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<br />I <br />\\J l <br />(p. '\')\ 1> \ , <br />\D ~ <br /> <br />APPLICATION FOR PEMaT <br />CITY or ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 1- 2. f- 0 / <br />PLANS REVIEW FEE -, <br /> <br />OWNER'S NAME 7?/'fVID tJ" :/P1-I/JSOtV <br /> <br />JOB ADDRESS &:, 9 f)3 Olll<? ~e5/WfrV <br />, <br />LEGAL DESCRIPTION: LOT(S) /0 BLOCK <br />PARCEL ID # D;2-26"'2/_~~~O~l.~Od <br /> <br />PHONE }'5"2.. 5'23.0'/73 <br /> <br />Z ~/~/~L 5 I FL- ggSf40 <br />/ <br />SUBDIVISION /JII jL c~r ~"f11f7l!:5 *z-- <br /> <br />IORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~" FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK $/N&t..b F/1MfL-Y .JJu_)(!!:?t./MG <br />BUILDING SIZE SQUARE FOOTAGE,~?l)7~ <br /> <br />HEIGHT <br /> <br />?/ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />(1;t"BUILDING <br />~LECTRICAL <br />~UMBING <br />~CHANICAL <br /> <br />$ bK c7VCJ.. ~ <br /> <br />, <br /> <br />'2-00 <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ae) <br /> <br />PERMITS REQUESTED <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ ~/ooo ,~ <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION D113 <br /> <br />Sf}-J <br />o OTHER () <br />IS PROJECT IN FLOOD ZONE' AREA 0 YES IB-"NO <br /> <br />o STEEL <br /> <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />ELECTRICIAN ~ /II. / COMPANY~~l~ et~ ~~ <br />/( /I. .} /f1UA-:Y STATE CERT OR REGIST # ~O~ <br />SIGNATURE ~- CITY PROCESSING # ~~3 ~.._ <br /> <br /> <br />................ ..................:::::..'6;16; .:(;.~...(f; . 6 . <br />==RE tift ~ ~ ~i*~Ep~~~~S~~N~;IST # fi-n tNt.~ <br /> <br />17 ' u...12~ c... ' LG{ 5+.~. i ~ W ~~ <br />MECHANICAL iJ***********'***********************~~~;;;~****~;;~;';I..t*S****** ../ <br /> <br />'.A.~ 1/7/1 ,~ Q STATE CERT OR REGIST # ..Rmr.{)! ~LI u I <br />SIGNATURE ._~ lL...!...V'717 '7~ CITY PROCESSING # dOa:s ole <br /> <br />***************************************************************** <br /> <br />Of( <br /> <br />**************************************************** <br /> <br />COMPANY f)t1I1If) N'JOJI/J,f'o/J li!3'cPlL.-l:>e)Z /AJC , <br />STATE CERT OR REGIST # C-' ~c o6o~ /0 <br />CITY PROCESSING # 1 ~ I <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />