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<br />APPLICATION FOR PE1UaT <br />CITY OF ZEPBYRRILLS <br />BUILDING DEPARTMENT <br /> <br />~9 S-~-oU <br />RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME W/Ilj) <br />JOB ADDRESS 37 G 5 ~ <br /> <br />'1tl-' bf; f( <br /> <br />f-I. ()ILl Z a AI <br />IV ~(j !J:>M. <br /> <br />#/,;-I..P. <br />/JV~ L..or <br /> <br />PHONE <br /> <br />16 <br /> <br />SUBDIVISION ('2Ii.AtvP /JoN t:a# mlfP. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # -glf - -z)' - 2-- {- Ob I 0 - () f '500 - 0 0 I tP {OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION o ALTERAT I ON 0 REPAIR ~TALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMI L Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />IJ'-i/Mi #I/If^ <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK CA/lIiJ/l--i, S:=.A.t~~A./ t'ltY.>>< , <br />, , <br /> <br />CfSz.- <br /> <br />I/-fLoOM <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />15"2- <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 />~ILDING <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />I 'Z-- 51/ . 5r-r <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C. vi ru=. $tl-I~ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ 4, aM <br /> <br />. <br /> <br />COMPANY Sf II (.DN~rl2-.Jt.. r/o,.,./ tJr- ~AlTflA<., F<... <br />STATE CERT OR REGIST # C(koS'7?f7... <br />CITY PROCESSING L- z(:a <br /> <br />BUILDER <br /> <br />*******************************************************~********** <br /> <br />ELECTlUCIAN <br />SIGNATURE ~ - 11-. aJu/) <br /> <br />COMPANY Ac...~ eL-~G.ftlA(. <br />STATE CERT OR REGIST # 1!''7 <br />CITY PROCESSING ~7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~********************************************~********** <br /> <br />MECHANICAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****************************~*************************,~********* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />\, <br /> <br />***************************************************************** <br />