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<br />APPLlaTIC&< roR PERMIT t /l~~\ L <br />CITY OF ZEPHYRBILLS c...c..fA~ '-/ J' l / V " <br />BUILDING DEPARTMENT RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME !?tt;J& Y ( J A6 I- <br /> <br />JOB ADDRESS S/;76 I IT)! s r <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION fI~~ <br /> <br />PARCEL ID # /6~/7-;10 Ill'! ~~/DOJ()/ $l>IOO!l>,foD (OBTAIN FROM PROPERTY TAX NOTICE) <br />, I' <br />WORK PROPSED: DNEW CONSTRUCTION ~ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />PHONE JI.J - 7/) - /9~j"'- <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK SC1?66t./ <br />/.J X ~J. <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Pi} t) '''-\ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />;JJ't <br /> <br />HEIGHT <br /> <br />8" <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-; y t;(), O() <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <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 FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTlUCIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />YECRANJ:CAL <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 />