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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />14/{5N;:~ <br />::17' ? / .;z <br /> <br />t/CL4Zpvle-c <br />/??c54.e?--J ~~r0LJ h.Jp <br /> <br />JOB ADDRESS <br /> <br />PHONE <br /> <br />Z.C~/~A: 4h ~ <br /> <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION //?07'J()~ ..<..A..A.JD <br /> <br />BLOCK <br /> <br />PARCEL ID # /...1-.2C~::2/ O/y() -OCJcJc.n) -tJ/9o (OBTAIN FROM PROPERTY TAX NOTICEI <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .,SL.>J J!) r::I' J~ (!.~'CZ3^-./ ~V).,...-, <br />BUILDING SIZE /~ y~ ~/ L SQUARE FOOTAGE ~Y'U <br /> <br />HEIGHT <br /> <br />P" <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 FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />~SUJ <br /> <br />u- <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 <br /> <br />W.R'~H.h' <br />/ <br />.I <br />/ <br /> <br />A\ I- 41~ <br /> <br />o PLUMBING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLAT <br /> <br />OGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />f~~~t~iii;:':::::::::::::':" <br /> <br /> <br />SIGNATURE <br /> <br />~C--G4L~/~ ~.'....,~ <br />COMPANY 22 ~ <br />STATE CERT OR REGIST # . LcJ ::1/ ~ <br />CITY PROCESSING ~ <br /> <br />BUILDER <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 />