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<br />APPLICATION FOP. PERMJ:T <br />CITY 01' ZKPHYRHILLS <br />BUILDING DKPARTYKNT <br /> <br />DATI!: RECKrvED / b 1'-/ I ~lJ <br />PLANS REVJ:EW i'EK <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE If!z - } 0" l( <br />1-0., ? 3 <br />SUBDIVISION GIZfi/V'P /-IO/2{ Z ZJIV <br /> <br />OWNER'S NAME GtZlfAJO )-lOll I 2 V ,11/ rn'(-I, p, <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # 3tf-25- 2/- 0010 - 01 >00 - 0 t"3 b <br />WORK PROPSED: ~ CONSTRUCTION DADDITION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />!!:r:: .tJLvMI AA/ A.. <br />OTHER <br /> <br />r::J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK f2fU~EO <br />BUILDING SIZE 12x ~ <br /> <br />~CIlt5'cf\/ plJl),AIl . Un L {rlr jlO()lrl/ J {' /9IUJ6/Zr <br />, / <br /> <br />SQUARE FOOTAGE S- 2 r <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 />PERMITS REQUESTED <br /> <br />~ILDING <br />~CTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />92 Y/. J G <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W . R. E . C . W {rt~ .> tic;;? <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY ,~}I C &J{11l uc... T f ()/V' 01= ctf'M1lI/I- r-.L. <br /> <br />() (I, /) I /J STATE CERT OR REGIST # CBee 5'7'7 r-z- <br />~ /7_ ~ CITY PROCESSING # ~~ <br /> <br />****************************************~~*t:~r**J**~**~****** <br /> <br />BUl:LDKR <br /> <br />ELECTlUCIAN /J <br />SIGNATURE ~ /I. <br /> <br />~ <br /> <br />COMPANY /lCI~ &t....c.c r j2.tL <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1'31 ~ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />