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<br />APPLICATION FOR PElUfiT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /.:< - / /- ZJ 0 <br />PLANS REViEW FEE - <br /> <br />~J;4i~~ <br /> <br />SUBDIVISION FbI!:.- 130$ 7flJ/ZAt! <br /> <br />::E::~= ;;;~O;;m ~k~;M <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PARCEL 10 # /1- -2~- 2/ .- IJO/O - 0'7:5""0 D- 00,.g0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Sllljc-.L.1S fIt/1d...f j./oN6 ~J../d!:-~ TlFt~ AtJilLJE<!.7/WrE1=5 <br />~ /..)~/1If'/a <br />SQUARE FOOTAGE HEIGHT . <br /> <br />DESCRIPTION OF WORK <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 />o BUILDING <br />a:(ELECTRICAL <br />cffPLUMBING <br />E1 MECHANICAL <br /> <br />$ <br /> <br /><,<> <br />If) OCl 0 - <br />ZOO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[B" FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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: l1J 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 />SIGNATURE <br /> <br />~ 'f-, ~ <br /> <br />COMPANY 0 W N t: fi, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~-r. <br /> <br />~ <br /> <br />COMPANY (J WI /II E A <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE )~ X'. ~ <br /> <br />COMPANY () ill 1'1 t'1f <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br />COMPANY Cl W' N Ii/? <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />YECHAHICAL <br /> <br />SIGNATURE ~ 1. ~ <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />)~ 2. ~~ <br />~tJf~ <br /> <br />COMPANY 0 w.v6f? <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />