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<br />APPLICATION FOR PERMIT <br />CXTY OF ZEPHYRHXLLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVID'I'D: <br /> <br />JOB ADDRESS <br /> <br />~ f}m E S W j hoSO J"-I <br />7 ~~ ,2 9 t9PPt..E G4 TE. <br /> <br />PHONE <br /> <br />78'8'- ~2 o~ <br />?' <br />FL. ?? r<11,j <br /> <br />OWNER'S NAME <br /> <br />Of{, <br /> <br />..2 E P..JYIl..H I IJr <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />J'REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLI SH <br /> <br />PROPOSED <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 />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~l.. Ac ar H CE 04- .. y') i J-r <br />SQUARE FOOTAGE <br /> <br />s YS i€..... <br />, <br /> <br />BUILDING SIZE <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 /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ '"',JCC S-6"~ <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 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />IV tit <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />/U tit <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />IVfI <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * h * * * r <br />COMPANY . S' 0 I) 'lk ti.JL~ CD ,..,. tc- T ex jA.o' <br /> <br />~ 1. L L STATE CERT OR REGIST # ~ 111 ~O/.s () '2 2- <br /> <br />, CITY PROCESSING # . ~ 3 <br /> <br /> <br />******~**:*********************************************:******* <br /> <br />IdECHANICAL <br /> <br />SIGNATURE \ <br /> <br />OTHER <br /> <br />J1jJ4 <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****************************~*********************************** <br />