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<br />APPLICATION FOR PERMIT <br />CITY or ZEPHYRRILLS <br />BUILDING DEPARTMRNT <br /> <br />DATi: lU!:d:IVED <br />PLANS RBVtn nz <br /> <br />OWNER'S NAME <br /> <br />~/j fitej~/(y7 <br /> <br />!l-OY'--fJ .~ <br />( <br /> <br />PHONE <br /> <br />7eId'-6:1' :;-1 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />gte/ ():b {I h.~ ~ ().p <br /> <br />~d- <br />t'ARCEL 10 ft 6.s- Jt.s. -:>1 6'){;0 00000 o!3d-O (OBTAItl FROM PROPERTY TAx NOTICE) <br />WORK PROPSED: t(1NEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR t:l iNSTALL <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: fSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />d MOBILE <br />o OTHER <br /> <br />HOME <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-JO;ne/.-frb-? ~,..., I- ~ <br /> <br />SQUARE FOOTAGE lfR 7/J <br /> <br />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 />o ELECTRICAL <br />o PLUMBING <br />o MECHANI CAt <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o 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 />pi FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~NO <br /> <br />T...............................'.......T......'......'ii..1..'........r,'.m..m'.......pl'l....": -- -- - - - - - - - - - ..n.........~n....ml.......I.,n.m......:l...n...............!......,..........T..n...1/... <br />!!!mmHHHm~mmm1mH~m~mi,im!H 'I'!iijr! laii!mll:il!i'~t! Ji!mlli hUll!!! lWimiml11iliiii!1 mill! H.liWmlllWi miwmmIWm:imHlmmWihi!jliHi' m <br />1.1..........................,........,....,...,... li!,.I..dl.I.I,..,.U.,.".i....I,..,...... .....,.H j...,........I.....,.,.I.....,.I......"...,..,."I.............1.,...,...............,I.m"..'..I,... <br />tl:.i:::;::~;::::;::H::::i::.:.;;::~::::::::::.::,; i.!i;: :m: i.: ::~.:ah::.~;:m:,:i~::a;.hi;.m.w _ 1 _ _ .. :wmm:::m.:,.;::;;:.:.::.m:'Hum.,,::"~: .=.;a~;::m:;:.~.::.~.a:;:.:m,;;;;m..:.,.:.:;:N:::~:.:: <br /> <br />SIGNATURE <br /> <br />~ COMPJ\NY b:d:l "tt.d-l{., I:b<-c IE, . <br />~ STATE CERT OR REGIST 8 <br />~rf CITY PROCESSING # . <br /> <br />****************************************************************** <br /> <br />BUILDD <br /> <br />.LBC~CIAR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUHBBIl <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ft <br /> <br />YBCllARICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />