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<br />APPLICATION FOR PBmaT <br />CITY 01' ZBPHYRHILLS <br />BUILDING DBPAR'J.'MBNT <br /> <br />z/Zg/o f <br />DATI: UCIIZVBD' . <br />PLANS IUlVIBW I'BB <br /> <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />OWNER'S NAME /J! 1(-1 In 12~ r'AR, (C ~v;7Tc- PHONE <br />JOB ADDRESS .3'1 ri. D . ... Oil '3 t"1A-LffC-H I TE DR.. <br /> <br />-- - -- ~--- <br />-~ -- -- . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION E f11ertdd Po,,~f- <br /> <br />PARCEL ID # .J?tj-.;24,-.;l./-OO;).O-O&6J&O- f);)&O <br />WORK PROPSED: ONEW CONSTRUCTION . ADDITION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTTCE\ <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DRESTAUAANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .F ~ c- R ,. <~,t-:j f2 C' r' m -r f?J If r~ ' <br />BUILDING SIZE I;? X ;J, 7 SQUARE FOOTAGE 3;;?t./ <br /> <br />HEIGHT <br /> <br />7'-fp"h> 8" <br /> <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 /> PERMITS REQUESTED <br />M BUILDING I~O&O, t70 VALUATION OF TOTAL CONSTRUCTION <br />$ <br />ti ELECTRICAL AMP SERVICE 0 FLORIDA POWER D W.R~E.C. <br />df PLUMBING <br />D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION , , <br />D GAS D ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />1 \, <br /> <br />ill!!II!I!!i!I!I!lml~ill~!i!II\!I:llllllllmmmmmmmmmmmmmmmm~m!!ll;!!lm :~I!I!I!!!il\ilj~W!!:!il\!!I!!immm!lm:l:mmmmmmmmm!ili!11ilimmmm!i!!1 <br /> <br />BUILDBR <br />SIGNATURE ?1!L-~ (~~ <br /> <br />COMPANY rYl,'ke. w/I//ams. (Jbnsfruc.J-,on..., <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 3~~ <br /> <br />****************~************************************************* <br /> <br />~t <br />SIGNATURE f :tC~J ~/~f <br /> <br />COMP.N1YI:c.. h~ll{) (,,~;U~:>*LL peEl:-- TRr e- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 670C . <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~~/ <br /> <br />. <br /> <br />COMPANY D -< 4) J.J; ~ <br />""- <br />~~ ~ STATE CERT OR REGIST # <br />b\J~JI.1 ,J-Y"\. CITY PROCESSING # <br /> <br />Ll W.r II ; A- m ~ <br />oo97~S- <br />, 17_ P <br /> <br />PLUMBD. <br /> <br />SIGNATURE <br /> <br />***********.******************************************************* <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />HBCBABICAL <br /> <br />***************************************************************** <br /> <br />OTRBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************-************************************** <br />