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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />6i~ _" <br /> <br />DATE RECEIVED J 0 17-0;-:; <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~~r~',\b LXi~ \iJ~/\V <br /> <br />JOB ADDRESS 4330 O*' ~e ( <br /> <br />PHONE(!S(0 '11~ -loQ5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR ~ INSTALL <br />2. c.o()*U~ O{\ <br />-tr-O; ler~ <br />o MOBILE HOME <br />__._..n..'...'....._. .~..~, <br /> <br />o SWIMMING POOL //0 OTHEri"- <br />-- J ~ <br />/ 40 - /1(tf <br />( :'#j EuE" <br />-- 7JL8~. <br />\+r~ f;----..---. <br />~IGHT <br /> <br />.......~-~---------_._._- <br /> <br />0# OF UNITS <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />.JSCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK Set~~ 2 <br />\Z(~ .- <br />BUILDING SIZE 1'z,!l(4Q <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />brrary CO()~'()I\ Wer~ <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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 />1(1 BUILDING <br />Ii! ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION~OF TOTAL CONSTRUCTION <br /> <br />400 <br /> <br />AMP SERVICE <br /> <br />(g' FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MEC~CIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />it OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES .P( NO <br /> <br /> <br />COMPANy~e ~A~\el~ (DM~i <br />STATE CERT OR REGIST # <br />CITY PROCESSING # :;1/110(( 0 f /....____ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN . <br />SIGNATURE I/':::::~ C--~ <br /> <br />COMPANY c., F, L E.A <br />STATE CERT OR REGIST # ~C "()66So '--/ <br />CITY PROCESSING # ~57o 01< l""'--- <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ jl <br />SIGNATURE . '-. W~ <br /> <br />COMPANY ~()CI\') L. w; l\;aM~ <br />STATE CERT OR REGIST # ~F 1~5 <br />CITY PROCESSING # /'120 1() ,_______ <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />N/p\ <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />