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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />~7~ . <br />. RECEIVED ~,q 1- 00 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME DOL-Uif' <br />JOB ADDRESS 4 ~ .~ 0 <br /> <br />e O{l/t.r~I-,~ <br /> <br />T,'M~ W7 <br />LEGAL DESCRIPTION: LOT(S) I ~ <br /> <br />PHONE <br /> <br />//3. ~~Sj' <br /> <br />BLOCK <br /> <br />I <br /> <br />SUBDIVISION <br /> <br />(!t::>u../f- ~ ~ ~'R::. <br /> <br />-' <br /> <br />PARCEL ID # IS-<b',{" OZO~. ~COC()- ~-J l1... <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION D ADDITION D ALT ERAT I ON D REPAIR D INSTALL <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: ql'-SGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />D.RESTAU~ & ~EALTH DEPARTMENT APP~OVAL <br />DESCRIPTION OF WORK ~-"'(k t-:-... IJ j).ve- / /r;r <br />BUILDING SIZE Wb ( SQUARE FOOTAGE I 9&(( <br /> <br />HEIGHT <br /> <br />~ 'r <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 />D BUILDING <br /> <br />$ <br /> <br />I ~ <t:/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />D W.R.E.C. <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: r1 BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 9-NO <br /> <br /> <br />u u u u~ff:l <br />BUILDER '/kE.5 _ COMPANY Da1I ~ ~~1/k~ I-;~( <br />~ '. ~~::;:~ STATE CERT OR REGIST # I:{"'~ (J/.((/ t{Bl? <br />SIGNATU(/^-J'j./lu~ CITY PROCESSING # c:lf1tJ <br /> <br /> <br />*** ************************************************************** <br /> <br />~~-e.r <br /> <br />STATE CERT OR REGIST # c~ Dd'./JI 1.f"~' J <br />CITY PROCESSING # 'd..n& I tJ I(A ~. <br />( - <br /> <br />HHH I H***H***{;iHHHH******t:/~::H*lj~**i:Nf <br />COMPANY - - __ <br />~STATE CERT OR REGIST # L~ 0.5'/ ~f/ <br />CITY PROCESSING # 1.:3 Il//-- <br /> <br />SIGNATURE <br /> <br /> <br />l L. <br />;;[0 <br /> <br />COMPANY <br /> <br />bUIP <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* * * * ** * ** **.*** * * **** ** ******* ** * * * * * * ******** * * *1"** ***** * ***~ ' <br />I COMPANY => &7.v-c7 .s '..:;:l/;~VVc..~...f <br /> <br />,(I/. STATE CERT OR REGIST # ~ O~ I S 4v I <br /> <br />V /,. CITY PROCESSING # ~~O~ <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />"" <br />