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<br />APPLI:CATI:ON FOR PERMI:T <br />CI:TY OF ZBPHYRRI:LLS <br />BUI:LDI:NG DEPARTMENT <br /> <br />DATE RBCEI:VED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~Ob.Qft t-foJmf15 PHONE(573) 7/5-/8~ <br />JOB ADDRESS ~~go,.joJ (-Jri(1fJlJ. /1Ve.IllA-~) Lephy-hi/l<;; FL ,--.::s~:S51..{.1 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION u);rfer:5 tY>Hf <br /> <br />PARCEL ID # <br /> <br />/'I-~&-~/- t'XJCO - OO:JaJ- O~' <br />. <br /> <br />{OBTATN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATI ON o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS ~OBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~V1 a1 {2Aan~R ~ .3'/;;rkn ~..frA~r ~/ jJ~ L/J)/.j. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />2'-1 ~{).. 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 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 AREAO YES 0 NO <br /> <br /> <br />BUI:LDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTlUCI:AN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* * * ****** **.* ** ** * **** ******* * * * ** ***** *****!J..*tJ-*t!:a.****]..t***'!'"***t *:Itt /' <br />COMPANY: .i.J.- ().oJi 113 I l...hJ I fYJ <br />STATE CERT OR REGIST # t!AC!1J.:Jl.I gi,l4 <br />CITY PROCESSING # <br /> <br />MBCHAlUCAL <br /> <br />******************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />