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<br />LEGAL DESCRIPTION: LOT(S)
<br />PARCEL 1. D. ~~
<br />WORK PROPOSED:_New Construction --Addition ~lteratiQ~;, -Repollif;
<br />
<br />APPLICANT
<br />
<br />ADDRESS
<br />
<br />OWNER
<br />
<br />JOB LOCATION
<br />
<br />
<br />
<br />APPLICATION FOR PERMIT
<br />CITY OF ZBPBYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />
<br />LOT SIZE
<br />
<br />x
<br />
<br />~;:'..~ \
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />.
<br />
<br />_Sign/Temp.
<br />
<br />":0;,:. ~
<br /><' \i-..t ,', ~
<br />_Sign ' _Move
<br />
<br />----HIp ____# of Unit"
<br />
<br />PROPOSED USE: _Single Family
<br />
<br />BUILDING SIZE:
<br />
<br />RESIDENTIAL:
<br />COMMERCIAL :
<br />
<br />_BUILDING,
<br />_ELECTRICAL
<br />
<br />--.-MECHANICAL
<br />
<br />.
<br />_PLUMBING
<br />
<br />_Commercial
<br />
<br />--:-;..;.lnclu,.tll _Swim.. Poo+
<br />
<br />... ,~! ; \: ' ~.: !
<br />
<br />_Restaurant & Health Depa~tmentt Approval
<br />
<br />x
<br />
<br />Square Feet.
<br />
<br />ATTACH
<br />ATTACH
<br />** COpy
<br />
<br />~, ..
<br />(2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER
<br />(3) SETS, OF..BUILD.INGPLANS... (1) SET,EN~Y-fP1.U1S. *~
<br />OF CONTRACT REQUIRED. ":~l:"
<br />
<br />....-.." .. . ':..,. m
<br />PF.RMITS RF.OlJESTED
<br />1."
<br />
<br />t_>~
<br />
<br />I.. .',
<br />
<br />$
<br />
<br />2 S9C-.cc
<br />\
<br />
<br />Valuation of Total const~ction
<br />'-;' ,. ,J \~ .
<br />
<br />H .~. . "'t"'..
<br />
<br />$
<br />
<br />,. --.~. ~ ' 1~-: --
<br />
<br />AMP Service Florida pqwer)i~):."p, _W
<br />
<br />,_ ,~~~~~~~~ ~f n~~~~~~~.~allat~~~.
<br />GAS .X. ..,ROOFING . ,,~'E~~ALTY .
<br />Otner
<br />
<br />.--- .
<br />
<br />TYP~ Of CONSTRUCTION:
<br />
<br />~a~ock
<br />
<br />_f~~e _Steel
<br />
<br />:':i'A~;'
<br />
<br />FINISHED FLOOR ELEVATIONS: " , FT. ,'.' ,. ;",' ..',' "',' 't~,;
<br />4;,
<br />**~**~~:****~~**~~~~*~*~******~******~~*.
<br />" "L CONTRACTOR SECTIO~,~',
<br />Company, ," l>it
<br />-.. State' Cert:! or' Regi$ i~
<br />.' '" ~tty~ice~se R~g~~t;.'~on #
<br />*****~*~***~*~~~_~t~~*,~~.*~*~*~.~*t~~;,,'" '[**
<br />
<br />Company ,,~.;'
<br />, , "_, ,'," Stat~c~rt. or" R.egi..,; ~~
<br />City'Lic~nse Regist~On it
<br />**********************************.* .'..,.' .*
<br />." ;" !,~,".,)t:..
<br />Company , '.a. '
<br />State Cert. or Re8~
<br />City License Regist
<br />**~~*.*..**..*~.************~..**~.
<br />. . . . 1'1 . .' ". ; t, ' ,~,.,: ~ ~.
<br />
<br />BHTIjDER
<br />
<br />Sigllature
<br />
<br />" I
<br />
<br />:::::::::AN
<br />
<br />PLl~BE~
<br />
<br />SigY:lat~re
<br />
<br />MECHANICAL
<br />
<br />Signature
<br />
<br />../L
<br />
<br />)I'
<br />
<br />/'
<br />/
<br />
<br />,/
<br />
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<br />.
<br />
<br />
<br />/.
<br />/-
<br />
<br />.'
<br />
<br />"'.'.
<br />, ,',Company
<br />State Cert. or Reg! '.'#
<br />City License Regi,t~ion #
<br />************************************ ***
<br />
<br />"THEll ~
<br />
<br />Sianature ~~~ ~ ....
<br />*****~****************************f'
<br />
<br />APPLICATION APPROVED BY
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