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<br />\)t 1/\ <br />}6\ <br />OWNER'S NAME l~ /;!It;?~ ()!J )1~r <br />JOB ADDRESS 3'1fJ/::< 1lU1,,~-<>4d-W~ ~ ~ <br />LEGAL DESCRIPTION: LOT(SI BLOCK SUBDIVISION __ <br />PARCEL 10 # :;<'1-:;;&. -c< y ~ DO")& -0 0000 (i; i) f2- f ORTAIn FRO>! PROPF.B~X TAX 'NOTTC-.i:J <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION o ALTERAT I ON 0 REPAIR 0 INSTALL <br /> <br />APPLICATION FOR PElWIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />7-/o--a;~ <br />DATE RECEIVED - - -J...../ <br />PLANS REVIEW FEE <br /> <br />PHONE <br /> <br />, <br /> <br />7()~ I}ff)J <br /> <br />DSIGN <br /> <br />o MOVE 0 DEMOLISH ,)..,0 T r,EE:S j)/f II) <br />;2" ~ "00 <br />DMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />o INDUSTRIAL DSWIMMING POOL 0 OTH~R <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />j4f() -fr; r /3; r Y <br /> <br />J <br />SQUARE FOOTAGE f? t f <br />I <br /> <br />HEIGHT <br /> <br />/1/ <br /> <br />f <br /> <br />BUILDING SIZE <br /> <br />PERMITS REQUESTED <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ cf2J/ 000 <br /> <br />VALU~T+9NOF 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 0 NO <br /> <br /> <br />BUILDER <br /> <br />,- ) <br />( (SIGNAT~__~ _..~'.. <br /> <br />""""-_._---,~.--- <br /> <br /> <br />**********0****** *************************k********* <br /> <br /> <br />( /' _ ' COMPANY 0 <br />'~~ STATE CERT OR REGIST <br />CITY PROCE~~ <br /> <br />*************************************************************** <br /> <br /> <br />/ ~LtDIBER--')~ !It; ~I ~~~~":~E!~GI;~ M ~/H,:t <br /> <br />LN:~~? CITY PROCESSING # , 2- If 2- <br /> <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 />