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<br />APPLICATION FOR PERMIT <br />CITY OF ZBPHYRHILLS <br />BUILDING DEPARTHBNT <br /> <br />DATI: RBCBIVBD ~ ~ :J 0 - '0 I <br />PLANS RBVID I'BB <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />OWNER'S NAME be fh /useaJtO <br />JOB ADDRESS .385/'-/ Pt"edmonf Ave. <br /> <br />PHONE <br /> <br />SUBDIVISION AI of/a. IId/~qe.. <br />I J <br />(OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 35-.;?5-,;;J.I-OOSO-OOOOO-0930 <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />USE: ~L FAMILY <br /> <br />[] ADDITION <br />[] MOVE <br /> <br />~TERATION <br />[] DEMOLISH <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />PROPOSED <br /> <br />DWELLING <br /> <br />[]MULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE <br />D OTHER <br /> <br />HOME <br /> <br />D COMMERCIAL <br /> <br />D <br /> <br />DESCRIPTION OF WORK CI ose <br />I <br />BUILDING SIZE /;;).)( /4 ' <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />In ex.. l sti ;".3 SC'-,C"t"" (1 room <.pI :3 lass WI'ndDw5, al WYl/ V\t.t,VI-\. <br />rlr r fr~Y\'t.1 VlCf . <br />SQUARE FOOTAGE / It:; g It" HEIGHT <g ~'U'.. J <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 />g/'ELECTRICAL <br /> <br />$ Ol/SO.OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />D STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />im1mil!im~miiiiimjii!l!!i1!ij!il!1!!~~!liii11iiilimi!iiiimijiilji!iWi~i[!!!jij!Wmm~rl - - -- - -- --- -- -- --- - -- - - ]mj!i!!!~W;lljji!i!~i!l!ji!i!~IWmmjji!!i!i~ilmmmmjmiiii!!!ij!j!~ii!~!!jimllmim <br />,.,."'"'"."0".,..."",.,,,.,,..,..,.,..'..'..1'."'....,,.,..,.".f,..,.,.,.,.".....,..,..!"....,. ,.....'.,.".!l'.,...,............,..t.......,.....,..."...,................,..,..,..j...,......\..'" <br />:~. ~"~'" ..:.. ~:::. ~~: .~~~";;~.~:.t l~.~; ~~ ~ ::.::.:: .:. .~~~~;::.~.::..;~:: .::":.:.~.;..:~=::.:~. ::~~.::~:~:, .:::::::a..:., :c:.::.:::::~:::::::::;;: ~::=;:":~e;c:: .:~:;; :::.~:::~:::::::::: :..n.::.:; .;:=.m ;~; =~..: <br /> <br />COMPANY .&..hr'5 fJl urn Inu yYI. ct- Hardware. ,..:Inc. <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /g <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY P;:~Sz. C/0i4S.s t::4 e-t:-er ("l <br />STATE CERT OR REGIST #CJ 11 / / \ J '7 <br />CITY PROCESSING # J L/~ . , <br />. <br /> <br />BLBC'rlUCI <br /> <br />************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />***********~****************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />KlCCHAHlCAL <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />