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<br />APPLICATION FOR PERMIT <br />CITY OF ZBPRYRBILLS <br />BUILDING DEPAR'l'MENT <br /> <br />o -= :2.~;'t)O <br />DATE RECEIVED?- x= <br />PLANS REVIBW I'BE <br /> <br />OWNER'S NAME V \ ~ T \:::) ~ \ ~ <br />f="~ ~ \CJ\:::..S5. ~ ~ c:",. <br />LEGAL DESCRIPTION: LOT(S) \0 16 BLOCK <br />PARCEL ID #3-~lQ-~ \ -- C)~()() -QC)~~~ -()to~~ <br /> <br />JOB ADDRESS <br /> <br />3'7/5( <br /> <br />hl(\9{)~~~~\~ PHONE~i3-l,4\~ <br />l ~~ \ L <br /> <br />SUBDIVISION S\\..\Jb~D~~."::. 0\\..;\A)~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~L FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK \0!::.,W ~~ "-~t-...o~~ <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 & (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 />~LDING <br />~CTRICAL <br />~UMBING <br />~HANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ toeJ~~ ,~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br />~E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ <br /> <br /> <br />BUILDIlR COMPANY V )<::.; ~ )() V \~..;~:::~LL "> <br />STATE CERT OR REGIST # <br />SIGNATURE ~G\:::.::t' N \) c..... ~C\_A...$ . CITY PROCESSING # ~.6. V,2- <br />~~~~*~~tv~************~*****~*~******** <br /> <br />'7 / \ _ Ct. . , -- <br />~/ /1 COMPANY: ~a\1\V\ 0U.C1r\0, ~C. <br />/~ STATE CERT OR REGIST 1# b/2-0o 134 l/ q <br />. CITY PROCESSING # '1-1 <br /> <br /> <br />******************************************************** <br /> <br />PLOMBBR ~ COMPAN~3:.~N\:::> tOn_,,--" t::J~~ <br /> <br />SIGNATU~ -IV--Z~ ~/ /' ~ ~i~E P~~~~S~~N~E;IST I <br /> <br /> <br />* * * * * * * * * * *.* ** * * * * * * * * * * * ** * * * * ** * * * * * * * ** t t *-t * * * ** * * * * * * * ;,* ** * * * * <br />HBCIIA1UCAL COMPANY: N \J ~ ~" ~ :p H ~~ , N C::> <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />*************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />