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<br />APPLICA'l'J:01f FOR. PBIOa'l' <br />CITY OF ZBPHYRHILLS <br />BUILDING DBPAR.~ <br /> <br />DATa DCBJ:VJm / ~ - 7- OJ <br />PLANS RlNIBW ftI: <br /> <br />OWNER' S NAl1E_~/k.C'I1.i._OC_,.t:/leI~~ - Ze'//-r~A///s PHONE ~/3 . '7$~-9s?;-7 <br />JOB ADDRESS:?'t/t/( _1:~~_,~~C E L___ 2;.&y.Litl/5 -_f7- 3 '35(11 "_____ <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # L/ - ~, 02/~ OO/(), O(P300. 0//0 <br /> <br />(OeTATN FROM PRQr~BTY TAX NO:t'JCE) <br /> <br />WORK PROPSED: DNEW CONS'l'RUCTION <br />o SIGN <br />~ROP03ED USE: []SGL FAMIL~ DWELLING <br />o COMMERCIAL <br /> <br />DdADDITION <br /> <br />o ALT ERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOV}<:: <br /> <br />o DF..MOLI SH <br /> <br />OMUL'Z'I-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o Q'rHER <br />I <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIP'rrON Or:' WORK _'!!2A ~C>OCC?l..._._____.,<)-^/!") <br />tI /,'." <br />BUILDING SIZE ,&..a. X j:>(:f/!. ir' . <br /> <br /><:1L~.::?~~.~~4J <br />&,Olf <br /> <br />/Odd,t"/O..A-I <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />AT~ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUIl,DING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FLORIDA POWER <br /> <br />~L <br />01 <br />. ' ')--'f:l/ <br /> <br /> <br />W. R. E. C). ,j/ <br /> <br />~l]ILDING <br />l!3'ELECTRlCAL <br />C;YPLtTMB ING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAlJ CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />o <br /> <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />INSTALLATION ( ;;J ) ~oq55 <br />1 j)~1 <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />o OTHER <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD <br /> <br />YES 0 NO <br /> <br />SIGNA,TURE <br /> <br /> <br />COMP),\NyC.'~//4/4~/O//J ~/!Y/~00d <br />/ __ STATE CERT OR REGI S'l' # C.8c..O 4 3 (03 3 <br />~ __ CITY PROCESSING # ~'1 <br />AJFJ:V tt,jJl{1E w. ~~:~V r-I~ <br />*******.*****************.**********~*****************..~***** <br /> <br />COMPANy F/I<c6?~- CLASS <br />STATE CERT OR REGIST # <br />CITY PROCESSING '# iftf of/'''''''''-- <br /> <br />********.***~*********.****************** <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELBCTlUCI:AN <br /> <br />*********.********** <br /> <br />PLUImJDil -J= ~ c ~ ~~~~':;CoR Jf~ S~ <br /> <br />SIGNATURE _ _~~_.________ CITY PROCESSING # __ cAt>7 Oil--.... <br /> <br />***********. ******** ..******** *1<1<******'***;'1<** ***** ******..****** <br />IO:CHANICAL COMFAN W )1.r::J- /O/Je {bod' /C7/J/~ <br />..-. - y1 - t~ J /I STATE CERT OR REGIsT # /170()~OC;l- -;)- . <br />SIGNAJY~07d~/'" . ~~__ CITY PROCESSING #l J~V()#-. <br /> <br />*.*~.*** *************************************************1<****** <br /> <br />OTHER <br /> <br />-_._------..,...,......~---_...........-...._-_..._~-_._-----*.,------..-,,~~,-... <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />