Laserfiche WebLink
<br />APPLICATION I'OR PBmaT <br />CITY OF ZBPBYRHILLS <br />BUILDING DBPARDmN'!' <br /> <br />DAft RBCBIVBD <br />PLANS RBVI_ I'BB <br /> <br />~ OWNER'S NAME .::r6h N (' reO ~c..(J <br />JOB ADDRESS 3gq 0 ~ .0 rh IJ rJ 7 ~ ? H Y I? If iLls <br /> <br />j:' 1- . <br /> <br />PHONE 8"/3, 7 ~ Z 1/ f::,....f <br />33!:;.-</O <br /> <br />"ti-_ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />>:.* PARCEL ID # J/-1.' - '-/-(9010-/7 'IOO-I)()t!() <br />. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o D~OLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~ 'X 57 <br /> <br />S 1-1 C J.) <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 & (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 />" <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o 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 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 B~OCK <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 />!lllllliillllliillllllllllll!lllll!il!illllil!llliiiil!!!llllili!llilillilllll!I!I!IIIII!lmlllllillillll: - --- - - - - ;1~III!jlj!~i!lm!jjll~I~!!I~I!!~llllmll!III!lj!!!!mlj~jijljllil!!li!l~ilil!llllll!1111111 <br /> <br />SIGNATURE <br /> <br />~\<t.. COMPANY (!) t< J A} e ~ <br />de ~. " STATE CERT OR REGIST # <br />~ /'-- CITY PROCESSING 1# <br /> <br />*********::**~**************************************************** <br /> <br />BUILDD <br /> <br />IlLBCTRICIAIiJ <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />I <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />_CBANlCAL <br /> <br />* * * * * **** * *.** * * * * * * * * * * * * ** * * * *** * * * *** * * * * * * * * * * * ** ** * * * * * * * * * * * * <br /> <br />COMPANY. <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />