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<br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZBPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~ 2'<;?-D-:L' <br />PLANS REVIEW FEE ~_. <br /> <br />JOB ADDRESS <br /> <br />WAv~E 5cprr <br />t:,1R! /9 C)AKcR€5"T <br /> <br />PHONE <br /> <br />&"'/3 -7/5-&190 <br /> <br />OWNER'S NAME <br /> <br />tuRf <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK <br /> <br />PARCEL ID # tlt. - Zt, - 2/ -t)250 ~t):)~- bt>>~(,s <br />_/ oOIRO <br />WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION DALTERATION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DS~ <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />WORK 5iA/bU PIIM/~V <br />-S'"~~ ///L~ ' <br />A ..,......,.- SQUARE FOOTAGE <br /> <br />KcSIZ;€~ ~ <br />/q,,~ <br /> <br />DESCRIPTION OF <br /> <br />HEIGHT <br /> <br />gr' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />. I <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />'70. tJt>,tJ. <br />, <br /> <br />~t)O <br /> <br />i?P <br />-- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~FLORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />/')~ / <br />INSTALLATION :551? 041 '3 <br />/1 <br /> <br />i <br /> <br />~EAO YES ~ <br /> <br />$ ~@".oO <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~CK <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />BUILDER <br /> <br />COMPANy]JAI/Il> W<#<fo)(~OU /B()/~ /a:- . <br />STATE CERT OR REGIST # GC~Ogl'b <br />CITY PROCESSING # /~/ <br />I , <br /> <br />SIGNATUR <br /> <br />*************************************************** <br /> <br /> <br />COMPANY ~ r!) ~ ~-cd;. /~. rJi, ~ <br />STATE CERT OR REGIST # Ef Roo 13 i:.It./'7 <br />CITY PROCESSING # .. OJ 0/] <br />L/ 7 I <br /> <br />ELECTRICI <br /> <br />PLUMBER <br /> <br />-l <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />,***********************************~*~~******** <br />COMPANY t:I <br />STATE CERT OR REGIST # iht. (j 0 W'I" t <br />CITY PROCESSING # /;-~h <br /> <br />**********************~~********** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />