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<br />, <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED If- Ie - 0 I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />~t~ <br />. <br /> <br />S'""D ~ t <br /> <br />PHONE <br />;'ho6 :L <br /> <br />'779'- ?~s-y <br />3~b '-~~'F; <br /> <br />~~~ <br />s-)...I,/ :s;,c. <br /> <br />LEGAL DESCRIPTION: LOT(S) /,~ IF <br /> <br />JOB ADDRESS <br /> <br />BLOCK /96 SUBDIVISION <br />( If -.2' - :;::J/-t:)tJ/tJ) (OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />PARCEL ID # <br /> <br />/9~~t.J -6/70 <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />0AL"TERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br />PROPOSED USE:~ FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br />I <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />/?6n-. ~ <br /> <br />~ >>'\./J ~ / <br /> <br />BUILDING SIZE <br /> <br />~r/.J( fS- <br /> <br />SQUARE FOOTAGE <br /> <br />;?..rQ <br /> <br />HEIGHT <br /> <br />? <br /> <br />I <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 />J2r'BUILDING <br /> <br />$ <br /> <br />/{)I o~ . -.J <br />/r~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~LECTRICAL <br />o--ELUMBING <br />Id--ME CHAN I CAL <br /> <br />AMP SERVICE <br /> <br />S- FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />$ /~ ~ ero ,. CI"1> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />Er'"'F"RAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES ){'NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE./ ? <br /> <br />~/7 <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE v' /? <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY (j) l..V-1?>tI/').) <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />K.e/~-:? <br />/' <br /> <br />ELECTlUCIAN <br /> <br />PLUMBER <br /> <br />******************************************~**j****************** <br /> <br /> <br />COMPANY \ L/~./~ <br />STATE CERT # <br />CITY PROCE <br /> <br />K...R"7 <br /> <br /> <br />SIGNATUREit,/" 5P <br /> <br />***********.****************************** *** * <br /> <br />MECHANICAL <br /> <br />SIGNATURE v" <br /> <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />