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<br />JOB ADDRESS <br /> <br />~ <br />J-;~~~ <br /> <br />APP. LlCATION FOil PBBYI T II ['" wul <br />CITY 01' ZEPHYlUIILLS 'I "ItJ .. <br />BUILDING DEPARTMENT 111,H~ <br /> <br /> <br />I!Z{a( 0, <br /> <br />OWNER'S NAME <br /> <br />PHONE g/3 -1gS-- 16 ~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # '3 s'-::L5"--';J.-J-CJ6 } 0 -65'"6 6() - DCl0C-10BTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR ~L <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />( NSTA-LL <br /> <br />r-- <br /> <br />K\ \C~ -et\J <br /> <br />~oe J -* Vue..\' \ r\iq <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 /> PERMITS REQUESTED <br />o BUILDING $ - <br /> VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ 400", aD VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDD <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />EL1l:CTlUCIAN <br /> <br />SIGNATURE <br /> <br />COMP,AAY , <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />':) '\...., S(:::> --,-. - -A-L <br />COMPANY F- cA~ Ic::-. ,\<i2<:> \ ~\\ '<-' \ <br />STATE CERT OR REGIST ~<::. .Q)<D? c..{....~~ <br />CITY PROCESSING # -L.,.- 2.. b y.. <br /> <br />PLUMBBll <br /> <br />***********~****************************************************** <br /> <br />MECHANICAL COMPANY <br />--:-; ~ STATE CERT OR REGIST # <br />SIGNATURE ~ "'\:'<--~ CITY PROCESSING # <br /> <br />*******************************************;:zJt~:*:?~l*~******* <br /> <br />OTHBll <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />