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<br />CITY OP ZBPHYRHILLS PERMIT APPLICATION <br />:BUILDINQ DIIl'AJl.1'I4DT 5335 8th STUn ZBPBYlUIXLLII, no 33560 <br />Phone,813-780-0020 rax:813-780-0021 <br />J)A,ft UCBIVlm <br />PLANIl JlKVZn rBB <br /> <br />OWNER'S NAJoUi:lLl i (%l(le I.J HrF-(ri/J? m.O <br />JOB SITB ADDRESS (ol 0 10 ::::;--fa d i um 0(. <br /> <br />PHONE CONTAcf.BI~) Xl~-7Lf{q <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCBL 10 # 0 'Z 2l; 2\ CO I 6 0 DO Db CD) 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSBD: DNBW CONsTRUCTION <br /> <br />o ADDITION <br /> <br />DALTB:RATION <br />o DEMOLISH <br /> <br />o aJU>AIR <br /> <br />D INSTALL <br /> <br />J4IGN <br /> <br />o MOVE <br /> <br />PROPOSED USB, DSGL FAMILY DWELLING <br />~COMMERCIAL <br />o RESTAURANT" HBALTH DEPARTMENT APPROVAL <br />DBSCRIPTION OF WORll r2 ()vr'!rNf .e.}(I\ ti f'rJ '6aVlLbn::> Wti \I SljV'\ aM I VI s-ttlll Y\RL-V <br />BUILIlING SIZE SQU.l\Jl.E FOOTAGE HBIGHT <br /> <br />DMULTI-PAMILY <br /> <br />Oft OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />RESIDBNTIAL, <br />COMMBRCIAL : <br /> <br />ATTACH (2) ~LOT PLANS" (2) SETS OF BUILDING PLANS" (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDINQ PLANS" (l) SgT ENSRGY FORMS. <br />PROPERTY SUlIVBY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PBRHITS RBQUBST~ <br /> <br />o BUILDING <br />D ELli:CTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SSRVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAB <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPB OF CONSTRUCTION, 0 SLOCK <br /> <br />o FRAME <br /> <br />o STEHL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD zom;: AREAo YES 0 NO <br /> <br />, '--f' "-~:::1""~"""- J .-",~~. ....>L~.--i- -- t -=.~. t----r-r-~~ ~~....'.1.~.~'~~~~i1~ <br />I " \~ .., I ,-; ~ L.~_ ~ ;-I,~' . 1- :"'r- C T ..._~.. ,.t t:' t'l i,..;"'~('\. '.-;.. - -;:. g~T~~l~,E1\^I;l~'j ,,:.4-::n ~ <br />.~...~ 1... ~~""'.:' -:..' .. ^:', >1v-0- j. _.. _..t :;-- '~ ~ ': ,~Ti""" ".., .:~~'- ..._ 'C1~i-,b:~.. ~~~"l.~\,... .. .,;.{ <br /> <br />BIT.lLDD <br /> <br />COMPANY <br />STATB CHRT. OR RBGIST # <br />CITY PROCBSSING # <br /> <br />SIGNATURE <br /> <br />..........*...............,*..****.***...**.....******.***......,* <br /> <br />JlLKCTaICIAK <br /> <br />COMPANY <br />STATB CBRT OR RBGIST # <br />CITY PROCBSSING # <br /> <br />SIGNATURE <br /> <br />....**.....*.............**.**********............******......*... <br /> <br />PLOMIIU <br /> <br />COMPANY <br />STATB CBRT OR REGIST # <br />CITY PROCBSSING # <br /> <br />SIGNATURE ~ <br /> <br />.......*.............,**.*..*--......,._,.,-**....*,......*.*..*** <br /> <br />JllilCllAJUCAL <br /> <br />COMPAIn <br />STATB CBRT OR RBGIST # <br />CITY PROCESSING # <br /> <br />~. <br /> <br />SIGNATURB <br /> <br />..***.**....*~*.*..*.********..*.*...*....*****.**..*........**** <br /> <br />OTIID <br /> <br />COMPANY <br />STATB CERT OR RBGIST # <br />CITY PROCBSSING # <br /> <br />SIGNATURE <br /> <br />..........**..**.**.................*****.**........**...,.*.-... <br />