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<br />,......-". <br /> <br />;.. . <br /> <br />APPLICATION FOR PERMIT <br />CITY or ZKPHYRHILL9 <br />BUILDING DEPARTMENT <br /> <br />DATE JU:CEXVED <br />PLANS REVJ:B1f I'EK <br /> <br />OWNER'S NAME FI ~+ C ~ f1S.-hCL/\ r h u (C_ "'- <br />JOB ADDRESS (on40 f<~ (S~(eQ l / zeph~r h,'U r) FL <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE I go<. / (J7 I <br />3351/ () <br /> <br />SUBDIVISION <br /> <br />PARCEL ID 1# O~ al.o O)} {)())? t'J 001+00 no I {l {OBTAIN FROM PROPERTY TAX NOTleRI <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR )6 INSTALL <br />o SIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />On OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Tf1s-f aU l(-! ee 0 Ie. <br />f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIPf': <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 />o BUILDING <br /> <br />$ <br /> <br />5, V7S, /" <br /> <br />PERMITS REQUESTED <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 /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALlATION <br /> <br />o GAS <br /> <br />o ROOFING 0 SPF.CIALTY <br />. <br />TYPE OF CONSTRUCT10\-i: 0 BLOCK <br /> <br />o OTHER <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 />D NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING H <br /> <br />****************.*****.***.****.**.*.*****.....**....*....... <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST H <br />CITY PROCESSING H <br /> <br />. <br /> <br />***********************************************.****************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST H <br />CITY PROCESSING H <br /> <br />SIGNATURE <br /> <br />,'::1-\' <br /> <br />SIGNATURE <br /> <br />IL"t,t.*. * *. * * * *.. t * * * * *. ** * * * *** **. *.. * * *~..,** * .**;~'..~*'..~.**......""":...... <br /> <br />. C~PANY <br /> <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />'~CiiANlcAz. <br /> <br />**************************.**.*****..*.*********..*****...****.** <br /> <br />OTHER <br /> <br />SIGNAT~RE <br /> <br />. , <br /> <br />COMPANY <br />STATE CERT OR REGIST H <br />CITy,PROC.EBSING ~n' '. '\ <br /> <br />\, , <br /> <br />, . <br /> <br />.~ <br /> <br />.*.*.***.**..********....*..*.***................................ <br /> <br />" <br /> <br />- <br />.. <br />