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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPAR'!'MENT <br /> <br />DATE RECEIVED Y-/3 --03 <br />PLANS REVIEW FEJl: <br /> <br />OWNER'S NAME {JdL~ ~ ~ <br />JOB ADDRESS (Phil! 7l?~~ 121-. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE 8'/3 ~ 7 J> ;J.'; ~I te. <br /> <br />SUBDIVISION 'ZCF'y.*? kit alt':: <br /> <br />PARCEL ID # 03-J~-g.J_DI3D-tJD(y){)~ OS76 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />~ ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />J1l'MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK CARfJ6,e-r <br />BUILDING SIZE /1))'3(", 9 y/Lj <br /> <br />S H Co ,((Iter~N ~{)OrC--J <br />SQUARE FOOTAGE ~/~ <br /> <br />HEIGHT <br /> <br />/;7~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />'i BUILDING <br />o ELECTRI CAL <br /> <br />PERMITS REQUESTED <br /> <br /> <br />$ I~DCD~O(J <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL $ <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALIATI?N/W t{"J I ~~! " :3 <br />o OTHER f ~ ~ ~ ~ Sf''1, <br /> <br />o FRAME 0 STEEL 0 OTHER i <br /> <br />IS PROJECT IN FLOOD ZONE AHEAD YES 0 NO <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDBR q~ <br />SIGNATUR '- <br /> <br />COMPANY 4~G AlUP11/JJt/~ <br />STATE CERT OR REGIST # {f~ :JYb?O <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />