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<br />.. <br />APPLICATION I'OR PElOaT <br />CITY 01' ZEPHYRBILLS <br />BUXLD:ING DEPARTMENT <br /> <br />c2-j-o ( <br />DATl!: RECEIVED <br />PLAN'S :REVIEW I'EE - <br /> <br />OWNER'S NAME iLl If L( IV IS 1-4 US> 1--& I rJ <br />JOB ADDRESS 3115;(0 LD(26NIT /.-01 I J t' <br /> <br />PHONE !t.$ - '7{2 - lOb if <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # '3'1--25- 2( - Do I 0 - 01300 - 0 ("30' <br /> <br />SUBDIVISION &ltfl/i/ /kJflA 7o;J <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />Os I GN <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />~VE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br /> <br />D SWIMMING POOL <br />~rAu. <br /> <br />D MOBILE HOME <br /> <br />DOTHER <br />II!A/MIN(/d'l <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK R.6IN5rilu... tiUm (fl.lvlf/l oN MIll iN&, De /.Jb7vl E {";WlftIZT/ ..s-/~ /!A-lfM >f.,ll{J, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />Cj sfo <br /> <br />HEIGHT <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. / <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. · ~ <br />REQUIRED FOR ALL NEW CONSTRUCTION. ~ ~~ II <br /> <br /> <br />PERMITS REQUESTED &)Off ~ .tr.f1~' <br />VALUATION OF TOTAL CONSTRUCTIO~~~- <br />AMP SERVICE D FLORIDA POWER D W,R.E,C, wille 5H60 <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />urBUILDING <br />r?ELECTRICAL <br /> <br />$ I{~ '310, 51 <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />Q'1)THER IlWIllI!-/t//Yl <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />SIGNATURE <br /> <br />~ /l tJakf <br /> <br />COMPANY 13~ {+ [DJUS1/WG r I o,..} of (CtvrT21U- Fi-. <br />STATE CERT OR REGIST # CAcfJ51'7 Rz. <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~4-~ <br /> <br />COMPANY {Jet: ~ U~ c T7l / C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # If7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLmmER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************************************~** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />