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<br /> <br />APPLICATION FOR PERMIT <br />CI'l'Y OF ZEPIIYRlIILLS <br />BUILDINg DEPAR'lMENT <br /> <br />~ 4-..lT, ';: ",%7-- otJ ;:<.fP. .~ <br />.~ . Qf2~~/ <br />DATE RlCCIlIVJIlD 0 (,. <br />PLANS RlWU1K nu: <br /> <br />OWNER'S NAME L 0 ^ ) G 000 IA././ A/ <br />JOB ADDRESS (; ~ z B L i1- U i?(J. L tuDO,l.) .i) R <br /> <br />PIIONE l) I) 9- 3S If 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID" tJ3 - ::>'fv-;)../ - 0 /QO- <br /> <br />WORK PROPSED: ONEW CUNS'l'HUC'l'lON <br /> <br /> <br />SUBDIVISION Oliver {)c:t..k.s .'9 <br /> <br />'j <br /> <br />BLOCK <br /> <br />o AL'l' ERA'1' I ON <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />Os 1 GN <br /> <br />o MUVl!: <br /> <br />o DEMULISH <br /> <br />PROPOSED USE: DSGL F'J\MILY DWEl,LING <br />OCOMMEHCIAl, <br /> <br />OMUL'l'I-f'J\MILY <br />o lIWUS'l'IUJ\L <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIP'I'!ON Of' WOHK <br /> <br />D RESTAURANT & IIEl\LTII IJEPAHTMEN'l' APPROVAL <br />/0 XZ1- S'cRt;:FrJt-/' <br /> <br />. " <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />;200 rvt <br />fJIJ O? l/O <br /> <br />I . <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: A'1"I'ACII (2) PLOT PL1\NS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS." '!" <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. .~ <br />PROPERTY SURVEY REQUIRED F'on ALL NEW CONSTRUC'I'ION. <br /> <br />rsi BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ c?< t/ (P;;. em <br /> <br />VALUATION OF TOTAL CONS'l'RUC'l'ION <br /> <br />., <br /> <br />D ELECTRICAL <br />o PLUMBING <br />D MECllANICAL <br /> <br />I. <br /> <br />AMP SEIWICE <br /> <br />o F'LORIDA POWER <br /> <br />o W,R.E,C. <br /> <br />I', <br /> <br />". <br /> <br />$ <br /> <br />VALUAT ION OF MECIIANCIAL INSTALLATION <br /> <br />:Ii <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTIIEH <br /> <br />I. <br /> <br />'l'YI?E OF CONSTRUCTION: 0 BLUCK <br /> <br />o f'IV\ME <br /> <br />o STEl!:L' <br /> <br />o OTHER <br /> <br />" . <br />, <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJEC'I' IN FLOOD ZONE AREAD YES' (J N9 <br />\ <br /> <br />I ! ~I <br /> <br />" <br /> <br /> <br />*********************************************************.****.*.. <br /> <br />11"'-/ Cv ^"S T <br />COMPANY ;j :.s <br />STATE CER'l' OR REGIST It r:I<CD.'':?~4'L1 <br />Cl'l'Y pnOCESSING It I~n <br />IT( <br /> <br />I", <br /> <br />BUJ:LDJU\ ; <br /> <br />SIGNATURE <br /> <br />QA~~ <br /> <br />ELECTIUCJ:.l\N <br /> <br />,. <br />, <br /> <br />COMPANY <br />S'l'~rE CERT OR REGIST H <br />CITY PROCESSING fI <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />* * * * * * * * *." ".'" *.",.,. *." * *,.,.,.,..",.." *,. *,.,. ,.."." *,.,. *.",..",.,.,. *.."......."......,......."...".............. <br />COMPJ\NY <br />STATfo: CERT OR REGIS'f It <br />CITY PHOCESSING If <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~~.,,*******~~~~**~*~***~~*********~******~****~******.,,********..** <br /> <br />OTH&:I\ <br /> <br />COMPANY <br />STATE CEnT OR REGIST If <br />CITY pnOCESSING 1# <br /> <br />SIGNATURE <br /> <br />*.*.A*.*.AA*........~..A.AA~A..AAAAA..A...*......A............... <br /> <br />'" <br />\I <br />