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<br />APPLICATION FOR PEMaT <br />CITY OF ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED f - cflf --0/ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME !~t) Q.6~ t4 ""Vt.'l WI Or\,O <br />JOB ADDRESS 55;}7 qTP '01 <br /> <br />PHONE it]-779-!631- <br /> <br />SUBDIVISION flJ'~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # /1- ;/,-1/- CX)/O - /O/{)/J - OO.:Jo <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o SIGN <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK RooWl Addll164 <br />BUILDING SIZE 1<1 X'J I SQUARE FOOTAGE h 7;;J <br /> <br />HEIGHT <br /> <br />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 />PERMITS REQUESTED <br /> <br />~ BUILDING <br />11 ELECTRICAL <br />t( PLUMBING <br />o MECHANICAL $ <br /> <br />$ :l t;bO, tJ() <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~Io'h <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />o NO <br /> <br />COMPANY ~ <br />STATE CERT OR REGIST # C,((ltJ'1.C/hl0 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN j} <br /> <br />SIGNATURE #-j/-#~ <br /> <br />COMPANY OW tV t5 t( <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PIAlMBER I!Jd tft I' <br />SIGNATURE- . C ..~~~ <br />/' , <br /> <br />COMPANY CJ W IU t R. <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />. <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />