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<br />APPLICATION FOR PElUaT <br />CITY or ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME t,J/J'(N{ l-tl/S~l--EI;J <br />JOB ADDRESS !-O, /30" <br /> <br />PHONE rJ t 2 -I 06 'f <br /> <br />L Or €n~ <br /> <br />~. <br /> <br />SUBDIVISION &f:t;j./tJ j-/()flI2o;J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 3l(--75"-2(- 0010- 01 >QD- 0138' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERAT I ON o REPAIR o INSTALL <br /> o SIGN ~VE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS ~ILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />CJ <br />DESCRIPTION OF WORK 5t:~ <br />BUILDING SIZE jJ, ,5 X &0 <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />v f fJ1 tJ;JI L~ l-ItJ #l ~ <br /> <br />SQUARE FOOTAGE <br /> <br />15Qo <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 />~ILDING $ 57fXJ.4)0 VALUATION OF TOTAL CONSTRUCTION <br />~LECTRICAL I ~ () AMP SERVICE ~ORIDA POWER 0 <br />~UMBING <br />~CHANICAL $ '1(){J .(00 VALUATION OF MECHANCIAL INSTALLATI <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 /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />BUILDER <br /> <br />7.1- /f>(. "f <br /> <br />COMPANY WAI{Ni:: (ji/rretLFf OL-O <br /> <br />STATE CERT OR REGIST #~ <br />CITY PROCESSING # i <br /> <br />Ole <br /> <br />SIGNATURE <br /> <br />~ f). tU<&! <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />f)~ /J ~ flM <br /> <br />COMPANY get- PLeG-rf!.U:... <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J~7 <br />, <br /> <br />uK- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGN~_TURE <br /> <br />~ A< ~ <br /> <br />COMPANY LJAilJt:. fl v rr611.!=--f ElJ) <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 4 g-' <br /> <br />ot <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />. COMPANY fJ C-{~ tJ...tfl.... CONl/ , <br />~( A-~ (1fM~ ~~~~E P~~~~S~;N~E~IST ?_\ <br /> <br />oft <br /> <br />MECHANICAL <br /> <br />**************************************************************~** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />