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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHZLLS <br />BUILDING DEPARTMENT <br /> <br />.. <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME L; y;~ ~V;L-k-S <br />JOB ADDRESS ~ '6 ~ t 9 lL+-t--. A,;.( <br /> <br />PH~. <br />~Y"/Is U <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # l [ '-~ Le - OZl - Oo( (!) - I '-II ()~ - t) I2IJIOBTATN <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />FROM PROPERTY TAX NOTICF.l <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />~REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILy DWELLING <br />o COMMERCIAL <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 />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />R.-e- ~ <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) SElT ENERGy FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$--LI2D~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />Q PLUMBING <br />" <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />~OOFING <br /> <br />o SPECIALTy <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITy PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************k********* <br />"" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />hlECHANZCAL <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER ~'Oofi n~ <br /> <br />SrGNATURE~"'-_- <br /> <br />****!************************************************************ <br /> <br />~(I ~. ~ <br />COMPANy O~', ~ <br />STATE CERT 0 REGIST # RC- CO l~ ( V; 'I'? <br />CITY PROCESSING # 62 7,~ <br /> <br />***************************************************************** <br />