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<br />APPLICA1':ION FOR. PBmttT <br />CITY 01' ZBPHYRHILLS <br />BUILDING DlCPART:N:IhlT <br /> <br />DATB RBCJ:ZvmD <br />PLARS RBVIEW ft& <br /> <br />il.29~tJ 3 <br /> <br />OWNER'S NJOO; --L!lik.e __f:i, -tJ~ <br />JOB ADDRESS5V~_____.~~_~~~ ~__~___ <br /> <br />PHOHE <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEll. ID # <br /> <br />(Oa~ATN FROM PROf~BTY TAX NOTICE I <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br /> <br />PF.OPOBED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION o ALTERAT I ON o REPAIR o INSTALL <br />o MOVl<:: 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o O'rHER <br /> t <br /> <br />DESCRIPTION OE' WORK <br /> <br />I -I RESTAURANT & E:EALTH DEPARTMENT APPROVAL <br /> <br />--~e (d'~ ~ Ld~o ~---d-~-~J--J::--4{2L )tel <br /> <br />J;.('~ <br /> <br />a.C'r ~ <br /> <br />" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMME1ll.CIAL: <br /> <br />AT'rACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANs &. (ll SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUIl,DING PLANS o\i (1) SET ENERGY FORMS. <br />PROP~RTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />){ .E:LECTRlCAL <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVI CE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'fYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o !i'RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />( /5)) <br /> <br />S"d- 1- 0 '1 ~.s <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOop ZONE AREA 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />************ * ************************************************** <br /> <br />ELBC'nUC:IAN <br />SIGNATUFl% K-4~ Lu...~ <br /> <br />~ <br /> <br />COMPANY: f)..@ ~S C <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~/~c~t"c. <br /># <br /> <br />****************************************************************** <br /> <br />PLUKB.ER. <br /> <br />.---~------""'___A'____ <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNA'rURE <br /> <br />HJ:CHAm~ <br /> <br />* * * ** ** * * **,****.***.o/r***.** *** ** * **** *** **** * **.* **** ******** *'" .***** ** <br /> <br />COMFANY: <br />STATE CERT OR REGIST # _.~_~____.___. <br />CITY PROCESSING # <br />~~.----~---~---;--.--....".."....~-~...... <br /> <br />SIGNATURE <br /> <br />**************************"''''***************'''********************* <br /> <br />O'!'HER ~.______._.__~_..,...."_.,_________._~.__..._..__._._,. <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************.***************************************.***... <br />