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<br />APPLICATION I'OR PBRYIT <br />CITY 01' ZBPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DA.TE RECEIVED <br />PLANS RBVIE1f I'D <br /> <br /> <br /> <br /> <br />PHONE 7~ A ,q Sl <br /> <br />OWNER'S NAME ~ . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br /> <br />~ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />d COMMERCIAL <br /> <br />OMULTI - FAMILY <br />J(INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK /:.-""ol}(),j)tJ!l <br />I <br />BUILDING SIZE 92 Jrc!!11 ;t <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />of IJt!lce areCc- <br /> <br />SQUARE FOOTAGE <br /> <br />7872. <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 />~ BUILDING <br />gf ELECTRICAL <br />l3' PLUMBING <br />S MECHANICAL <br /> <br />$ eooK <br /> <br />PERMITS REQUESTED <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: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />(.0""'(" <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN ~ COMPANY ~. r L~ <br />STATE CERT OR REGIST # <br />SIGNATU~ CITY PROCESSING # J~ 70 <br /> <br />****************************************~~**:*************** <br /> <br /> <br />PLUHBBR COMPAN~ .) f.L. pu <br />~ I? 4 /'1 STATE CERT OR~EGIST # <br />SIGNATURE t.~ ~ c... ~.4'~.J./ ~~ __ CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />MECHANICAL <br />SIGNATURE ~ ~0 <br /> <br />********** <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />