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<br />APPLICATION FOR PERMI <br />CITY or ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />REVIEW FEE <br /> <br />-1(z. - I b& t.( <br /> <br />OWNER'S NAME C/lIrN;J <br />JOB ADDRESS ~ 7 '7/ t <br /> <br />J./{)121 zrJtJ <br />IVI5U/(6M <br /> <br />ml{ t f, <br />AvE. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # 34-- ').S" ~ ?-/ - 00 I 0 - <br /> <br />LOT ~ <br />BLOCK SUBDIVISION G/LIf-f\/p HO{2(z()~ <br />o I s (J 0 -Ocf)f IOBTATN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />DSIGN <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />DINDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />ALt/;YI / 1J(/j1// <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Sc 17/'5/5 tV /Zoo""" <br />. I <br />BUILDING SIZE /1 X tfg' <br /> <br />(' ,4 f</J tJ 12 -r; <br /> <br />urfLI rLf ai)()/Vl <br />, . <br /> <br />5~' HEIGHT <br /> <br />SQUARE FOOTAGE <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 />D BUILDING <br />9'ELECTRICAL <br /> <br />$ <br /> <br />97/9.9'3 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVI CE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. WIdE b"HED <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />crc;THER /fL v 111/ A./t.I /Y' <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D 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 />SIGNATURE <br /> <br />& AAL 4. 0duJl <br /> <br />COMPANY g,t If (:()tJfttLJGrtD/1/ d;; cQ.Jrurt.- Pi-. <br />STATE CERT OR REGI ST # (1/5(: IJ t;"'7'7 K'1-. <br />CITY PROCESSING # ~~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ 11 ~ ()duI;J <br /> <br />COMPANY fief-. (~U-c 17l {(~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1 R7 <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 />**************************************************************~** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />