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<br />CITY OF ZBPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING! DBPARTIOmT 5335 8th 8nBBT ZBPRYRBILLS. JrL- 33540 <br />PhoneI813-780-0020 JraxI813-780-0021 <br />DATB lUICBIVBD <br />PLANS RBV.IBW FBB <br /> <br />OWNER'S NAME q €:o~t. <br />JOB SITE ADDRESS SO 2.~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />""'E:>At.L- <br />M~,4,oQ.'1 <br />~ <br /> <br />LA "-it <br />I <br /> <br />PHONE CONTACT8(3 .1~ '~b45 <br />~~~~ lU-S ~t.. ??5&f'2- <br />SUBDIVISION SJJA.kt.e WUl <br /> <br />BLOCK <br /> <br />P~CEL ID # I ~. 2(,. Z I . O( co . ODOO6 . OD4D <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR ,)f INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOMB <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT &: HEALTH <br />1"1'5rAL.L ~~ <br /> <br />DEPARTMENT APPROVAL <br /> <br />. :?5'~ I P I ~CL7 <br /> <br />/ <br /> <br />J c A~~;~J/~/:- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESI'DENTIAL : <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 REQUIRID FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS, REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D <br /> <br />L.I~ <br />.( /LO <br />W.R.E.C. }t ') <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION I D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARRAD YES' 0 NO <br /> <br />! ' ,~ I " , ' ,;,,:, " ',', \': <br /> <br />. ~ - - -. . '" J. <br /> <br />BU.ILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.................................................................. <br /> <br />BLBCTRICIAR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.......***********************.**......*..*..*.......*.*.........* <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCJlAHICAL <br /> <br />..*............*..*....**....******.******.*......*..*..**.******* <br /> <br />COMPANY <br />STATE CERT OR RBGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />..*.*..............*..~...*..............*.................... <br />, <br /> <br />OTRBR <br /> <br />SIGN~TURB . <br /> <br />COMPANYEv~(~t.... &~ r,f-.(tLl-~~ <br />STATE CERT OR REGIST # '1'1. OI8Dq~1 <br />CITY PROCESSING # <br /> <br />......*......*................................................... <br />