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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />6-y~;Wte <br />37537 <br /> <br />j-/CJr /Zorr <br />If) r't'A J::o In <br /> <br />PHONE <br /> <br />7 ff .;)- / S-- (, it> <br /> <br />OWNER'S NAME <br /> <br />)",,-1 <br />- <br /> <br />J'-/ '/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ElNE~ CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <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 />8M6BiLE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />i11<->!?;/-. /1"'">1- <br />::3:A y: '-{ <t <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <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 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 />SIGNATURE <br /> <br />wvy---~ <br /> <br />COMPANY 13~? <br />STATE CERT OR REG ST # <br />CITY PROCESSING # J.jf?' <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY Pfc.~~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /91 <br /> <br />****************************************************************** <br /> <br />8~ <br /> <br />w cy--E:aJ?V <br /> <br />BLECTRICIAN <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />vJ c..y- -t5~/ <br /> <br />COMPANY <br />STATE CERT OR REGIST # \ <br />CITY PROCESSING # ~~ <br /> <br />********************************************tt**~~**************** <br />. /-1 C- <br />COMPANY. <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~ <br /> <br />SIGNATURE <br /> <br />LJ~~~~7 <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />