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<br />APPLICATION FOR PERMIT <br />CITY or ZKPHYRRILLS <br />. BUILDING DEPARTMENT <br /> <br />-.... "'r)/oJ <br />.~, <br /> <br />DATE tur.O;IWD:2- -;)...7-' 0:..<... <br />PLANS RKVtn dlI: <br /> <br />OWNER'S NAME <br /> <br /> <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />.--- . ;:::/ ( <br />LEGAL DESCRIPTION: LOT (S) I h~l.~r Il( <br />, <br />rMCEL I D f# ~5 - a b'd r-- b)1J() - a; FiJ <br /> <br />{OBTAIll FROM <br /> <br />fM:~~~ ~~t;:, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />[j SIGN <br />PROPOSED USE: ~~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATIOll <br /> <br />D REPAIR <br /> <br />[j tNSTAtL <br /> <br />o DEMOLISH <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 />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />jJ~~~ )feN <br />do '( tfu SQUARE FOOTAGE <br /> <br />(6 .J-- 0 <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />.~ <br /> <br />RESIDENTIAL: <br />COMt-fERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE~GY 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 />~ot/ <br /> <br />r1 BUILDING <br />~ ELECTRICAL <br />Ij6 PLUMBING <br />~ MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTAL~TION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />~ <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 MEAD YES <br /> <br />D NO <br /> <br /> <br />BUXLDER <br /> <br />S:(GNATURE <br /> <br />COMPANY <br />97r--x1' -.. STATE CERT OR REGIST <br />~ CITY PROCESSING " <br /> <br />****************************************************************** <br /> <br />COMPANY .~/ ~!;) 'C e4 s ~ <br />STATE CERT OR REGIST ~c'" 0 rJ ;/",- 7 <.J <br />CITY PROCESSING # I K <br /> <br />BLBCTRICI <br /> <br /> <br />****************************************************** <br /> <br />./t;-~/~ S,6;e'vl,l'" C d,?'~a k/<--. <br />PLtJMBBR ~ ~ COMPANY, <br />STATE CERT OR REGIST " <br />SIGNATURE /.... CITY PROCESSING " ~jC, <br /> <br />* **** ** **.** * * ******* * * ** * ** ****** *** * * **** ** ******* **********~** ~rI-. <br />MJl:CJlARICAL COMPANY t?r~Ar'I-'f l>.~l'J -__ <br />STATE CERT OR REGIST # m e> <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />***************************************************************~* <br />