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<br />_"l", '\.,.I' <br /> <br />~~q;~' <br />t \.0' : o. 'J'...... <br />>r- ()'~ <br /><<" '\ <br /> <br /> <br />APPLICATION FOR PElUaT <br />CITY or ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br /> <br />DATE RECEIVED /0 -2<{~(Jl <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME PAvts c.o~rJ!" <br />JOB ADDRESS ~~~O If ~Joer~ <br />LEGAL DESCRIPTION: LOT(S) tf) BLOCK I <br />PARCEL ID # J5---d-.(P-'c;)j -Od-CO -CXXX>O - 10 <br /> <br />PHONE <br /> <br />SUBDIVISION (!J)tJrf- 5'lpare- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED:~EW CONSTRUCTION <br />DSIGN <br />PROPOSED USE~GL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />D DEMOLI SH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 51h~/6 ~Jn(li d~{~/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~InF.hI.TT7U;? <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 />ABUILDING <br />XELECTRICAL <br />~PLUMBING <br />)('" MECHANI CAL <br />o GAS D ROOFING <br /> <br />$ <br /> <br />(p S; c::o CJ <br />~O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ ;21 &,00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 AREAD YES D NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY ~ ~~ <br />tl < tI' ~ STATE CERT OR REGI. ST # - Co <I fa <.f rzg <br />'.#~ . CITY PROCESSING # d r.{:3.;:<. <br />t.JooA '7... co:, fel' <br />*****************************************************1*~}**~*~ <br /> <br />BUILDER <br /> <br />ELECTRICIAN -. COMPANY ~ fJ~qI ~ <br />fk. ~ -/.~ STATE CERT OR REGIST ~ z:;.R -OQ?CfS6f3 <br />SIGNATURE _A~ - --- CITY PROCESSING # ~b( <br /> <br />*************************************************~*~~*~******** . <br />~ C! ':;, 80th r:j)[ 6 <br />PLUMBER "- COMPANY h r, r <./ n.- . t-::; <br />- STATE CERT OR REGIST # <br />SIGNATUREG ~p, CITY PROCESSING ~ II" <br />bK-- <br />***********~************************************~*****~*** ** * <br />MECBAHlCAL COMPANY ~1'4P~AL)_ <br />- Cl ~ fI- /J 11 (), STATE CERT OR REGIST # /11- CO tc;-~ <br />SIGNATURE~ .-'~ CITY PROCESSING # S3 <br />nIL <br />*********************************************************~******* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />