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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPRYRBILLS <br />BUILDING DEPARTMENT <br /> <br />'e td&~.? !f-27-c:> !<Y.' :-J <br />('..-(.. ,if.~ _" <br />----.~--------._.- .--.----- <br /> <br />'7 t' .-,) <br />DATE RECEIVED '/ J -. '- i U( <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br />374(3 <br />JOB ADDRE's's <br /> <br />(;lc! f1IwLJ)W7 ~s <br />B-befIr 11'/! tr <br />?3 <br />~3-- d-/" --'//-O:HJO -~~ <br /> <br />PHONE /~ .- if ;}5"7 <br /> <br />SUBDIVISION c;/vV ~ r:;~,q-tl.e <br />{OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH <br /> <br />Ap4J (1~wvcfr~ <br />"75 ' If " <br /> <br />DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br />?? tf"" <br /> <br />SQUARE FOOTAGE <br /> <br />9(5l)0 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br />ri ~CTRICAL <br />oI~UMBING <br />dMECHANI CAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />901J <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ,JfJ NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING 0 <br />~ <br />*************************:******************?L ~:.;:e,& <br /> <br />/ COMPANY -l4/Jj G~4~ r! ~A~' <br /> <br />STATE CERT OR REGIST # E C () CVJ "") ') 70 <br />CITY PROCESSING # / r {, /!ill(l ~ <br /> <br />. :2-0. ro <br />************************************************** <br /> <br />~ a COMPANY t .' t/41 h;r, <br /> <br />It-f STATE CERT OR REGIST ~f-..-/JTJ,t r~'f <br />, _ _ ~\IP CITY PROCESSING # /1 ? <br />. / ,~ <br />**** *** ********************************~***************~**** <br />COMPANY .In-~,~/ 1- OLJcqV"~ -o/',.(~ c~ <br />STATE CERT OR REGIST # /( /YI. rJ.;/'r-4( / <br />CITY PROCESSING # <br /> <br /> <br />BtnLDER <br /> <br />ELECTRJ:CIAH <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />