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<br />~~\<i\~# )1 <br />. Ur\ ,I{- 3 <br /> <br />APPLICAT:ION FOR PERM:IT <br />C:ITY OF ZEPHYRH:ILLS <br />BU:ILDING DEPM'l'MENT <br /> <br />~.-~ -:O;L. <br />DATE RECEIVED <br />PLANS REVIEW I'EE <br /> <br />O~N.~R'S. N!'ME .I--a. fld I'll'! ,t) (1:J.t1YVlf m5 T()(' I <br /> <br />PHONE 50 7.... 7~9 2-- <br /> <br />...... <br /> <br />. ,', II-".-:~ ~,,. '-. '~..;; . <br />JOB 'ADDRESS <br />.:. .(l. .." \ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PAR~EL IDfI:~4,. ~~_. ? ,-()CX70-~300-<::t:ko /OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />....t.: <br /> <br />o AVDI'l'ION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />, ..~, <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o MOVE 0 DEMOLISH <br />~TI-FAMILY 0# OF UNITS <br /> <br />I, <br /> <br />o COMMERCIAL <br /> <br />o INDUS'l'RIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />. D RESTAURANT & HEAL'ru DEPARTMEN'r APPROVAL <br /> <br />DESCRIPTION OF WO~K Bc.{,'}J Unr+ l-ff24rlfnell+ f3(Jikiill{( <br /> <br />8U~~~,ING. SIZE ptf 1_ Lf IX. ~O SQUARE FOOTAGE 1';2 11 ~ frI. HEIGHT 0)/' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED E~R ALL NEW CONSTRUCTION. <br /> <br />'.\ <br /> <br />[!"ILDING <br />~LECTRICAL <br />~LUMBING . <br />~CJlANlCAL $ <br />o GAS , ~FING 0 SPECIALTY <br />Ty~~t'~~~':~~~~;~UCTION: ~OCK <br /> <br />PERMITS REQUESTED <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 />VJ\LUNl'ION OF MECIIJ\NCIAL INSTALLATION <br /> <br />o o'rHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o o'rHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUXLDa <br /> <br />'. <br /> <br />COMPANY SA n.oll/ D~ 'lit! 19iJ,IY\e.nf. <br />STJ\'l'E CERT OR REGI'ST # (l (,:< c... .. D'1"';) ? <br />CITY PROCESSIN~ # <br /> <br />******************************************** <br /> <br />.<\,1 <br /> <br />COMPANY r,Ots+- C lco') fC (t..d< <br />STATE CERT OR REGIST # txx::> ~"5"~ 0 <br />CITY PROCESSING 1# I '-I/t:; <br /> <br />BLBC'.rRIC <br /> <br />.. **~*************************************:***********~~ f) A <br /> <br /> <br />PLUMBBR .}1 "\ I COMPANyJY>0~ 1 ~d - ~ <br /> <br />" ) _n/7 STATE CERT OR REGIST #~o q 7<6 E) <br />SIGNATURE . .~ .... \J\J ~o---'-- CITY PROCESSING # I_all. <br />. <br />.,-,,: .~;'L .:' '.1, <br /> <br />\ ~"" '.ll <br /> <br /> <br />MBCJWUCAL <br /> <br />SIGNATURE <br /> <br />****************************************************** <br /> <br />':I.i. t~ ..\ .:.!-' !.! ,;._,.' <br />OTBaoJ <br /> <br />. ,_0 <br /> <br />~i.ql)f~(..':: 'l}. \~(.,., <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCeSSING # <br /> <br />SIGNATURE <br /> <br />*.**ji*.*;**.*******.*~**..**.***..**.*.*********.*************** <br /> <br />. ._....._~.,'.....-...- .......... . <br />" '. '\irl" ! '~~ '.', ..' <br /> <br />'...',-,...", <br /> <br />. ~ . <br />~.,~ <br />" <br /> <br />.. <br />.:.... ....~:,. <br /> <br />'l~' <br />. ,J <br /> <br />.~~ <br />