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<br />:::::R~S{~~ ~~~x~1;~. <br /> <br />CITY OP ZBPHYRHILLS PERMIT APPLICATION <br />BUXLDIWQ DBPARTMaHr 5335 8~ STRBBT E"BTRB~LLS. rL. 33540 <br />Phone.813-780-0020 rax.813-780-0021' -'7 _I ~ <br />DATIl IUICIIXVIID ~ t...!- O~ <br />PLAJIIS lmVIIIIf "'B <br /> <br />PHONE CONTACT <br /> <br />LRGAL DRSCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVU!ION <br />(OBTAIN FROM PROPRRTY TAX NOTICE) <br /> <br />PARCRL ID .. <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />o ADDITION <br />D MOVE <br /> <br />o ALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWJ;LLING <br />o COMMERCIAL <br /> <br />OMuLTI - FAM1LY <br /> <br />0.. OF UNITS <br /> <br />'. <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOMB <br />o O1ilER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT r. HEALTH DEPARTMENT APPROVAL <br /> <br />~ 4 .L~~ (}Al4~ <br /> <br />SQUARE FOOTAGE <br /> <br />1f~~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS r. (2) SETS OF BUiLDING PLANS r. (1) SET ENERGY FORMS. <br />ATTACH ( 3 ) SETS OF BUILDING PLANS r. ( 1) SET ENRRGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />, <br /> <br />PIlIlJUTS UOUllSTIW ~.P'v>'"/L ~ <br />~ {jl)D VALUATION OP' TOTAL COHBTRIICTION7- liS !!!1 <br /> <br />AMP BUVICR 0 "LO::,_:~;;; 'rt;t <br /> <br />VALUATION OF MIICIIlINCJY?rnoaTALLA~ 0 -j;; ~.f>. <br />o SPECIALTY x...OTHilR 7'~ <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHBR <br /> <br />D BUILDING <br />o ELBCTRICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPII OF CONSTRUCTION r 0 BLOCK <br /> <br />FINISHIID FLQOR ELEVATIONS <br /> <br />IS PROJBCT IN FLOOD- ZONB ARRAO YES' 0 NO <br /> <br /> <br />BUILDIIR <br /> <br />COMPANY <br />STATE CERT OR RBGIbT .. <br />CITY PROCESSING ft . <br /> <br />SIGNATURE. <br /> <br />*********A*******************************.*********,************** <br /> <br />BLBCTRtCIAR <br /> <br />SiGNATURE <br /> <br />COMPANY <br />STATE CHRT OR REOIST # <br />CITY PROCESSING .. <br /> <br />***.*...**.*************************.**.**.*****.....**...*.**...* <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING .. <br /> <br />SIGN1\.TURII <br /> <br />IIBCRARlCAL <br /> <br />***...*.***......*..***.**.*.**.**.*..****..*.***....*..**..**.**. <br /> <br />COMPANY <br />STATE CBRT OR REGIST .. <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.*.*********.**.********~*************************.*.************ <br /> <br />. .) . .tflL/1!!ht 1)11/ <br />ona FI X~ 4)fi R 111 6Lf{T. . COMPANY & )FJL -./YIt9J?! 5rIXJ26?:;' J -' . ' <br />. STATE CERT OR REGIST .. <br />SI<l1fATURII V CITY PR"""BSING . ~ i/o <br /> <br />***************************************************************** <br />