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<br />APPLICATION FOR PERMIT <br />CITY or ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DA~ DCEI'lED2/8/'; <br />PLANS UVIn I'Jb& <br /> <br />JOB ADDRESS <br /> <br />Cc: If I Iv{ f ,tel t (j\~ f}n..f (, /~ ~. <br /> <br />. I <br /> <br />1111(. If ~*,t&-f1 /)/,j,f <br />LEGAL DESCRIPTION: LOT(S) fZ1 Ckf'Lf2I1BLOCK (1) <br />PARCEL ID # J...,)t; .-:}/, {/JCY....,.- Q~t)/j, L)Lb(J <br /> <br />PHONE 7tl-' ;;) S -5 <br />/ <br /> <br />oWNER'S NAME <br /> <br />SUBDIVISIoN > / pG, !)tk~ /1;/ J-. ~~ <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ;tN~W CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE, fGL FAMILY DWELLING DMULTI-FAMILY 0# of UNITS D MOBILE HOME <br /> o INDUSTRIAL o SWIMMING POOL o OTHER <br /> COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />111~ N ,~/'-f <br /> <br />BUILDING SIZE <br /> <br />,:) /; i c.-r <br />I <br /> <br />SQUARE FOOTAGE <br /> <br />/'-1 tj t; <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (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 FOR ALL NEW CONSTRUCTIoN. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~. ELECTRI CAL <br />r;\1 PLUMBING <br />rt MECHANICAL <br /> <br />$ <br /> <br />/Lo ""J"') <br />.' vtv <br />){;[} <br />- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />f{J FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />I~. //1 <br />/ <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o OTHER <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES ftI No <br /> <br /> <br />SI,GNATURE <br /> <br />~ COMPANY i:r..),j /1cdC{l/J~ ~ ~ ,2;,./. <br />~'.., / STATE CERT OR REGIST # 'G-- - c. /);;?~ 1) <br />~ t! '-( ~ CITY PROCESSING # ( 01 <br /> <br />* ************************************************************* <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />G<-uL-D, y'FL~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />BLEC~CIAN <br /> <br />PLUYBEll <br /> <br /> <br />************************************************************* <br /> <br />;-hR R'i < $5i? I/(<.--b- ~I/(/l/-LJ .;tic <br />C~PANY - -' . - - <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 9th <br /> <br />SIGNATURE <br /> <br />** * ** ** ** * *,** ** **** ** * ** ** **** * *** * **** ** ****** * ~*** **** **Ir.;!r***** <br />fl ~~y 20~~~~ <br />, ~1 ~,.. """ STATE CERT OR REGIST # ~ f1!\ Ct.' 1,( '-( {;. I <br />---.::J '---,--- h/L-4j C; ~ CITY PROCESSING # U , <br />, .~ - <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />\~_. ~- <br />