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<br />APPLICATION FOR PElWIT <br />CITY or ZBPBYRHILLS <br />BUILDING DEPARTYENT <br /> <br />i (J:Jzet! do -(f~E:J f(f- ~ <br /> <br />DAD RECEIVED ;2 -1/ .- O,,;L, <br />PLAN'S REVIEW FEE ........- <br /> <br />JOB ADDRESS <br /> <br />~ <br />r("' 6.56 <br /> <br />Q!- #~ <br />g~cA" <br />9 <br /> <br />,L,~#h;t~ <br />J~ <br /> <br />PHONE 7~o- 6'~~~ <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />6-8 <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /2- ;6-J-/,. oo6~ oec~.x) 6090 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />ld OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK AdJctJ ~~ S/~ ?)c/;? ct. j""'~....I ~ <br /> <br />i7 119 <br />BUILDING SIZE ' _ <br /> <br />SQUARE FOOTAGE / Sj> <br /> <br />/ <br />HEIGHT J' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />, ')J. BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />o'--~C)O ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. ~_ <br /> <br /> <br />;q g4115' <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <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 /> <br />-- <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />)rJ OTHER <br />IS PROJECT IN FLOOD <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />'Q:-NO <br /> <br />BUILDER ~.# <br />SIGNATU~ ~~ <br />/ <br /> <br />*********************************************** <br /> <br />BLECTRICIAN' <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />IdBCBABlCAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />O'l'HBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />