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<br />APPLICATION FOR PERMIT <br />CITY OF ZBPHYRHILLS <br />BUILDING DEPAR'l'KENT <br /> <br />/ <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME (;tl-II)./tJ J.-f/) ilt 2[) tJ m -H . {J I <br />JOB ADDRESS '31 (0(9 LA/\/IJI} AV/~ /-Dr t"'tf <br /> <br />PHONE 7 t 2 - I D (, L( <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # ?t/- 25' - '"2-{ - 0010- 0("> Do -Oo:y'I <br /> <br />SUBDIVISION C/44N1? /fofL,( 20;/ <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~HER <br />Al-vlhl NuA <br />P4C/::-~ <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK SClu.3EiJ <br />BUILDING SIZE 12-'i. 53 <br /> <br />/l~DlVl <br />I <br /> <br />V-llootV\. ; C-AtZpO/2.1 <br />SQUARE FOOTAGE ~ 3(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 />~LDING <br />~ECTRICAL <br /> <br />$l3rf~ 11 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C.W/{'le 5i-IEO <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />IJ~ 1-1- ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~~, <br /> <br />. <br /> <br />Jr ()~ <br /> <br />COMPANY tJeF: ~LCL flU C- <br />. <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /># <br />I i''7 <br /> <br />ELECTRICIAN <br /> <br />*******************************************************~,********** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********,******************************************************* <br /> <br />MBCBANICAL <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 />