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<br />APPLICATION FOR PZlUUT <br />CITY or ZEPHYRHILL8 <br />BUILDING DEPARTMEN'l' <br /> <br />DATE RECEIVED <br />PLAN, QVIft 1'1:I: <br /> <br />OWNER' s NAME~Mr. ~ tv\r s. vJy tn ar e. <br />JOB ADJ)REss~tOOq L<"l..lJ.J 0.."" o.clo.. <br /> <br />PARCEL II) II _i~ <br /> <br />)(,-.J)- <br /> <br />PHONE 'g' J 3- 703- 7} <=Jr <br />L 00 p ;2 t"fh ~ r h: U~" F1.. ,~,~SJ..j J <br />SUBDIVISION Wo..~u'n[~ h.Nh d ~ t! f <br />('), &, 0 - 00000 - 0330 (OBTAIN' FROM PROPERTY' TAX NOTICE) <br /> <br />BLOCK <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK I'HOPSEO: Ol.a:w CONSTRt}C'l'ION <br />OS!GN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />E'ROPO~:ED USE: OSGL FAMILY DWELLING <br />DCOMMERCH\L <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />011 OF UNITS <br />o SWIMMING POOL <br /> <br />c-,;roBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ <br />C jt) <br />I <br /> <br />RESTAURANT , HEAT,1'H DEPARTMENT APPROVAL <br />n t~ To V\ tJSQer f>C)..c:k~g.p Ul\~-+ w 10 UlU ~ <br />-r:'t'lsfa./l Jl.f /n f( etW" f) <br />SQUARE FOOTAGE HEIdHi <br /> <br />BUILDING SIZE <br /> <br />RE:SIDENTIAL: ATTACH (2) PLOT PLANs, (2) SS;TS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETs OF BUILDING PLANS, [1) SET ENERGY FORMS. <br />PROP~R'I'Y SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />.$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Ci ~~LBC'I'HICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />CI PLUMBING <br />o MECHANICAL <br /> <br />.$ <br /> <br />71 f5. <br /> <br />I<<P <br /> <br />C GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE Of CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o S'l'EEL <br /> <br />o OTHER <br /> <br />nNISHE:D FLOOR ELEVATIONS <br /> <br />IS PROJEC'r IN FLOOD lIONE AREAO YES <br /> <br />o NO <br /> <br />[---_.. <br /> <br />c~~... <br /> <br />I"j; !_I;':': rPI'" <br /> <br />,-".;; :1 ~'.l. i j11'" " t <br />I;'," I'!' <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY FROCESSING II <br /> <br />SIGNATURE <br /> <br />*~...**..*..~.*****.**.****.**....*..**..**.**.*.....**..........~ <br /> <br />ILECTlUcIAN <br /> <br />SIGN....TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />..~*.*******...**.**.*********.*******...****~**...**............. <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />........ - ............. ........ -. -. - -... -.... If..(. ..if... ............ <br />NlCKANICAL COMPANY I \ ~ I c. <br /> <br />-A. ~ )( ~~ STATE CERT OR REGIST # -f:t A (~\5 <br />SIGNA'I'liRE CITY PROCESSING # 27 <br /> <br />..**.*************..*..*..~*A_*.*4*.******.**.****.**............ <br /> <br />OTHUl. <br /> <br />SIGNATURE _. <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING II <br /> <br />.........._...***.***.**...**......**.********..................* <br /> <br />9B"d <br /> <br />Lt9B 92S 2t8 <br /> <br />3WOSM3N gBg Wd v2:LB BB-6t-,nr <br />