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<br />(A-t \I~~~:>. <br />~ 7v;;\~(f" <br />OWNER' S ~AME /r't.., <br /> <br />~,. ( <br />APPLICATION FOR PERMI Lc\OV ;, <br />CITY OF ZEPHYRHlt.-LS '\ ~ . <br />BUILDING DEPARTMENT cy~ATE RECEIVED h'" z. j... 06 <br />...,,; PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />,~, <br /> <br />PHONE q ) 3 z to .5'7 <br />'b.. <br />~\ J V ~ fl- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # () .7., <br /> <br />BLOCK ~ SUBDIVISION <br />o 2..} 0 <br />- Uz.oO UOOct..J ~.xOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~'NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />rlLAvv-. fl J \b ~ <br />SQUARE FOOTAGE . \ 58cr " <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />5~ 000 <br />I <br />ZOO <br /> <br />PERMITS REQUESTED <br /> <br />'t:[ BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />g ELECTRICAL <br />15(-PLUMBING <br />g'MECHANICAL <br /> <br />AMP SERVICE <br /> <br />.~. <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Lfx.X) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~OOFING <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES )(NO <br /> <br /> <br />SIGNATURE <br /> <br />~\j~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ 3 ~\~- COMPANY \'>o\(>k,.-eT_~h:I1pZ1U:<'~ <br />w-t ).jJJY'1 '- STATE CERT OR REGIST # 7rf<2- Oov" SL(., <br />,. CITY PROCESSING # I . <br /> <br />L"'H"'Hi"~":::::::"H'H~~:~":~~i\ ,~, <br /> <br />. l ~ STATE CERT OR REGIST #...R..f' ~2JOO <br />.J CITY PROCESSING # \ '11. (2) <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />*** ********.*** ******** ** ***** ***** **** * * ** ***** * ******** ~ ***~*g ** c::; I .-:.' <br />~ ~ COMPANY \-><> \ P ",,., .IL '1 <,-tl':VI) <br />(; . ' STATE CERT OR REGIST # T~ '7 I J f5 <br />..-1....- ~ CITY PROCESSING # . 7 fl <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br /> <br />~. .~ COMPANY \J~, .~k,J,u.-J <br />~' STATE CERT OR REGIST # C(7L ()5~ Ie, l <br />CITY PROCESSING #J~ <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />