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<br />APPLICATION FOR PEmaT <br />CITY or ZEPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br />! /' <br />.. Z o. <br />DATE RECEIVED:;J ~ J. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 1l.- i C h AIL 0 1< r. \r, \-:l<~ Y' (1 ~ oJ lj 0 " ,0(\ ') PHONE '8 '''' - I g 1- - Ie/, Co <br />JOB ADDRESS 'iloL4CS Gxeen S \Op~ DQ'( uc: ,L- ~~ (h ;\l.s <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION Gv.aY'\c\ \~(iZ.bY1 <br /> <br />PARCEL ID # '3Y - )..5 - ;)..\ - 6bYO -OODDD - 0 A D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCEI <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />P; INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />~SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />c..nmmerCif::~\ \(\c,('(')u'vl.d ~~D... <br />I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />[J BUILDING <br /> <br />$ 30) 3L1Lj ,DO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />INSTALLATION S O<~ <br /> <br />1r;;~/7 <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE / <br />~***************** <br /> <br /> <br />************************************************ <br /> <br />ELECTlUCIAH <br />SIGNATURE ~ ~ <br /> <br />e. _ <br /> <br />COMPANY R=.t: E.. \...E..c..,'"'e-l <- <br />STATE CERT OR REGIST # 'ER...ooa'4\o'-l-o <br />CITY PROCESSING # l~ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPAI'l'y3JC.hAQr\ t:}~l.Crr:;:; 88 <br />STATE CERT OR REGIST # ~~ - ~OJ'S1.'::>7 <br />CITY PROCESSING # Ob ). ~SlP <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />