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<br />. I <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />10 -/0- 0 () <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />p~p, ~~n\Y~~ i <br />fo~ __tn_ (_~ , <br /> <br />S,CP/f(fiJS <br />LEGAL DESCRIPTION: LOT(S) ~ ~ BLOCK ~N SUBDIVISION S(L.V;{~ OAKs <br /> <br />PARCEL ID # 03 ~J(Q-JJ-Q)150--:-o0000-0~loO {OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />JOB ADDRESS <br /> <br />PHONE~ 7~~-ICflf~ <br /> <br />OWNER'S NAME <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />D SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />S r f\) '-l, t... <br /> <br />S"\D4j ~&S\~~TI,qL <br />SQUARE FOOTAGE ~ <br /> <br />g' II <br />HEIGHT -0 <br /> <br />f <br /> <br />BUILDING SIZE ~ It (g;l <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 />D BUILDING <br /> <br />$ q9t 3~p <br />;Joo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ ~5op <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: p{ BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES i?J NO <br /> <br /> <br />........................ <br />,-, ,.,.:.:.:.;-:.,.:.,-,.,.,...:.:.:.",,,,~. <br />':;:r;:i:i:i:i:i:i:,:i:l:i:i:i:i;;:j:;:i:l;l.f. <br />........t!:i:!:U:~j:l:!:U:t!: <br />. . . .' ~:i:~:FI~*i:!:i=!:!:!:j~:j~~. <br /> <br />SIGNATURE <br /> <br />COMPANy_BIJRr~~~ t.f:Y..)~"'\h\( :\\OA) <br />STATE CERT OR REGIST pOo54 3<1). <br />CITY PROCESSING # 8\. 0\ f <br /> <br />BUILDER <br /> <br />************************************************ <br /> <br />ELECTRICIAN ~ ()/ COMPANY ;JZ,/'M ~~, -h-,"<-..;&:;,c... <br />y " STATE CERT OR REGIST # I;;.f<D 0 ( 3~"I1 <br />SIGNATURE ~ -- I CITY PROCESSING # 77 <br /> <br /> <br /> <br />PLOHBER 'w STATE CERT ORI REGIST #, ~ f Ok~ 'i <br />SIGNATURE ~~~~ CITY PROCESSING # /6,Z <br /> <br />SIGNATURE <br /> <br />*****************************************************~*********** ~ <br />. COMPANY ~A J-J /2:..s .r /2 () /DAN L. GAS f J 1- "..1'A! (...; <br />~"tf / STATE CERT OR REGI ST #' ~ t!.CO ,,3" fA <br />.. . '"""" .. --^------ CITY PROCESSING # / 7 . <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />