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<br />APPLICATION FOR PERMIT <br />CITY 01' ZZPHYRHILLS <br />, BUILDING Dl!:PARTMImT <br /> <br />DATE lU!:Cl:IVZD ~ - 1ft:,' -n / <br />PLANS RZVtn dB <br /> <br />~~~ <br /> <br />SUBDIVISION fJtvl/ tJ4 ft-vs,e Ck. <br /> <br />L.:~f#.~:: <br />ioYd_ v~'- ,Dr: 'afi17/k/!S <br /> <br />LEGAL DESCRIPTION: LOT(S) ~- BLOCK, <br /> <br />PARCEL ID # 03-t9/g-:J!-CJIJO-(){J(!b) - ()C(q/ /) <br />~' <br />WORK PROPSED: DNEW CONSTRUCTION p4 ADn-rfIoN <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />(OBTATU FROM PROPERTY TAx NOTICE) <br /> <br />o ALT E RAT I ON <br /> <br />o REPAIR <br /> <br />o INSTAtL <br /> <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMI L Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />odd Qreer, frch <br />SQUARE FOOTAGE ~O <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />, BUILDING $ / f!IJlJ II? VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />;fws~c, <br />, <br /> <br />COMPANY e- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I~ <br />l. _, <br /> <br />BUILDD <br /> <br />****************************************************************** <br /> <br />BLBCTlUCIAR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~************************************************.****** <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />amCllARlCAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />