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<br />APPLrCATrON FOR PBmaT <br />crn OF ZEPBYRBrLLS <br />Buu.orHG DEPAR'l'YIDlT <br /> <br />j /1 % I . <br />DATE RJ:CErvED -_ <br />PLANS REVrE1l I'D <br /> <br />OWNER'S NAME [:; / c ~-;t/ 5e,4;Q,1 ~ {} 6? /2.. <br />JOB ADDRESS -3 ?7~/ (!/y S'c.; F <br />/$ <br />C jaRC'F.T. Tn Ji> 6~-;t.0-;2! - /- .j-O - :3 - .AOT /.:1-. (OBTAIN <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION DALTERATION <br /> <br />PHONE? /3- 7 So - [;..;; ~~- <br /> <br />SUBDIVISION SA>p CJ 1/ IJ 0 110 W P,f 1- <br />I ( <br />FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK (} ~r1Yl6 ~CJI/)3/LJ,g <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ~ <br /> <br />~ L \.;... V, J-J'fL' <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 />o ELECTRICAL. <br />o PLUMBING <br />o MECHANICAL <br /> <br />....... PERMITS REQUESTED. <br />~~_~~ e>~___~U~TION OF Tc>rAL CONSTRUCTION <br />AMP SERVICE 0 FLORIDA POWER iJ <br /> <br />W.R.E.C. <br /> <br />~LDING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />... <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BurLDER <br />SIGNATUREV r~ ~ A-LcI-vJ.J <br /> <br />COMPANY <br />STATE CER REGIST <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELJ:C~CrAH <br /> <br />COMP.l\N'Y , <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECRAHrCAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPAN'k- ~. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />-!'. <br />