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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 5 ~ b\ 1 L <br />, <br />JOB ADDRESS 3'1 ~ 'd. Q <br /> <br />fn .~\..kL'(" \\\ ~~ ~ <br />\J~ ~_ "7 -~~~\\S <br /> <br />PHONE <br /> <br />~\ ~~Sl.fL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # \t'l- ~\tr~\- ~\~-~,\:D-tJt),-\a (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />oALTERATION <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />D SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />oMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK ~-e-C" ~~ <br />\ q 0 \) SQUARE FOOTAGE <br /> <br />~.'-t- ~\~~'h\()~~ <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />o BUILDING <br /> <br />$ J..\. \1I:J \ - <br />, <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** ~ <br /> <br /> <br />o~~ COMPANy0\l"~\o.~ ekl~ <br />STATE CERT OR REGIST # (~J~...~\)Slc; \ <br />SIGNATURE . e...e.~di~ --- CITY PROCESSING # ::\.7(,,0 .' <br /> <br />***************************************************************** <br />