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<br />APPLlcATtON FoR PUMIT <br />CITY or ZZPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~I ~' <br />,. 2 0 <br />DAft UCIlIV'BD 2 I <br />PLANS UVIBW DB <br /> <br />OWNER'S NAMEJte....sc.he.l ~~b~l St"ewa.rd <br />JOB ADDRESS 3~5 .;tt.LJ...AV\'&I'~ Ave. 3354-0 <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />PA~r.() P~RMIT ~I=RVICE <br />813-788-5314 <br /> <br />SUBDIVISIONS <br /> <br />PARCEL ID # () ~.. c?(,.- .ill- O.;lt..o- DDOa? - i ~ ~D <br /> <br />(OBTAIN FROM PROPERTY TAX <br /> <br /> <br />s <br /> <br />WORK PROPSED: ONEW CONSTRUCTION 4(ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: \isGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />CJ RESTAUAANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK RooM. AdJd..ho""-" <br />12.)(. t '3 co ~ CZS )( I S" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~7~ <br /> <br />HEIGHT 5 ~"(,,/F'~ <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 />p( BUILDING <br /> <br />plELECTRICAL <br />o PLUMBING <br />p( MECHANICAL <br /> <br />$ /IJ,I .3 50. Df) <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 />It FRAME <br /> <br />o STEEL <br /> <br />fi. OTHER ~j,,'4. Y"fJfJ{ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />mmmmmmmmmmmmmmmmmmmm!IIII!!III!!ml!!llm!!ill!!!!!I!!II!l!mm ~- ~ - - - - - - - ll!!!II!ll!mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm <br /> <br />BUILDD ~ COMPANY 8oJv~ ,4Ju.A.-.t,\l4.1V'-' <br />. II J - Il STATE CERT OR REGIST # <br />7V~ CITY PROCESSING # /g ok <br /> <br />SIGNATURE .... ....~:::..~~........................................... <br /> <br />COMPANY r~f a~ .QeJ <br />STATE CERT OR REGIST # .f5-LOCi)-2~70 <br />- CITY R~NG # tf <br /> <br />....................~ .. - ". -. - ;~. <br /> <br />COMPANY~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />BLBenuC <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />***********~*******************************~***~***************** -- <br />YBCBAlflCAL . >. COMPANY AII.e s ~-<<""A..v~ . ~AS tl./fk: / AJL <br />~ ~ L ~ STATE CERT OR REGIST # C-A L " l/ ? '7 Y R <br />SIGNATURE ~ . . . _ CITY PROCESSING # /"7 0 Ie. <br /> <br />*~**********************************************************~* <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />*******************~****4 ~************************************** <br />