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<br />APPLICATION FOR PERMIT <br />CITY or ZKPHYRHILLS <br />, BUILDIHG DEPARTMImT <br /> <br />c~rUf 3-.:l/-t?;2. t::r- <br /> <br />I <br /> <br />DA'l'E R1!:~~ - :17 - 0 ;;;L <br />PLANS RZVtn FU: <br /> <br />(;/d AeJa//bn ffOht5 I I/te <br />97<;ii &~Md 7f;:d tk_: <br />57 <br />PARCEL ID" ~3-;;;'k-;})-IJ?()O-tJa:(j'J -057D <br />WORK PRopseD: ~ew CONSTRUCTION DADDITION <br />OSIGN 0 MOVE <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />7M -z:>s: 7 <br /> <br />JOB ADDRESS <br /> <br />I,EGAL DESCRI PTION: LOT (S) <br /> <br />SUBDIVISION ~Jt/(yCbh ItI~y~.PN <br />(OBTAIU FROM PROPERTY TAx N~T;CEI <br /> <br />BLOCK <br /> <br />OALTERATIOU <br /> <br />D REPAIR <br /> <br />tl iNSTALL <br /> <br />D DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />d MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WOR~ <br />S-~ 'I 'fq r <br />BUILDING SIZE >>d '-T(J <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ !&-e - <br />(. F SQUARE FOOTAGE f);)'-/tJ 5'.'; <br /> <br />HEIGHT <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 /> PERMITS REQUESTED <br />~ BUILDING $ 90.1100 VALUATION OF TOTAL CONSTRUCTION <br />. <br />E. ELECTRICAL 9tJ{J AMP SERVICE 1 FLORIDA POWER D W.R.E.C. <br />~ PLUMBING <br />f5 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION:~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES J NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # i~ <br /> <br />BUILDD <br /> <br />BLBCTRICI <br /> <br />**************************************************************** <br /> <br /> <br />COMPANY F;z... -t (/;1 S S <br />STATE CERT OR REGIST " Fe- OOrJ -;:;,:r.7~j <br />CITY PROCES~NG ",1:Y1:: <br />V of- <br />* ********************************************************* <br /> <br />PL_~~ <br />SIGNATURE , Jfi; <br /> <br />COMPANY /ld.k!k!i.f S;c~1/ /Ce tlljLr~.P<< <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # JlJP~ <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * *** * *** **** ** ** * ** ***** **,j. * ** **** **** *..........***** ***"'!;i'**** <br />. COMPANY:> c:> ,.z...~ <br />STATE CERT OR REGIST # ---Lf b1 "0 f~\f.' ( <br />CITY PROCESSING " <br /> <br />aa:CBAHl:CAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITy PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********************************************.*******~~*~t****** <br />