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<br />P 1,v.~<) 6> rc-::-e_ <br /> <br />~\e.:) <br />( '-. I) (10(0/ <br /> <br />OWNER'S NAME J)frV{:) CDtJTI?Ac-TING <br />JOB ADDRESS If; IJ() TI r'hhe-r ~ <br />LEGAL DESCRIPTION: LOT(S) J I BLOCK I SUBDIVISION L-oVr+ :srUQ~ <br />PARCEL ID # /s-- ~ - rS;l.1 -Ot3-OC) -0000 C) - /o-f / 7 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERAT I ON 0 REPAIR 0 INSTALL <br />o SIGN 0 MOVE 0 DEMOLISH <br /> <br /> <br />I 'O(sPi <br />~ cJtte.v fhct;te-P <br /> <br />APPLICATION FOR PEltMIT <br />CITY OF ZEPRYlUIILLS <br />BUILDING DEPAR'l'MEHT <br /> <br />DATE RECEIVED 1- :J..l) - D / <br />PLANS REVIEW FEE <br /> <br />PHONE <br /> <br />7 ~'f> - 'if ? l.J'I <br /> <br />Z~I} 'J rh, t L:s <br /> <br />FL <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 6t-hJfe ~nu'Ll dc.0e1[i~ <br /> <br />BUILDING SIZE <br /> <br />~~ENTI~ ATTACH (2) PLOT <br />ERCIAL: ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />'lc1 BUILDING <br />)q' ELECTRICAL <br />18( PLUMBING <br />~ MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />~51 DOO <br /> <br />C7Do <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FfW' . <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. () <br />REQUIRED FOR ALL NEW CONSTRUCTION, V/ 1/-) ['fl<-- - (J ).4;.., <br /> <br /> <br />~~I~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTIOtr:.:.._---------,/ ___ <br />C----- <br />X FLORIDA POWER 0 W.R.E.C. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />e2. {pOO <br />. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO <br /> <br /> <br />SIGNATURE <br /> <br />fi("~ 0 L&J <br /> <br />COMPANY D4Vo (J>~+r~ <br />STATE CERT OR REG I ST # C G- - Co Ie 'I 'i"8 <br />CITY PROCESSING # 2'13..2 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN, n A__1-' // ~ <br />SIGNATURE .&AGA./r7\...o'" ~ <br /> <br />COMPANY ~ bf:- p(:)~ <br />STATE CERT OR REGIST # &~ - OrY"> CZu<l3 <br />CITY PROCESSING # ;;).0 h f <br /> <br />****************************************************************** <br />,. <br /> <br />PLUMBER ~ <br />SIGNATURE v" ~ g~ <br /> <br />****************************************************************** <br />' COMPANY "So vf~ ~yYJ-.fhrt <br />~tr- /J,., #. STATE CERT OR REGIST", R/n-- {)6/5D-;;J.~ <br />~ CITY PROCESSING # 5" '3 <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />