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<br />APPLICATION FOR PElUaT <br />CZTY or ZEPHYRRZLLS <br />BUILD:IN'G DEPARTMENT <br /> <br />'1/2(,/00 <br />DATE RECEZVED <br />PLAN'S REVIEW I'EE <br /> <br />OWNER'S NAME Gtl+N/J <br />JOB ADDRESS -S '77/5 <br /> <br />/-foil ( Zt; jJ <br />NwKoM <br /> <br />fYI-H. (J. <br />I/. V If, I--.(Y, I z. > <br /> <br />PHONE <br /> <br />7f 2 - / ora if <br /> <br />SUBDIVISION0tAttO J.i()~( cl) N <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 'g1f-1.5 - ~/- DOf 0 - Of 300 - 0 12-? <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <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 />o MOBILE HOME <br /> <br />~ER <br />fJUfItf ( ,A/..r.AA- <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />t fiflIl (J IL ., I ~ UlH.:fI./ /lo fJ/fA. J V -Ill) lht.A- <br />I I <br />SQUARE FOOTAGE '7 '3 ~ <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 />ot"l3UILDING <br />~LECTRICAL <br /> <br />$ 11.1./57. ora <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. c. j,..{tl.E jt+tf) <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 />[!t1)THER IJUN/ll(^N~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />t1^"'j ;3 ~ <br /> <br />COMPANY 73~ (.+ CON~rtl(jc.rtON tJF CWr/ltil 1=( , <br />STATE CERT OR REGIST # CGCo !i?'7 t"z. <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />*******************************************************~.********** <br /> <br />SIGNATURE <br /> <br />~I A. 0a1uf2 <br /> <br />COMPANY ACrE (;LCC nL((... <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I f'l <br /> <br />ELECTRICIAN' <br /> <br />*******************************************************~,********** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />*******************************************************'k********* <br />