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<br />APPLICATION FOR PBlUaT <br />CITY or ZBPBYRHILLS <br />BUILDING DBPAR'l'MBNT <br /> <br />OWNER'S NAME fUr, of mY5. Ernest Ho/lat1C1.. <br />JOB ADDRESS 3!),;;.l/ 1t-13l{AMaflt?e W'1 ' Ze~hrrh/II~I <br />LEGAL DESCRIPTION: LOT(S) /~ BLOCK <br />PARCEL ID # cX1-,;!/,-,;;1/-/lO;.o..tfJl9CW-- Oldll/ <br /> <br />SUBDIVISION V11era/d /-::;/nf <br /> <br />(OBTATN FROM PROPERTY TAX NOTTeR' <br /> <br />WORK PROPSED: []NEW CONSTRUCTION lB"ADDITION []ALTERATION [] REPAIR o INSTALL <br /> , <br /> o SIGN o MOVE 0 r <br /> DEMOLISH <br />PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY 0# OF UNITS [] MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL [] SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL "" <br />DESCRIPTION OF WORK -Scr~~ RPl iN/1/IV/''j1 tU/I;',dPtc.Js (!ttrptJrl-) ,~/!r'hj"'1f!rn. ' <br />BUILDING SIZE fa ;<..'-13 SQUARE FOOTAGE S-61 'I HEIGHTS~~KJ/~,<-s <br />, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAlJ: ATTACH ('3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />TY~E OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS I?ROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />j ;, <br /> <br />IllllliliWW!!lllilllwwmmmmmmmmmmmmmmmmmmmmmmliil!mr - - - - i~illllllllliilllll.Wmmmmm!mmmmmmmmmmmlllilllll!IIII!1lljmmmml <br /> <br />BUILDER <br />SIGNATURE . ,~~ (~..-l~MV' <br /> <br />COMPANY rrh!<.e- Wil/,~0tisfrKc-f,ti..... <br /> <br />STATE CERT OR REGIST # . <br />CITY PROCESSING # .' "1" z..' <br /> <br />" <br /> <br />****************************************************************** <br /> <br />v::-=~~~ <br /> <br />COMPMY~ ~/H2.iJ C~1J ~ ~LG:<1.T;e; < <br /> <br />STATE CERT OR REGIST # <br />CITY I?ROCESSING # 0 72,. <br /> <br />****************************************************************** <br /> <br />-.... <br />/PLUIiIBBR <br />V SIGNATURE~ J_ ~ <br /> <br />COMPANY. PeYlYH's Wd //d.....5 l1t.(u..hJ~ <br />STATE CEo RT OR REGIST~. 00 '<. 7'iS::- <br />CITY PROCESSING # [( t.O . <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MBCBAHlCAL <br /> <br />***************************************************************** <br /> <br />OTRBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />