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<br />,''!' <br /> <br />...... .. i! <br />~T Z/t ,"/1 S' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRR~LLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED :;/7 ~) <br /> <br />PLANS REVIEW FEE <br /> <br />OWNER'S l'lANE Sh \ (' {~ . ~ S <br />JOB ADDRESS j flCt 37 !Jwfc}r {hr, <br />LEGAL DESCRIPTION: LOT(S) 1 ~ BLOCK () <br />PARCEL 1D ff 03-;).~ -CJ..J- O/30-a:offl- 0-7&0 <br /> <br />PHONE(iI3) 7/4 -ILl! S <br />Zvp^t~ ~ I(s <br />SUBDIVISION -7(?,ph 'ir Rlr-:~ e <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />vWRK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />ar;;OBILE HOME <br />o OTHER <br /> <br />BUIl.D!NG SIZE <br /> <br />D REST:URAN~ & H~IJH DEP~RTMENT APPROVAL _ <br />New /Jloblk flVlJ1e ?/aceme/tf <br /> <br />3tJ X (Pf?' SQUARE FOOTAGE ;( ) 7 (fJ <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESI DENTIAI,: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLO'l' PT-aANS & (2) SETS OF BUILDING PI.ANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS m' BUILDING PLANS & (1) SET ENERGY ~'ORMS. <br />PROPERTY SURVEY REQUIRED I"OR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~8UILDING <br /> <br />$ Go DOO <br />I <br /> <br />;),00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[iJ/ELECTRICAL <br />l!]/PLlJMBING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />"0 <br /> <br />W.R.E.C. <br /> <br />iD/MECHANI CAL <br /> <br />$ <br /> <br />/5VO <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOF'ING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRuc'nON: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FIN1SHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />L <br /> <br />CoN~CTc>.J{:~$j:CTlpij <br />. .. .... . COMPANy:e,~~ikrtl-efJ ~ S<L!jjii <br /> <br />STATE CERT OR REGIST ##, L::' tJ(j)J?, <br />CITY PROCESSING ## <br /> <br />BUILDER ~ <br />SfGW\TURE. UlfLLj nef)-JL <br /> <br />***********A***************.************************************** <br /> <br />ELECTR'!CI~ ( J <br />SIGNA'ruRE . .. I~ <br /> <br />COMPANY (YlrJrItJ/1 E7ev4/c. <br />STATE CERT OR REGIST ## e IZ ooa. '1'13 <br />CITY PROCESSING # <br /> <br />.PLUMBER ~ u .. <br />:'llGNATURE j/~ <br /> <br />****~***********.~l***********'k***k*************.***************** <br /> <br />COMPAN15U !krille~ /I S:~ <br /> <br />STATE CERT OR REGIST It tJt?a7cm <br />CITY PROCESSING 11 <br /> <br />~\- <br />SIGNATURE ~lRLL cn/~^-- <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING ## <br /> <br /> <br />***********.**********4******************* <br /> <br />******~*****************************~*****************'l********** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />A*~******.-***.***~****.*~**********.*******************k********* <br />