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<br />APPLICATION FOR PEIUaT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME P f\ tv\. \~(?) s s <br />5'b '6 0 3 <br /> <br />E '0\"' - <br /> <br />\ \f() ~ <br /> <br />~\)E <br /> <br />DATE RECEl:VED ,.{2- d,~ 0 0 <br />PI.\NS REVIEW nil $f~ <br />PHONE l 3' ~ - II "1 ~ C1. <br />C>i=- PT\ Y R.. Ii I \,0 <br /> <br />JOB ADDRESS <br /> <br />~ () \<-:-r \+ <br /> <br />LEGAL DESCRIPTION: LOT(S) l,\-\; BLOCK <br />PARCEL I D # ~ ~ ~ d-. \0. - Q.. \ - ~ \ 8 ~ - Q (.)C)()t;T- t) <.0 4.~ <br /> <br />SUBDIVISION?IN ~,:F:.t-\ \ L '--' l.:t ?.J<..t:J ~, <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: )8l.NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />\0 'P ,^J <br /> <br />t') l.0 \::> \..... '_ \ ~ G <br /> <br />SQUARE FOOTAGE ~ElUiB,pLAN~ <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & ON ~R!J f6.~ ~"rKE <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. ~rp <br />REQUIRED FOR ALL NEW CONSTRUCTION. I }.l ~- ~~.J9- <br /> <br />~ ~ ~,.~ ~ ltf f <br />D~ <br /> <br />,~~1'O ,J ~ <br />VALUATION OF TOTAL CONSTRUCTION d v' i \ <br />'1P '--"""" \ <br />o . .R: E : C . \ <br /> <br />.-/// ~~ : <br />, , Vi <br />TION \, / (P ~O ! <br />19z ~.. <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~ILDING <br />~LECTRICAL <br />u:v(LUMBING <br />~HANICAL <br /> <br />$ ~~) '00(2, <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />TYPE OF CONSTRUCTION: Et1BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INST <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />BUILDER COMPANY \J \C)\<:3: K) OG\<:::"'~ '-..'-~ <br /> <br />SIGNATU~- -~ !).<-~1-!L!~J-'~*~E P~~~~S~~N~E:IS:100~ 4f~n 1>0 k"~,,,.~.-e <br /> <br />---- \ <br />****************************************************************** <br /> <br />ELECTlU <br /> <br /> <br />11 COMPANY M f)R.~ \0 'E, ~t::.c:::.., ~\<- <br />~! STATE CERT OR REGIST # E-eoOl~Lt4q <br />~ CITY PROCESSING # q I ____- <br /> <br />* *j.. ** *** **** **** *** ** * *** ******** ** *** * * * * I.- **** * * L******* <br /> <br />PLUMBER <br />SIGNATURE1t/j~ ~~ <br /> <br />COMP ANy,~t l\.) ~"S> <.0 l\."U ~.1rt ~ 1p \.J~ c:ta- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /9 5(0 ~...------ <br />I - <br /> <br />***********,******************************************************* <br />MECHANICAL COMPANY KlV \:....'0 )0 <br />----r)7 ~_ STATE CERT OR REGIST # <br />SIGNATURE /~ /~~....-;7--?,~ ~ CITY PROCESSING # r2SD 7 <br /> <br />*****************************************************~?,?*~~*~q~O~ <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br />