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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 9,-- d2J- 6 0 <br />PLANS REVIEW FEE JL/.# <br /> <br />OWNER'S NAME '& 7""" JI/ :.r .$ t./;1=" ~/ PHONE <br />JOB ADDRESS 5/3(!) 6~ ~" ;L'7'~tt'H 33.r</d <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />~TALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~AMILY DWELLING <br />COMMERCIAL <br />~TAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .:?VJ/A-Lq,,/ 4"'-'..{"tJ.t-, /Z/e:>Z- 1oJ,- 30<::) ;;Z;~ S~~~~ ~~~ <br /> <br />[JMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY ~O~~;l') <br />FORMS. ~_ <br />1) ~rJL <br />. --G ( 0 <br />PERMITS REQUESTED O{)/t'-' Q'" ?-I"O , <br /> <br />o BUILDING <br /> <br />$ <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 />~HANlCAL <br /> <br />VALUATION OF MECHANCIAL INST <br /> <br /> <br />(]~1A it <br /> <br />LS <br />AREA 0 <br /> <br />,; rl'7'" &9/5 <br />1{) 1/ ~ 10' . <br />DC) <br />g " ~ P- 9~ I ( <br /> <br />YES 0 N ~ <br /> <br /> <br />$ <br /> <br />I tf' t:::; t:) <br /> <br />~ <br /> <br />[J 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 />[J OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZO <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************.~********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />I <br />COMPANy~/..c4<:"'c;'~. ~~c n.ct::Jr J~;;. <br />STATE CERT OR REGIST # 72<t1.r37t:'J1!>~'pilTO <br />CITY PROCESSING # ~j1~~ <br />