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<br />APPLICATION I"OR PBmaT <br />CITY 01" ZBPBYRHILLS <br />BUILDING DBPARDmNT <br /> <br />(p -5-- {2.::z <br />DATE IUllCIUVBD <br />PLANS RBYZ_ I'BII <br /> <br />OWNER'S NAME 5r e..e. lo..ne V (.\ \ a. 50 <br />JOB ADDRESS 5/53 ~b~L Ze..pny,hil~ <br /> <br />PHONE <br /> <br />PL ~~S"4' <br />SUBDIVIsIoN-Tf~ lo..Ae.. Vi 1 \4jL- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o D~OLISH <br /> <br />1!ilREPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - 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 OF WORK 7epa......~ rl5e-t' 0\ 4- ~()~ fl'\ekr-~ "- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br /> <br />$ LJgJ,oo <br />IDa. <br /> <br />PERMITS REQUESTED <br /> <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIALINSTALLATION <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 B:pOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />Ililffillliil!lilllll!llli!iffiillllllllilllllll!!I!liill!11111!ill!III~II!II!IIIIIII!I!I!mlll!I!II!I!I[ - - ----- -- - - - jl~II~IIII!!!!II~!I~I~111Iffilll[ll[I!!~!llllll!lllllm~ffilillllll!!lil!IIII!!I!!II!II!II!III!! <br /> <br />BUI:LDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />:=~U11I~_~lC- <br /> <br />COMPANY F8E." E.l-B<-.f"'c<...tL. <br />STATE CERT OR REGIST # 5~Ot::::Cl...f<otft') <br />CITY PROCESSING U Dca <br /> <br />********~********************************************************* <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />YBCllANlCAL <br /> <br />* * * * * * * ** **.* * * * * * * * ** * * **** * * * * **** *** * * ** * * * * * * * * ** ** * * * * * * * * * * * * <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTIIBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />