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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED .2. - .:t~ - 00 <br />PLAI!IS RBYIBW ~YO?, <br /> <br />PHONE 3~)..--r1...J - .3 C{ ft'I <br /> <br />OWNER'S NAME ::>0 H ...u <br />JOB ADDRESS G. Cf S''J... <br /> <br />W. FoA-.~ <br /> <br />0/4 Ie c..r~E $' T lu f.9 ~ <br /> <br />~~I'NYILHIl_L} <br /> <br />Fl. <br /> <br />33 s"fO <br /> <br />LEGAL DESCRIPTION: LOT (S) 7....0 BLOCK <br />PARCEL ID # 0 ^ - ')..b~;2.. J - (; ~ ~ 0 ~ OOOcJO .- C>~o 0 <br /> <br />SUBDIVISION Or<2KCV2.H'i.... <E5rJF;'f,.s <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ (.r.u rL'l..)' r,j <[,.JC- e. <br />SJ.- ex '-f8 () <br /> <br />SQUARE FOOTAGE <br /> <br />).. ^-1. to <br /> <br />HEIGHT <br /> <br />/8 <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[9"BUILDING <br /> <br />95;~c)o <br />$ - _~_.:-::u -.I_a.l..T",,,~...__.-I:J_ L ~J <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />rn-ELECTRI CAL <br /> <br />~() <br /> <br />AMP SERVICE <br /> <br />llr FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />Uh?LUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />ex:) <br />). '5" 00 <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 <br /> <br />OF CONSTRUCTION: ~OCK <br />II <br />16> <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER COMPANY c.. f.BHMr <br />~ ~/ () f; j} ~ STATE CERT OR REGIST # <br />SIGNATUR~/~~~~ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />"LBCT1UC~ -U COMPANY M"r+;h C.~,~,4:"<.- <br />STATE CERT OR REGIST # 'E.J< OO/y..pl CJ <br />SIGNATURE . !?!\ - CITY PROCESSING # 9'1 V- <br /> <br />****** *************************************************~********* <br /> <br />PLUMBER r lli COMPANY /0 1M c;.. ft U_L PLIJ IA /3( tJ ~ <br /> <br />SIGNATURE4u~'QQJ~ ~~~~Ep~~~~S~~N~E~IST # 1~?D~7091 <br />\ V <br />\ * * ***** ** **,* ** * ***** * * * ** ** *** ** * **** * * * * *** ** * * ** **** * * * * * * * **** * - <br />MECHANICAL ~ COMPANY'~O u TJ.i~~ Co ........+cJ."..x 12 t-..--"- <br /> <br />j) /7 , ./ ./l STATE CERT OR REGI ST # /( rn 00 I ,- () 'Z <- <br />SIGNATURE \~ j?~J ~~ CITY PROCESSING # ,--r.3 __ <br />p ~ V <br />***************************************************************** <br /> <br />OTHER ~ I A.J < <br />SIGNATURE.'& M52 il _ <br /> <br />COMPANY "lfo ~ .,. tt-s:.t:..~ ~- ~.6.' .j ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />,..~ <br />~***************************************************************** <br />