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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPRYRRILLS <br />BUILDING DEPAR'DmNT <br /> <br />t - ~?J- D6- <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME /5 ~../ - /I /,,,,,--, $U/L~ f,.....~ n ( <br />JOB ADDRESS />Z. 0 ~ ~-J-; t:.. 11. k.s LL <- <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # bl- <it:J / ;;?o.34}/ 1...;), - 3 <br /> <br />PHON(<?>J~) }~3 - 7j I ~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCEI <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />~cJ5" ~8ffFFEE:. <br />rfl/5' GI~S ~)(f,3 <br /> <br />() <br />TOTAL CONSTRUCT ~c1. <br />'------- <br />FLORIDA POWER [J W.R.E.C. <br /> <br /> <br />PERMITS REQUESTED <br /> <br />)Kr ELECTRICAL <br />o PLUMBING <br />[J MECHANI CAL $ <br /> <br />AMP SERVICE <br /> <br />[J <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTAL~?;J 51 { <br />[J OTHER ( 1 <br />[J FRAME [J STEEL [J OTHER / <br />~ <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE/~ :~/f!.oL .,.t;.~~ <br /> <br />COMPANY/?"c:..J."(...d (! "4.~.oG I) E)"C-~" c.... <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 07 "2... <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />