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<br />APPLICATJ:OH l!'OR PEmaT <br />ctn OJ' ZKPHYRHILLS <br />BUILDING DKPARTNENT <br /> <br />DAft ""C&IWD !:I-Q.S/fl3. <br />PLANS lUWIEW <br /> <br />OWNER' s NN.1E__bt:J~L1 hv ~___.___.~_2'A'y..lt?..e <br />JOB ADDRESS_Jrz530 iEMJt~-~---~~:__t-__"?Ef!l!.t&f.~Z/~/ _ -H- <br /> <br />PHONE35~ - 54/-0~~S- <br /> <br />LEGAL DESCRtFTION: LOT{S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEl, ID # 3l/ ':2S - ~/~ aJqO'OOM- /();).O <br /> <br />(Q&TAIN FROM PRO~~BTY TAX ND.AIC~) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br /> <br />fif ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOvr: <br /> <br />o DEMOLISH <br /> <br />FROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING FOOL <br /> <br />o MOBILE HOME <br />o O'fHER <br />I <br /> <br />D~SCRIPTION OE' WORK <br /> <br />p'//~ <br /> <br />CJ RESTAURANT &: HEALTH DEPARTMENT APPROVAL <br />/2a,m <br />......0...-__.__.. <br /> <br />IV cleft. ~I tJ/1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />ICJ ;? <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (t) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPBRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS ~QUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO~/9- ~ 4S ~ <br />o OTHER ., '? (0 ./ L.\ <;? <br />~~ ,~ <br />11~ - / ~\ <br />rYES ONO <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />'fYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />COMPAUy.c.eRtIt <br />STATE CERT OR REGIST <br />CITY ~ROCESSING # <br /> <br />****************************************************************** <br /> <br />ELBC'nUCJ:AN <br />SIGNATURE ~~\A.~ <br /> <br />COMPANy.t%E:5E . F.teef,e,t'/fL i= <br />STATE CERT OR REG!3T #E C:)3 OO.f3S3 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUHB.IDl. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROC~SSING # <br /> <br />SIGNATURE <br /> <br />* * * ** *** * **,********w.*** * ** * ** *** * *-k ** 1.'* *~* *:;;* **** *~.. -It * it *&,** L <br />.NECHANI.CAL &d4 COMFANY: '/Jui_E..eH-. 'CJmF&.. V <br />./JJ STA.TE CERT OR REGIST it ~Lll~s:"t:j <br />SlGNATU~ n___~ CITY PROCESSING ~ . .., <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />_._---_._,-..---............~--_.............._------_._.._~.-_...._,._.--,...... <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />