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<br />/~.--: <br />APPLICATION FOR PERMIT c;llDtl / <br />CITY OF ZEPHYRH~LL / II 1\.10'" '-t ~ ~, Du' <br />BUILDING DEPAR 'l,v. TE RECEIVED - [!. .- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME (9(2IfNJJ <br />JOB ADDRESS :3 7&ot <br /> <br />I-IDIU Z ~ Jt.l <br />I--tJ {2E IV /I- <br /> <br />fVlj-l. p. <br />III/IE.. ~r <br /> <br />PHONE <br /> <br />7?Z -: I ()& t( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />}"5 ( <br />SUBDIVISION t::(VWtJ J/.o(l, ( ZlJf.l <br /> <br />PARCEL ID # 1t!-1';- - 21- ()() I D- O/3co- 0/3 I <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALT ERAT I ON <br /> <br />DREE'AIR <br /> <br />o 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 /> <br />uro;HER <br />,4 LJ./ Il1 I tJil /11. <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~ULI~6;J fZ/IJ/l!1. . e A-f.fo~"- . <br />r f <br /> <br />{/T( L-( Tlf <br /> <br />Iz ()/) M. <br />. <br /> <br />BUILDING SIZE '2X~J <br /> <br />101 U- <br /> <br />SQUARE FOOTAGE <br /> <br />qlt <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 />~ILDING <br />UYEi:ECTRICAL <br /> <br />$ IDJf13.oZ- <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. WIt2f ~/..JGt? <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 />I3"<ITHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ A ~ fkluR- <br /> <br />COMPANY 8rl/ Ct>/'J';OWe-Tlt1tV O/~ ~#T/lIk. r::t.. <br />STATE CERT OR REGIST # c13i:foSl)7tf7_ <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />Bwu t1, aJufL <br /> <br />SIGNATURE <br /> <br />COMPANY At IE:. /.pU!:c/(ll.l C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I f"r,l <br /> <br />*********************************************************~,******** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************.k******* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />