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<br />APPLICATION I'OR PERMIT <br />CITY or ZBPHYRHILLS <br />BUILDING DBPARTMENT <br /> <br />DATI: RBCBIVBD <br />PLAHS RBVJ:BW I'BB <br /> <br />OWNER'S NAME -JdA/l /..~ole/de../ ___ PHONE 7Afj....,<)fC;y <br />v- ......- V t...-- v' ~ .:..--. ~ , <br />JOB ADDRESS 39-240 - 4:2 - 44 - 4tIJ - 4A -..-S-u - s-z ~ 04 - ~~7n <br /> <br />LEGAL DESCRIPTION: LOT(S) j- Z-4 BLOCK SUBDIVISION .Z';;-dA// A,':'- J6./.J-. <br /> <br />PARCEL ID # 13~z'- L 1- 00 /(J -00000 -Go/r6nZ:~XJ4ttOBTATN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION oALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />oMULTI-FAMILY <br />)'I(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 /lIe o.t/ en .15 J /"u {' Ifi-. -1 IA.//'A./"PM.., S/~/C /Ic.~ ~IJ <br /> <br />BUILDING SIZE -- "J .2 5,7"H,I/! SQUARE FOOTAGE I 11.:2 sn <br />--SV x ,;?,2 0- <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />/"f'>l1kj 6ay< <br />HEIGHT /(0 \ <br /> <br />III BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />< <br />'Z, 2.0 I GOo 0.-- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS ?.s-:.sn <br /> <br />.., STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />_NO <br /> <br /> <br />BUILDER <br />SIGNATU~"-'- <br /> <br />- <br /> <br />COMPANy-A!-.(l, E (1/1 r1/ra (';.1-; /15 <br />STATE CERT OR REGIST # 7 <br />CITY PROCESSING # d.. G 4 <br /> <br />****************************************************************** <br /> <br />BLBCTRJ: CrAB <br />SIGNATURE ~J,^- <br /> <br />COMPANY/)O C..( (", Iv..f E/e e l. <br />STATE CERT ORJREGIST # <br />CITY PROCESSING # 94 <br /> <br />****************************************************************** <br /> <br />PLUMBD. \:'\ <br />SIGNATURE ~~^-.: J \k),A eo~)"Ir\..r\ <br /> <br />COMPANY .[..JFAhJ,' s.. L. w; cl c '~'3 <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I q 0.. 0 <br /> <br />nltS <br /> <br />r <br /> <br />YBCHANICAL <br /> <br />**********~******************************************************* <br /> <br />SIGNATURE <br /> <br />Air) /1 e \ <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTIIBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />