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<br />APPLICATION I'OR PERMIT <br />CITY 01' ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW I'EB <br /> <br />X OWNER'S NAME <br /> <br />e 4 , ,S t~ jtI I. e -/' <br />, <br /> <br />ttf'lu 6~ ST <br />LEGAL DESCRIPTION: LOT(S) Lof j] 91'1 <br /> <br />Pt. <br /> <br />iJ '" () ,It. YL- <br /> <br />PHONE <br /> <br />b/) ~6b <br /> <br />~ <br /> <br />JOB ADDRESS <br /> <br />BLOCK 10 <br /> <br />SUBDIVISION <br /> <br />X PARCEL ID # .~I :6 I <br />/ '-{ - 26 . 11 - 0 01 () - 0, 000 . 0/50 <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />g-INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Y / Fe;vce II/ot(^-'d ,JJrO;d_ <br />, <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 />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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br />.xSIGNATURE <br /> <br />COMPANY <br />~ n ____ STATE CERT OR REGIST # <br />~~ CITY PROCESSING # <br /> <br />****~********************************************************* <br /> <br />ELBCTlUCIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />* ** ** ** * * **.* **** ** * **** **** * ** * ** ** **** * * ** ******* *** * ** * ** ** * *** * <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 />