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<br />APPLICATION FOR PBmaT <br />CZTY or ZEPRYRHZLLS <br />BUILDING DBPARDamT <br /> <br />OWNER'S NAME III r. +- M 1"'5. If/I aft. Ka'j <br />JOB ADDRESS 3S~(~ 8er'j/ Lane____, Zephyrh/ll:s <br />LEGAL DESCRI I?TI ON: LOT ( S ) 77 BLOCK <br />PARCEL ID # 0?t./-d{p-.;l.I-M~O-CJ&CJOO-0770 ' <br /> <br />SUBDIVISION Erneratd Po/nt- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />, <br />OSIGN <br /> <br />lR""ADDITION <br />[] MOVE <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br />, <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />tJ OTHER <br /> <br />.. <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Po....ho Lover "I- Scre.er1 ;e~. w,/ 1/(';11 Wth.;,{t7tv:j. twr ved<.J SAd <br />'BUILDING SIZE ,I:?.'x.. 31€ SQUARE FOOTAGE 43;Z ;/'~ 'HEIGHT' Se~ blahS <br />. f <br /> <br />RESIDENTIAL: <br />, COHMERCIAlJ t <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. ; r <br /> <br />I ~- f I <br /> <br />I <br />~UILDiNG <br /> <br />[] ELECTRICAL <br />[] PLUMBI~G : <br />[] MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />, :.l ;,. <br /> <br />$ StJOtJ. OC? <br /> <br />VALUATION OF TOTAL ~ONSTRUCTION <br /> <br />,,' <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R~E..c. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION.!., <br /> <br />[] , <br />, ,GAS <br /> <br />P RqOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br />~FRAME <br /> <br />. I \,~' <br /> <br />~ r ,f ~ <br /> <br />i'. 0\' ~ <br /> <br />TYPE OF CONSTRUCTION: tJ BLOCK <br /> <br />[] STEEL <br /> <br />.-./: Ll' '. I ' <br />~OTHER /T1l<mlni..l~1 <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />, l,' <br />IS PROJECT IN FLOOD ZONE AREAD' YES D NO <br />,''II(' ',~ J ii', <br /> <br />\ f j '-'~' . <br /> <br />mmlilili!!!l!I!~W!li!:mmmmmmmmmmmmmm!mmmmm~:mmmmlmili - !liilmmml!!1!!:1::llm:!1:mWm!!!!I:mm~mmmm:mmmmmmmmmmmm <br /> <br />,l.'..,,l,.: ' \. , <br /> <br />COMPANY (lIlike WNlia.Ms' (!t);tQfr~c-ho~,- <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING It SbA . 1 I'" , <br /> <br />BUILDER II .: " l(:) ,'. <br />SIGNATU~E'~ 0)~ <br /> <br />**************************************************************t*** <br /> <br />.i&C'.ImCull <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />!\". ..\; <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />j, ," <br /> <br />PLt1MBIDl <br /> <br />COMPANY' <br />STATE CERT OR REGIST,# <br />CITY PROCESSING # <br /> <br />~ . 'j f\, l .,., i <br /> <br />SIGNATURE <br />" I' <br /> <br />.,;, <br /> <br />ijlr! ' <br /> <br />) j ;..n}';'J\ <br /> <br />***********~****************************************************** <br /> <br />'l" .' <br /> <br />HIICBAHlCAL <br /> <br />. <br /> <br />COMPANY. <br />STATE CERT OR REGIST'#' <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************~********..***************************************** i ,t! ,.i <br /> <br />OTRBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />i! <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />