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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />ItJ-.E/-OD <br />. <br /> <br />OWNER'S NAME OliN/! PItTmAN PHONE <br />JOB ADDRESS 5(023 ff}C.CDY CDU12r ZEfJlIYRHILLSJ FL 335L/O <br />LEGAL DESCRIPTION: LOT (S) 91/ BLOCK SUBDIVISION .sUNSET ES774~ <br />PARCEL ID # /22{p. 2./ tJ310 OOO()O /Jqt/O {OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />PROPOSED <br /> <br />OSIGN <br />USE: o(SGL FAMILY <br />o COMMERCIAL <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLI SH <br /> <br />DWELLING <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />!JC/J]I} /Jt')/UJ/- C'bN<r!<var NeW h/2.~1I <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 />PERMITS REQUESTED <br /> <br />I) BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />/5/5iJD <br /> <br />, <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />gfP-;:OP/O <br />- 1/ 1J'1 <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />~/ <br /> <br />COMPANY ({; .l!ANAn1 CI)N~r I? uc no^, <br />STATE CERT OR REGIST # ~- C./JE 777D <br />CITY PROCESSING # /;,711/[),( <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />-~._+._._"..~ <br />ELECTRICIAN <br />( <br />SIGNAT~ <br /> <br /> <br />COMPANY Na.r+~h ~kG+r:L-l ~c. <br />STATE CERT OR REGIST # 15R..OO/3'1'-{ 9 <br />CITY PROCESSING # 97 rill.. <br /> <br />* ******************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />