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<br />/2fdz~ ~i?1) ;I%iE (Jft/~R!,\/ 'j <br />u ; IA .( Oil/ if r: Is. Ole _tv t- ,S I/CJII/S <br />g- /J - 9u;Jf~ /-s dilP <br />f!tf.. '?) 3 . ;<(p ~5-" CJ 7..3 t/ <br /> <br />OWNER'S NAME /)Ek/(/[!c' (~tJO/J' Il//JE/?/'c# <br />JOB ADDRESS ~.ssC dC}1" ~ifEEf .:z~jYRh;& / FA <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />--:\ <br />~~., '. <br />/-1- .&;- /,', .::'\ <br />DATE RECEIVED I - ">' - (./ U <br />P...... RZVID ~rjj, <br />.OJ]. <br />..j,/()(J <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <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 /> <br />WORKt ~1It"7/l.e~ ~ o..Cc.<J7rlt4ti" ~~~;Mu~~~ ' <br />- ~~K <br />SQUARE FOOTAGE //1300 HEIGHT <br />/ . <br /> <br />DESCRIPTION OF <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 />~UILDING <br />//// <br />0" ELECTRICAL <br /> <br />o PLUMBING <br />..--.. <br />~CHANICAL <br /> <br />$ <br /> <br />S7SJtJC) 0 <br />; <br /> <br />VALUATION OF <br /> <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE 0 <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 AREAO YES 0 NO <br /> <br /> <br />!:!~: . <br />jl:!~~ ; <br /> <br />mnLDBR '~ a~ <br />i\ )' / STATE CERT OR REGIST # ..,C:' <br />SIGNATURE' 1nn~ CITY PROCESSING ij If II V <br /> <br />*************~************************************************ <br /> <br />ELECTRICIAN <br />SIGNATURE ~~A": ~ <br /> <br />COMPANY~fd-k, <br />STATE CERT REGIST # <br />CITY PROCESSING # /61.- v <br />. <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />YBCHAHICAL <br />SIGNATURE p<f~o <br /> <br />****************************************************************** <br />. COMPANy-J. w. """-' I l..-4;:)<<::;;- I-'(~-A-,.J tc:..A-'-J <br />STATE CERT OR REGIST #CI"'\C.OS'81~ <br />CITY PROCESSING # J '--i ~ V <br /> <br />lIVe. . <br /> <br />~~~J?_ ~ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />