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<br />APPLIcATrON FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />zc.t., <br /> <br />DATE RECEIVED <br />PLANS REVIEW' FEE <br /> <br />JOB ADDRESS <br /> <br />3?l~o.Dc <br /> <br />JD'hV\SuY\ N.t~ ~ hL <br /> <br />6'~ J\I( n\A.."-- , "2-\-\\ \\ ~ <br /> <br />PHONE ~18 % . \ lDiC <br /> <br />OWNER'S NAME ----1tQ. \f..V\ L. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # n--z..<<... 2.\. \)Oh.~... \'0....\)0.. O\~ <br /> <br />WORK PROPSED: (JNEWCONSTRUCTION <br /> <br />(J ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br />~t~U'l~ <br />(JALTERATION fl REPAIR ~ INSTALL <br /> <br />o DEMOLI SH <br /> <br />o SIGN <br /> <br />(J MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />)licOMMERCIAL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~\~ ~~ O"lK\~"f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />(J BUILDING <br /> <br />$ 3.10'30,,00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J ELECTRICAL <br />(J PLUMBING <br />(J MECHANICAL $ <br />(J GAS ~OFING (J SPECIALTY <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(] FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <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 />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />~ ~.~ - COMPANY Mi\&w- CO'll.~"".\Kr_ <br />STATE CERT OR REGIST # Cf:.L. OS\'5\t'L <br />A..... CITY PROCESSING # J ~ . . <br /> <br />************ *********1************************** ******~+* ***** . <br /> <br />OTHER <br />