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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYlUIILLS <br />BUILDING DEPARTMENT <br /> <br />s= 7-tB <br />DATE RECEIVED . <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />Zp),yl'- hl/lu- ;1 (V~ ~L--(!" <br />7Yz,'f ~I/ /SJvo <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />3~-2-r-2./- Oooo-ooJc:,O- (XX>o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR ~TALL <br /> ~GN D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> ~RCIAL D INDUSTRIAL D SWIMMING POOL DOTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~CJ(/1:3 cK/S'T IN //0/70,;} <br />DESCRIPTION OF WORK JNS'/l".fJ/ 1 j?c//e 515 j..( { .:l ~~/I SIB'" 01'1 <br /> <br />\ <br />/lISJrt 6/c'1A:d?i>V} <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 ENE <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ----- <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[]}13UILDING <br />~CTRICAL <br /> <br />$ <br /> <br />10,000.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTI <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D STEEL <br /> <br />t}JlD <br />Jt.' ~ . <br />INSTALLATION 911' g , fit- <br /> <br />r d1rijfl~ <br /> <br />D PLUMBING <br /> <br />D MECHANICAL $ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br />lW'"'OTHER 61fJ;' <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD Z,ONE AREAD YES <br /> <br />D NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />~ <br /> <br />SIGNATURE V <br /> <br /> <br />/ <br />..~ * * * * * * * '* * * * * * * * * * * * * * * * * * * * "I"" * * * * * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />COMP~ ~!4.f BQ~~ <br />STATE CERT OR REGIST # GC t:1oo;Jld- <br />· C~T;,-,rROCESSING #~ <br /> <br />***********************************~~~~*r** ~;.t~ ~* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATUJ':~, _ <br />"\ <br /> <br />***************************************************************** <br /> <br />\ <br />, <br />