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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />215)4 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME PC55~ U:lY\\-\e 2."ler-1e.Y PHONE 81?,/, ~ -5id65 <br /> <br />JOB ADDRESS 3B8B C A\Jt:nLL...e- Ze.ph~Y"h\U.s FL 3ae-J4l", <br />) rnODro::;, lest~ba~~ <br />LEGAL DESCRIPTION: LOT (S) S3JlDj " BLOCK Oll SUBDIVISION 2ep'~ h l:\~ <br />PARCEL ID # \ q. ~ .0;>\. bb\ b. osn D6 . ~O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />DALTERATION <br /> <br />~E~R <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] MOVE <br /> <br />D DEMOLISH <br /> <br />[]MULTI - FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRI PTION OF WORK ~:9("Yd-~ \e. 1<e.. - ~rd' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE J ~ 0 0 <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 />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />D PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />l>> ROOFING <br /> <br />[] SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <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 Roof.' Co~ <br />SIGNATURE _~ . ~ <br /> <br />COMPANym\ 'Bar c..ot1~6ful \-IlCl <br />STATE CERT OR REGIST # (l('l/" 0616fn;:) <br />CITY PROCESSING # OllIS' <br /> <br />~********~**************************************.*~*~****~******* <br />