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<br />C~TY OF ZBPHYRHILLS PBRMIT APPLICATION <br />BUILDING DBPAllTKmlT 5335 8th S~Uft'1' ZBPHYJUIZLLS; J'L 33540 <br />Pholl.'8~3-780-0020 PaxI813-7BO-0021 A _ /~_ .:v1 <br />DATB UCZZVIID 0<. L..;;). V4.i <br />PUNS R:BV%BIf J'DI <br /> <br />OWNBR'S NAME (JAJLLCy <br /> <br />. <br /> <br />JOB SITH ADDRESS :1 74 J 3 <br /> <br />PHONB CONTACT <br /> <br />LJ tflJ6C lJCJOO <br /> <br />l.BGAL DESCRIPTION; LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />W G 06t5tJJO()() <br /> <br />PARCEL ID # /O~~I,~lJ- tJ/J/J -oOOOD -h75(j <br />WOlU<: PROPS ED : DNEW CONSTRUCTION ~ ADDITION <br /> <br />Os IClN [J MOVE <br /> <br />(OBTAIN PROM PROPERTY TAX NOTICB) <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />ORBPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULT.I-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DeSCRIPTION OP WORX IITJDWI A/I <br />BUILDING SIZE rJ. X 3D SQUARE FOOTAGE :J~{) <br /> <br />HEIGHT <br /> <br />J" <br /> <br />RESIDENTIAL: <br />COMME!tCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SBTS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIR~D FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS RBQUESTBD <br /> <br />Ii BUILDING <br /> <br />$ . ~ 'I ()().. tX) <br /> <br />VALUATION OF TOTAL CONSTaUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />N.R.E.C. (,l~ <br />, 1 ' <br />r1~~L. <br />'~}/)-- . <br />, /f/~~~L.;.1f <br />G~ "'O"'~2.. <br />P6~"'~ <br /> <br />YES DN~ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAB <br /> <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPB OF CONSTRUCTION; 0 BLOCK <br /> <br />D FRAMa <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED PLOOR ELBV~TIONS <br /> <br />IS PROJECT <br /> <br />.=-~ <br />SIGNATURE <br /> <br />********...******************************************************* <br /> <br />J- <br />STATE CERT OR R2GIST # <br />CITY PROCBSSING ~/~~ <br /> <br />IILBC1'Il'CUK dI- <br />SIGNATURE J4. V t ~ <br />, <br /> <br />COMPANY t'6t;. El~~t~/<- <br />STATE CERT OR REG. IS,T # (!.~ wi OKS- <br />CITY PROCESSINt:; # It)~ () (" <br />I./J .. <br />***********.**.*******************.***********.***~***.***..****** <br />- -,' <br /> <br />PLmmn <br /> <br />COMPANY <br />Sf ATE CERT OR RBGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />JIJICBANlCAL <br /> <br />t*.******.****..********..*************.****.***.**...******.***** <br /> <br />COMPANY <br />STATE CERT OR REGIST. # <br />CITY PROCESSING # <br /> <br />SI~ATURE <br /> <br />***************.****.***.********.**.**.*********.*.***.****.**** <br /> <br />O'l'llBR. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING # <br /> <br />******.**..**..*..***********..**..*******.*.......*****.*.*.*... <br /> <br />l 'd <br /> <br />f,tLO'ON <br /> <br />SllIY~ Hj3Z ~C J,1!8 <br /> <br />V{jlr:3l lOD? 'S <br /> <br />. : rl r <br />, , <br />