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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPAR.'1'HENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br />JOB ADDRESs( l-.ot ~ <3~ J <br /> <br />37f.t.,38 <br /> <br />LEGAL DESCRIPTION: LOT(S) ~~ <br />PARCEL ID # 63 -').(p- :;2[-6/30 -600c0 -og3o <br /> <br />W il \ ; ArY\ *' LD'tt.lLAi {"\ ~ I~ E '-1 <br />N'E-\J0CL{ Au~. <br /> <br />PHONE 941 -1.J:I..~ - Cf4 3fo <br /> <br />SUBDIVISION Z:~f~~ ~A.S\ t <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <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 />Ij(MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Y"r'\_ L't' L ho.,.,.."c:; r"c. +- L.. 0 <br />DESCRIPTION OF WORK ,. DV ,. 'L- ~~ -'~ <br />BUILDING SIZE f).~.~ xf.oD <br /> <br />SQUARE FOOTAGE <br /> <br />" le ~O <br /> <br />HEIGHT <br /> <br />Iz 9 <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 />BUILDING <br /> <br />$ <br /> <br />~~ICIJO <br />ISO <br /> <br />PERMITS REQUESTED <br /> <br />'1:J <br />--n <br />~ <br /> <br />VALUATION;OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />)t <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />~ MECHANICAL <br /> <br />· \ 500 .aD <br />$ I <br /> <br />VALUATION OF MEC~CIAL 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 />~.OTHER <br /> <br />FINI SHED FLOOR ELEVATIONS "1 !lot F',zOtv\ '1'r'2.0~ <br /> <br />IS PROJECT IN FLOOD ZONE ARFAD YES 'F:A NO <br /> <br /> <br />BUIWBR ~ <br />SIGNATUR <br /> <br />~J\ <br /> <br />COMPANY 01=\+01'<.- Tr2..~n'S p~T <br />STATE CERT OR REGIST # T 4-000() 4(., 7 <br />CITY PROCESSING # ~ g~ I <br /> <br />****************************************************************** <br /> <br />ELECTRICI~ f"\ . . _ <br />SIGNATURE~ ~ <br /> <br />COMPANY 3D R DCHI ~ II:: d--12 i' c... <br />STATE CERT OR REGIST # f1Z..- oc:b?.fW <br />CITY PROCESSING # I iO <br /> <br />PLUMBER <br />SIGNATURE~ ~ <br /> <br />****************************************************************** <br /> <br />COMPANy-=:fcfDOn. ? I u...rY'-~ \ v'\q <br />STATE CERT OR REGI ST _t,Rf 004 ~3 ~ 8. I <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * ~ * * * *t;* * * * * * * ~ * 7 C!...- <br />MECHANICAL COMPANY D.h.~ 5 A6., <br /> <br />~ rvY\ k STATE CERT OR REGIST #. t:'.~Qo 4'ii'll./1, <br /> <br />SIGNATURE ("'\.{A... CITY PROCESSING # } I <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />