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<br />APPLICATION FOR PERMTT <br />CITY or ZEPHYRRILLS <br />. BUILDING DEPARTMRNT <br /> <br />DATi!: 1U!:Cl!:IVED c2 ~:l 7" 1) ~ <br />PLANS REVIR nz <br /> <br />fI' <br />LEGAL DESCRIPTION: LOT (S) BLOCK Ullff I <br />J?AR.CEL ID f# I~-- _'?h '-oj '-0iJt10 .~ oot~- dOrlJ <br /> <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />37 <br /> <br /> <br />SUBDIVISION <br /> <br />lOBTAIU <br /> <br />WORK PROPSED: 'NEW CONSTRUCTION <br />[j SIGN <br />PROPOSED USE: l}:GL FAMILY DWELLING <br />COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTER.J\TION <br /> <br />o REPAIR <br /> <br />Cl iNSTALL <br /> <br />o DEMOLI SH <br /> <br />OMULTI - FAMI L Y <br />o INDUSTRIAL <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />d MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />/Ver{ <br />6{) <br /> <br />LI/t (or <br /> <br />DESCRIPTION OF WORK <br /> <br />~ J{ <br /> <br />SQUARE FOOTAGE <br /> <br />/()~ <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 />~oC/' <br /> <br />~ BUILDING <br />t:yELECTRICAL <br />~ PLUMBING <br />~ MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />5O;o?JZ) <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />l~tJ <br /> <br />AMP SERVICE <br /> <br />I <br /> <br />FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />!J <br /> <br />FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />~/t/ Iff ertl/t-Vt f6..a,.7#.. <br />, <br />STATE CERT OR REGIST " <br />CITY PROCESSING " lor <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATUR <br /> <br />********************************************************** <br /> <br /> <br />COMPJ\NY r::'. </- b (; C'1f- s S <br />STATE CiRT OR REGIST " - Co CJd '2...<:7(1 <br />CITY PROCESSING If ! cj' c;, <br /> <br />.LJl:C~C <br /> <br />PLUMBER <br /> <br />COMPANyg~lr .sE"/2/UE tlA/L7/.7vc. <br /> <br />STATE CERT OR REGIST" ~p~ <br />CITY PROCESSING" OC <br /> <br />SIGNATURE <br /> <br />********************************************************t**'**'*** <br />o COMPANY ?"t:1 ~ ~ <br />/ STATE CERT OR REGIST # It-f11 n (j If Cf (, , <br />~ CITY PROCESSING f# <br /> <br /> <br />MBCRANXCAL <br /> <br />************************* *************************************** <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIST " <br />SIGNATURE CITY PROCESSING " <br /> <br />*'" '" ** *.* * *** "" * ******* "**"* ** *~ **** ** ***;i:'**-li* ,,**.** **** *** ******** <br />