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<br />APPLICATION FOR PEIWIT~~ ~ ~ <br />CITY OF ZEPHYRlI:ILLS ~h ~ t)1J 9 I ~ ()O <br />BUILDING DEPARTYENT 'f~ iATE RECEIVED , , <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />VaJJ 5- <br />L/141 <br /> <br />C LJ~ r~ <.-11 :Vf <br />Ti ;"" b..u- M J <br />3 '3 BLOCK <br /> <br />PHONE <br /> <br />)/3. LfbS,? <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />[,our*- ~vtq(t- <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />b SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALT ERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~;N<I ~(r Dw~ If,:' <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (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 FOR ALL NEW CONSTRUCTION. <br /> <br />'1 BUILDING <br /> <br />o ELECTRICAL <br /> <br />pi PLUMBING <br /> <br />9 MECHANICAL <br />I <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />/IO,tJ Ov, ~ <br />c ( VALUATION OF TOTAL CONSTRUCTION <br /> <br />/J & AMP SERVICE <br /> <br />&' FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~'),<Jt() , ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: QlBLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # l '41'2.- ~ <br /> <br />t*******************************************************~~~ <br /> <br />COMPANY 6vt J F povJ<-r <br />STATE CERT OR REGIST # e l.;: 0610 'j.5'tf3 <br />CITY PROCESSING #.~~ll.b.\ ~ _-~ <br /> <br />*********~************************************* W***~~~~~ ~~~~, <br />A~' I rn4~ I'/~II~ <br />, COMPANY <br />, ',~, -~ STATE CERT OR REGIS~ # Lj:'Co . <br />. ~ CITY PROCESSING # ~ <br />..--r- <br />, ' Uu- . (L <br />*******.****************************************** * '*******~ 0 , <br />~ /1 , " COMPANY: 5" ~11/ /I' y.r , . ,- . <br />,/J.-",- "/l/~_ '!JJ /lsTATE CERT OR REGIST # ~ /f'-I 00/ g Y,,~I <br />~ '-~ p; / J~k'~PROCESS~ tP)"' <br /> <br />** * * * * ** *** ** ** * * * * ** * * * **** * * **** * * * *** ** * u-f)~~ * ~ * ** * * <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />