBXVIlD 4- - /1-- 00 <br />PLANS IUlVJ:IlW I'Il& <br /> <br />OW!'lEH' S NAME l Tea..n e tf €.. La vel a..c ~ <br />JOB ADDRESS ~qL/L/ Oa..kCY't!'5t Wa.y, <br /> <br />PHONE <br /> <br />~ PERM~~~~~~;CV ' <br />13-7~.h~1.t1 <br />-- <br /> <br />Zr'/:7hyrh;lIs} Fl. <br />SUBDIVISION Oa..kc r t's +- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PAHCEL ID I/O;)..-;l(P-,;J/-O;)30-00000-0;2/0 <br /> <br />108T1\1N FROM PROPERTY TAX NOTICEI <br /> <br />WOHK PROPSED: DNEW CUNSTHUCTION <br /> <br />~\)UI'1'lON <br /> <br />o ALTEHA'l'l ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~L F'AMILY DWELLING <br />DCOMMEHCIAL <br /> <br />o MOVE: <br /> <br />o DEMOLISH <br /> <br />OMUL'l'I-FJ\MILY <br />o INDUSTIUJ\L <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOKE <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />l 3' x fI.., '- ~ If <br /> <br />SQUARE F'OOTAGE <br /> <br />EX'-6+l~ <br />I g<g .5 <br /> <br />DESCRIPTION Of' WOHK <br /> <br />HEIGHT <br /> <br />See PIa..hS.' <br />, <br /> <br />RESIDENTIAL: A'l"l'ACII (2) PLOT PLJ\NS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. '~ <br />PROPERTY SURVEY REQUIRED FUR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ ~ 7 ;J..EJ. 00 <br /> <br />VALUA'l'ION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o F'LORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />$ <br /> <br />VALUAT ION OF MECIIANCIAL INSTALLATION <br /> <br />!i <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTIIEH <br /> <br />'l'YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o I"IU\ME <br /> <br />o STEEL' <br /> <br />o O'l'HER <br /> <br />FINISHED FLOOR ELEVA'f!ONS <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY Bahr's AI UYl'l In/.l 1M-- at ~wa..('e J.:CIf\c., <br />':1d4 1 ~ STATE CERT OR REGIST H <br />,t41 IV J~/Y~ CI'l'Y PHOCESSING ft I <g <br /> <br />.....:l...........................................*********.*.**** <br /> <br />BUXLDEI\ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING ft <br /> <br />SIGNA'l'Un.E <br /> <br />........................................*.************************ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST ft <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />. **.. **** * .,** I.. ** **. * I." * * "I. ***" * ** I."" * * * **** "********************* <br /> <br />MECHANICAL <br /> <br />COMPANy <br />STATE CEn.T OR REGIST ff <br />CITY PROCESSING " <br /> <br />S I GNA'l'U RE <br /> <br />...****.**********.*************................................. <br /> <br />OTHER <br /> <br />COMPANY <br />S'l'Nl'E CERT OR REGIST H <br />CITY PROCESSING H <br /> <br />SIGNJ\'l'UHE <br /> <br />.................*..A....A....................................... <br /> <br />lit <br />lit <br />