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<br />''l' <br /> <br />t}t: 1/.;//~ <br /> <br />I~/~..,I. , <br />1'fVVj;F~ <br /> <br />- ..-- ----- ------,... ..-- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZBPHYRH~LLS <br />BUILDING DEPAR'.l'MEN'r <br /> <br />/ <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEI~ <br /> <br />JOB ADDRESS <br /> <br />. I <br /> <br />0,.(zepU <br />, <br />I ' <br />3~&D ~i <br /> <br />; I 1"' <br /> <br />T;Vil Vw <br />I <br />r-- () r7 s (/1 S <br /> <br />/-/"(/'-f!.. <br />D <br /> <br />PHONE&/~) '7/Sf-Ql(fS <br /> <br />- <br /> <br />OTrJNER' S NAME <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALT ERAT I ON <br /> <br />o REPAIR <br /> <br />,/ !n l,) <br />.. tJW {()Dlif <br />e s. Y-c'f:je;;: <br />TM.X NOTICE\ <br /> <br />~NSTALL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />fa' <br />I I <br />PARCEL 10 If OQ..-:~Iu -d/- D:~tv'O ~oOt)oo - ! aJo <br /> <br />BLOCK <br /> <br /><:: I I I <br />SUBDIVISION \J'eepu >-/'21' <br /> <br />, , <br /> <br />(OBTAIN FROM PROPERTY <br /> <br />DSIGN <br /> <br />o HOVE <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 />Er;.OBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT <br />.,.-y1 t' .! 1/ <br />DESCRIPTION O~' WORK ? f to.o1 /e r;-+f]ln'f? <br /> <br />~ '?1 u"v. <,0 ( ell <br />BUll~DING SIZE 01 - I ,. - <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />() f , <br />f\~o/a(! e/) I 'fJj fr- <br />y <br />SQUARE FooTAGE /0 'f 0 <br /> <br />HEIGHT <br /> <br />RESIDEN'l'IAI.: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLO'l' PT.J\NS & (2) SETS OF BUILDING PlANS & (1) SET ENERGY FORMS. <br />A'l'TACH (3) SETS O~' BUI LDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY Rl';QlJI REO f'OR ALI~ NEW CONSTRuc'rION. <br /> <br />g' BUILDING <br /> <br />) <br />$ .3qOOO/~o <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />@ ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />-0 W.R.E.C. <br /> <br />[9" MECHAN I CAL <br /> <br />$ <br /> <br />: ~oopo <br /> <br />.J-D <br />VALUATION OF MECHANCIAL INSTALLATION -4t ') v <br />o OTHER <br /> <br />~ PLUMBING <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FHn SHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />01'10 <br /> <br />L <br /> <br />S T GtU\.TURE <br /> <br />''"' (\ <br />\ .(I,j' II IA -A J I (\...GL-. <br />,. JO ~.fi\....(,,--, t 'vC'" cr 1-.-.- <br /> <br />G()~CTptt,~'~~~J;~ <br /> <br />rY\ 'f -pi! fYl / ~ I <br />COMPANY 1')CU"ShCU1 , n~.:s {If,. 0~"-P <br />STATE CERT OR REGIST #. "110000307 <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />".-......., <br /> <br />*.****~****.***************.***..********************************* <br /> <br />ELECTRICIAN <br />(.2 !~ "*',' 1-c.f!J <br />SIGNA'rURE ~ <br /> <br />COMPANY -Dol ph' '" En..ferpr; ses <br />STATE CERT OR REGIST # cl< () DO 0 SlQ) <br />CITY PROCESSING II <br /> <br />*.**~***********k*k*****************************k***************** <br /> <br />f11 )" 'of I /YJ II r I <br />Cu~' -vJ~i . rnvp~ /'1,'1'/. J &-e<.f.J <br />COMPANY . _, . <br />STATE CERT OR REGIST II ...Ll-ItJOOtJ 3D--; <br />CITY PROCESSING It <br /> <br />PL~ER \ . 7 <br />SIGNATURE :}.-:..~-1l ~ <br /> <br />SIGNATURE <br /> <br />********************.*~******************************~*********** <br />-r"'h' , S' I <br />COMPANY VOi (? ,11 /".. "{J ~mS <br />((,J, -J.. ,i _ 1M STATE CERT dR REGJ ST "Ctl CO 5'711(1; <br />f.JU...-UL prnat CITY PROCESSING It <br /> <br />IdECHANlCAL <br /> <br />******+************************..+**.**************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />**~**********~***~****.*~**********.*.****.************~k*****~*~ <br />