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<br />.J~ <br />\" ()' ).J-~) <br />, 9\a-.t\~ <br />00- ,5)/ <br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 10.2 \f -0 / <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME D-f\VLS <br />JOB ADDRESS ~7 '} 1 <br /> <br />? ;f}f -"61 t.j. V- <br /> <br />~1#Jb <br /> <br />PHONE <br /> <br />, <br />~"""ber~ <br />LEGAL DESCRIPTION: LOT(S) ~h BLOCK SUBDIVISION c'OUr+ SrUtt.e <br />PARCEL ID # 1.5"- CJ..t,.-.;l/ - (J;;x/O- OCCOO- 01,:::; (OBTAIN FROM PROPERTY TAX NOTICE I <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE~SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL o INDUSTRIAL DSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ J~k2. --r;m t'/j otcJdttlj <br /> <br />BUILDING SIZE <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />ATTACH @ PLOT PLANS &@]J SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br /> <br />ENERGY FORMS. <br /> <br />~/D I <br />~ Il~ I <br />179 <br /> <br />J( BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />j~(MECHANICAL <br />~GAS <br /> <br />$ <br /> <br />C, 5/ ()O.? <br /> <br />VALUATION OF TOTAL CONSTRU <br />AMP SERVICE ~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />;).00 <br /> <br />$ <br /> <br />c2 I ~fX:) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY j)fJ4l5 t!--b~ if ~ <br />D < 1- IJ /7 " STATE CERT OR REGIS. T # . - - CQtfb l! <br />. ~ . ~ CITY PROCESSING # a lf35< <br />1o~~~ <br />***************************************************~************* <br /> <br />BUJ:LDER <br /> <br />ELl:C'I'1UCIAH COMPANY ~ f~ e& ~;:f/(/:"~ <br />~ Y. ~ STATE CERT OR GIST # Sf{. - (7fY> 9-5.1'3 <br />SIGNATURE ~ CITY PROCESS~N:;:' ;;).Oh ( <br />.rJv v - j '-4n-, ..AurW <br />****************************************************~*********** r <br /> <br />PLlJMBBR ~ ~ COMPANY CAr; s ~"" <br />STATE CERT OR REGIST~# <br />SIGNATUREvQ :~- - ~ CITY PROCESSING # _I" <br /> <br />**********~********************************** *** <br /> <br />(Jl~ <br /> <br />t\L <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />d\~ <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # S ~ <br /> <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />