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<br />r <br /> <br />APPLICATION FOR PERMIT <br />CITY 01' ZBPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /2! / /9.!l- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME L;iQiUOc J. 7 )Ju.tlef , J'8'f9 1'11> ~~NE X/C>,- 771.-'i1/() <br />JOB ADDRESSih {"( ;^I'-,(({ (~1J) / mU.f:. 13/-6('1. S;:h 7/{) 'R.; l~a. DC!cu..? n I~'~ <br />LEGAL DESCRIPTION: LOT (S)7 / 'I" f-S BLOCK Lf? SUBDIVISION <br />E~ / / -.1' ' ;I 1- {) 0 10 - 01../ 70<>" oo? (2 f OBTlI TN Fl!O!l PRQ~ERTl TAX JjOTTe., <br />WORKPROPSED: ONEW CONSTRUCTION ~TION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br />PROPOSED USE:J~'-S~'I. FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />oddt ~ r d Cell1flz-t /?iod( -eri lUll!':; <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 & (11 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 />XBUILDING <br />~ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNATUR~ <br /> <br />// MId <br />? . . <br />fJCJf/ (Lfi' <br /> <br />COMPANY OIl) v'leJ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />=:AR;*~~*~*******~~~~~~~~?~:::*:********" <br /> <br />****************************************************************** <br /> <br />PLtJIdBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCRANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTIIBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />