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<br />APPLICATION FOR PERMIT <br />CITlC OF ZEPlIlCRHILLS <br />BUILDING VEPAR~~NT <br /> <br />DATE RECBJ:VED <br />PLANS Rl!WU:W I'D <br /> <br />OWNER's NAME ^i c h A/I!.. d JJ <br />JOB ADDRESS J cf 6 /<f' C A /'-t ci e ~'l/ <br /> <br />>:: fie If?""; ( j!/l/lTL PIIONEP>J~ 7 7')- 7/2..3 <br />r1 V (' /;.,.- /..( -(" 2? '" /~,j 7',.t l.' //J /-~ t.-. S '3 .r l./ () <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 ## <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADlH'J'ION <br /> <br />IOB'rAIN FROM PROPF.RTY TAX NOTTeF.) <br />OALTERA'l'lON 0 REPAIR ~STALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL Fl\MILY DWELLING <br />o COMMERCIAL <br /> <br />OMUL'I'I-Fl\MILY <br />o INDUSTRIAL <br /> <br />0## OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />a-o;;ER <br /> <br />o RESTAURANT & IlEALTII DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF' WORK <br /> <br /> <br />/' <br />e,vc..~, <br /> <br />L;""~l1t <br />g~t;J\R F'OOTAGE <br /> <br /> <br />/V1f i <br />b ,I <br /> <br />BUILDING SIZE <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 FUR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ / ../Oo,~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'l'YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o f'AAME <br /> <br />o STEEL' <br /> <br />rst OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA.O YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br />C~MP~y/44~.//~~./'l;?C; ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING H <br /> <br />, <br />***********************************************................... <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**************************************************................ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST H <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />.*********~**********************.********.*********************** <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...*************************************************............. <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />*********************************************.................... <br /> <br />Q <br /> <br />.. <br />