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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILl.S <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER' S N,l\ME~ J;S-evJc'.5 ('" huo:J. <br />5~3{, , <br />,TOB ADDRESS ~ IIJT< Slr~ef. <br /> <br />:Zt!"'f~rhJ/k <br /> <br />PHONE ?j'~~~?13 <br />Fl, 33SlfIJ <br /> <br />Lr=GP_L DESCRI PTION: LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # --"~ -..21- POilJ-/f'/I}t.I- cJ/r~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PRCJPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ,~LTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COJl1MERC IAL o INDUSTRIAL o SWIJI1MING POOL o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK . r~A7(J1/~ -I~.:;, e~',;-I/~ <br /> <br />/ t:' () J'h." '" <br />I <br /> <br />~~;i/,;e.$1 ZN~-INI/ <br />I <br /> <br />/)pe <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />. <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLAI~S IX (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />j<7J <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o ~q , R. E . C . <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********-*******k************************************************ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE ~~ h vJ~ <br /> <br />COMPANY hy/~ gr~/r/L <br />STATE CERT OR REGIST # EC. OOO/2-&:,J' <br />CITY PROCESSING # ~31 <br /> <br />*************************+**************************************** <br /> <br />PLUMBER <br /> <br />COfvl PAN Y <br />STATE CERT OR REGIST #, <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********************~~+***~**~**.**~***~************************ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********************k*****************~**************-k******** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CER'I' OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************-********~******************************* <br />