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<br />" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />-z!,z/O!' <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS , <br /> <br />~f54d/~(;~u:~j PHONE 7115'- ?13-sz,3'! <br />3 0'1!3 !t T7 . L#!TP 11/ <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # !2,/-.2'-2/~ 60~O-Ol!)t;bc:.._I/7"O <br /> <br />WORK PROPSED: ~CONSTRUCTION o ADDITION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH <br /> <br />/4I(j/or IBr 11 <br />/2 ~ 7~ <br /> <br />DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />J / l/'1 <br /> <br />HEIGHT <br /> <br />IYC <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 BUILDING <br /> <br />PERMITS REQUESTED <br />$ 2~ ~g 0 Z VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN <br /> <br />o NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST 1t. 07 <br />CITY PROCESSING # ~~7 <br />. I <br />** ****~~~**ji/l~******************************** <br /> <br />M J.. kX COMPANY <br />(fie;. 7Db? eC- STATE CERT OR REGIST # <br />- CITY PROCESSING # L I/ -z.-- .. <br /> <br />~~............................................. <br /> <br /> <br />JtU//5 fJ/ltw6t'wc, ~~*~~~~~~S~~N=E~IST # 1. u 2 <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <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 />