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<br />APPLICATION .FOR PEIUfIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />4f= C39~ <br /> <br />DATE RECEIVED <br />PLANS REVIEW .FEE <br /> <br />OWNER'S NAMEI~Ql~ ~~~('L\T <br />JOB ADDRESS ~ \ . (Y\Q CL ~n\ 1 r i:- <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE I~'&. ~ jS <br /> <br />PARCEL ID # 3S. :25. ~ , . nOSQ. ()oorn. (J(\oO <br /> <br />SUBDIVISION <br />(ORTATN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />(JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />(J MOBI LE HOME <br />(J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK S h \ ~~e. 1:<prDo-t <br />BUILDING SIZE SQUARE FOOTAGE <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 />HEIGHT <br /> <br />o BUILDING <br /> <br />$ c!1, 070, QQ <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />BUILD"" COMPANY 5(' he p<>r:: K nof, ~ ' I Ole . <br />n/l/l ..... r STATE CERT OR REGIST # c.c. 'OS~ 1'54 <br />SIGNATURE Ov...u(lo..p~~ po..., CITY PROCESSING 1# .;;(8 ;;) <br /> <br />****************************************************************** <br /> <br />'+'.iHfjllii1Wljtrt~llt]11f: <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * /I, * * * * <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />