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<br />CITY OV ZBPHYRHILLS PERMIT APPLICATION <br />BUI:LDi:NQ <br /> <br />DBPARTMKNT 8338 B~ ST.BRT ZBPRTRBI:LLS. rL. 33840 <br />Phone.B1J-7BO-D020 rax.B13.7BO-OD21' 2 ..., . .., <br />DATB .BCBZVBD ~ - ~ -'0 ...-. <br />>>LAHS RBVIBK raa <br /> <br />PHONE CONTAc'!I~/J) 6cJb'-! 116'" <br />- <br /> <br />OWNBR'S NAMB-HlW'J.p;L of . f J orJu <br />JOB SITE ADDRBSS ~ 0 3 q 1s+ St-. <br />'10 <br /> <br />Z'f)/.1r~. //s. J:=L <br />, , <br /> <br />LBGAL DBSCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />i). ~O() <br />o 'lOf) <br /> <br />SUBDIVISION <br /> <br />P~CBL ID ff.J1) J b d.-J. OD / D <br />WORK PROPSED: oNBW CoNSTRUCTION <br /> <br />/ ;),700 <br /> <br />(OBTAIN FROM PROPRRTY TAX NOTICR) <br /> <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />Q-INSTALL <br /> <br />PROPOSED USE: oeGL FAMILY DW~LLING <br />o COMMERCIAL <br /> <br />oMuLTI - FAMILY <br />o INDUSTRIAL <br /> <br />Off OF UNITS <br /> <br />'0; <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OlilER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK bij", 114.J.'4>t>.. a+- ~ .t'lcn,l\;l r-IVIj 0A/') IV\. ROw <br /> <br />BUILDING SIZE <br /> <br />-~- <br /> <br />SQUARE FOOTAGR <br /> <br />HRIGHT <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 />PBRMITS- RBQUBSTB~ <br /> <br />o BUILDING <br />o RLECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W,R.E,C, <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFINa <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION I D BLOCK <br />FINISHED FLqOR ELEVATIONS <br /> <br />D FRAMB <br /> <br />D STEBL <br /> <br />~OTHER R bw p.llrJ'J-\I-';- <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YBS D NO <br /> <br /> <br />BUILD.R <br /> <br />COMPANY <br />STATE CHRT OR ReGIaT ff <br />CITY PROCESSINa # . <br /> <br />SIGNATURE <br /> <br />...........*........*..*............*****~........................ <br /> <br />BLBCTRi:CIAH <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING # <br /> <br />PLUllBBR <br />s IG""T\1IUI~ <br /> <br />~R.H~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING ff <br /> <br /> <br /> <br />.............................................................~e.~. <br /> <br />MBCIlAHICAL <br /> <br />........................*..................*....*******.....*..... <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSINa ff <br /> <br />SIaNATURR <br /> <br />......*....*...***.**...~****.******.**.*.....**.*.**.***.******. <br /> <br />OTRBR~ <br />SIGNATURE <br /> <br />COMPANY <br />STATR CERT OR REGIST # <br />CITY PROCESSINGff <br /> <br />**..*.*.****...........................................*......... <br />