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<br />O(\/r'-/~ <br />, II <br />I (~L-l+Ll~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 1/8/o( <br />PLANS REVIEW I'EE <br /> <br />PHON~- ~ 0 <br /> <br />OWNER'S NAME .z;k V I J t~/VI-r ~,'- {/.:; <br />JOB ADDRESS Ti~l~..r vJ?Z'J ( ~q-~ <"J) <br />LEGAL DESCRIPTION: LOT(S) ~ ']I BLOCK <br />PARCEL ID # t S -}6 -2 v- ()201) - O()ooo. {)L4D <br /> <br />SUBDIVISION ~e7c.-,r /- <br /> <br />,~ iA4..,c. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: <br /> <br />~EW CONSTRUCTION <br />b SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK S/~/e.... <br />BUILDING SIZE Lfs y S 0 <br /> <br />F~: '7 <br /> <br />(firJL It J <br /> <br />/3c"r 7j7 <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <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 />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />ISfMECHANICAL $ ~ 0 00 ' <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />to a:;oo. :!!: <br />/5C:/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />I}t FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: Qr BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />J COMPANY .11//,; (4'v/-r~,-~,~ <br />A.J------J / ~ STATE CERT OR REGIST #(,6-< 0</'" ~/ 28' <br />~ U '~ CITY PROCESSING # y?J I <br /> <br />****************************************************************** <br /> <br />COMPANY G {.-( I/"' ;Z c.,r.J -< r <br />STATE CERT OR REGIST # E~ CXJO <tJ5' J <br />CITY PROCESSING # (),D & / <br /> <br />* ***l~~~***..~~************************************ <br />~ flw.lers oC ~p Je.,~<!~ <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />(- <br /> <br />PLUMBER) <br /> <br />,~",....,""""",/ <br /> <br /># ere 0)' 7Joy <br />/6150 <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*********************~********~~~***** <br />COMPANY ON/V1.J /-fA '''i,....t:.~J <br />STATE CERT OR REGfST # ,-Fe.. o.5'')f~ y <br />CITY PROCESSING # 2(::.>~ <br /> <br />/~ YE~!CAL' <br />~---,_._.- <br /> <br />**************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />