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<br />APPLICATION I'OR PEmaT <br />CITY 01' ZKPHYRHILLS <br />BUILDING DJ:PAR'l'.tlDI:NT <br /> <br />DATE RECEIVED /0-.:1.9-1) I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~W fJjlt? f VIS/., tlA- (' /20.) fJ Y <br />JOB ADDRESS "37&'3/ L,4.IVPI..> f)vF. 1-0 T tf(, <br /> <br />PHONE [>'1) - 7t?- / ~6 '-( <br /> <br />SUBDIVISION (;/Wt7 1~IUZd/f/ fYI/i. f, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # "Jlf~2-.C;- 1-1-0010- 02.-[-00 -0000 <br /> <br />CORTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />9M:oVE <br /> <br />o DEMOLI SH <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK MOf]IU ;-hmF SFI vI <br />BUILDING SIZE 2-l" X \..fL( SQUARE FOOTAGE /Itfl.f <br /> <br />HEIGHT <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 /> <br />D BUILDING <br />G:YELECTRICAL <br />wPLUMBING <br />~ECHANICAL <br /> <br />$4;~1J, 00 <br />1')0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />&oo.c:!o <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />0"OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES D NO <br /> <br />padme~s JO pa~urJd 'padl~ ameN <br /> <br />padme~s JO pa~urJd 'padl~ ameN <br /> <br />~ualliOpa1Mou~~e 6ul~e~ uosJad 10 aJn~eu6TS <br /> <br />~uama6paTMou~~e 6ul~e~ uosJad 10 aJn~eu61S <br /> <br />tpeo ue a)(e~ '40U prRJ PTPo otI1'\ pue <br />(UOr~e~11T~uapl 10 adl~) <br />pa~npoJd set{ 0t{1'\ 0 <br /> <br />JO 'aw o~ UMOU)( l11eUOsJad sT OtI1] <br />(pa6pa11'\OU)(~e uosJad JO ameu) <br />};q <br />61 I 10 lep----- sTt{'4 am aJoJag <br />pa6pa1Mou~~e se1'\ '4uamnJ~SUr 6UT06aJoJ atI~ <br /> <br />.tI'4eO ue a}{e'4 ~ou PTPo PTP OOtI1'\ pue <br />(uoT~e~TJT'4UapT JO adl~) <br />pa~npoJd set{ ot{MO <br /> <br />JO 'am 0'4 UMOU}{ l11eUosJad sT 0t{1'\0 <br />(pa6pal1'\ou}{~e uosJad JO ameu) <br />};q <br />6! I JO lep ----- sTt{~ am aJoJag <br />pa6paT1'\OU}{~e se1'\ ~uawnJ~SUT 6uT06aJoJ at{~ <br /> <br />_'T"" T T ..T""',...,..... <br />