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<br />L: .1 'f ~ <br />JWILDING <br /> <br />01" Z.EPHYRHILLS PERMIT APPLICATION Jf~" z <br />DBi'ARTMBlNT 5335 6th STRBlBl'f ZBli'HYRHILLS, li'I. 33540 ~io'///P;!2 <br />JilbonitI813~'780-0020 i'ilxI813-780-0021 C7~ <br />' IJA'l'Bl RBCBlIVBlD --L12._-:~___t.2~ <br />pr,Al'lS RBlVIBlW Ji'BB__________ <br /> <br />OI'1NER I 8 HAI\1E <br /> <br />-==rr10MQLj <br />55tl <br /> <br />CUIl~V~ ~ PHONE CONTACT %13--r15.~53 <br />ll~ <S+. ft: _J\L~~__SI_~----_~~e.i\ ~~~~_~~ -=-~~(.o <br /> <br />BLOCK II <j SUBDIVISION C-lT--( of -z.'~ll..LS <br /> <br />JOB S I'rE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(StJ;!r>t-LS..OF <br />~ ~,'1(IV <br />PARCEL ID # lI-z-l,-zl -0:::> 'O~ \ \ ~ fX) - 00'10 <br /> <br />(OBTAIN F'ROM PROPERTY TAX NOTICE) <br /> <br />WORK PROI?SED: fJNEW CONSTRUCTION <br /> <br />lI& ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />[J INSTAl,I, <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSG/L FAMILY DWELLING <br /> <br />DMUI/l'r - FAMU,y <br /> <br />0# OF UNITS <br /> <br />fJ MOB II IE HOME <br />I~Yl'HER <br /> <br />fJ COt4MERCIAI, <br /> <br />o INPUSTRIAL <br /> <br />DSWIMMING POOL. <br /> <br />, <br />BUILDING SIZE --a.\ 'l< \,,2.. <br /> <br />CJ RESTAURANT 5< HEALTH DEPARTMENT APPROVAL <br />ROC>F O'J ER UPS'tAt~ ~ ~_ <br />SQUARE FOOTAGE '3l""'2... e;,.~ ft.. HEIL1HT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />C01>1MERCIAL: <br /> <br />ATTACH (2) PLOT PLANS 5< (2) SETS OF BUII,DING PLANS &. (1) SET ENElRr~y F(JRMS. <br />A'l"l'ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BlJILDING <br />[J ELEC'I'RICAL <br /> <br />'l'. <br />\SOO.~- <br />$~. <br /> <br />FE~Ir~ ~EOUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AlVlP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PL[)j\1BING <br /> <br />o J.1H:CHAl:HCAI, <br /> <br />~ ----- <br /> <br />VALUATION OF MECHAl:'7CIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOF'WG <br /> <br />fJ SI?ECIAl/I'Y <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: LJ BLOCK <br /> <br />o FRAl,/)E <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FI,OOR EI,EVATIONS <br /> <br />IS PROL1ECT IN FLOOD ZONE AREAD YES <br /> <br />rtNO <br /> <br /> <br />/J7~ <br /> <br />COti(PANy_OttJ~~ <br />STATE CERT OR REGIST H_ <br />CITY PROCESSING # <br /> <br />**********.****************.*******************.*.***********.... <br /> <br />lilI,lilC'I'lUCIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />--.--------------- <br /> <br />SIGNATURE _____ <br /> <br />*********************************************. <br /> <br />PLt1N5BlR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAl, <br /> <br />********..************************** ******************.********** <br /> <br />SIGNATURE <br /> <br /># <br /> <br />. - <br />**************************************~*********** <br /> <br />OTliBlR <br /> <br />COfl1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGHA'fURE <br /> <br />**.*****.**********.************.**.***************..******.....* <br />