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<br />~. /~ i /.l.~'
<br />
<br />APPLICATIOU FOR PERMIT
<br />CITY OF ~:PHYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />;"'" I ,
<br />
<br />m'lNER' S NAJl.JE L;' fi 1'1 n Ii'. I./JS'
<br />k JI~L i I . L
<br />JOB ADDRESS LoOw 3 '/J~/(lqeuJQJ.{
<br />
<br />LEGAL DESCRIPTION: LOT(S) tf'7 I
<br />: .
<br />
<br />", ..,
<br />J../rl
<br />
<br />DATE RECEIVED 1/- / ~ - (J y
<br />PLANS REVIEW FEE
<br />
<br />.r.--.,., ,''/ r'" I ",.., r:: r-. q
<br />~/.;,\( ,( 3 ) , j;.(.l'\ --, /'7/J
<br />, -' iy"" '-.. ...::....t. ,,r'- I ...,..JU r '..' i
<br />PHONE Q. 1.:<. /71L,' - C/' C'/ c;~
<br />r'J ['--'/ 1 l' _ . .......
<br />~?'-. ( i '! rr-' '...;, . . i ,
<br />_,..epV/L(r-n{.~ ~.'/ .:)3 s~;'
<br />[) f 30 I SUBDIVISION Zephur R/chj e
<br />.; 1
<br />
<br />BLOCK
<br />
<br />PARCEL 10 ff 03---d-..61-;}J-OI30-0{)()a)-OCf70
<br />
<br />IOBTATN FROM PROPERTY TAX NOTICEl
<br />
<br />WORK PROPSED: [JNEW CONSTRUCTION
<br />
<br />o ADDITION
<br />
<br />DALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />0::; I GN
<br />
<br />o MOVE
<br />
<br />o DEMOLI SH
<br />
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />DMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />ri'MOBILE HOM
<br />o OTHER
<br />
<br />BUILDING SIZE
<br />
<br />c:J RESTAU~~T & HEALTH DEPARTMENT APPROVAL
<br />I ' I
<br />WORK K-eO:Q(1) YlGj (110 ~);.-E ~on'7 '€..
<br />~ , ......)
<br />~ ?~ '/ I", f) /0';,/)
<br />-- v ..' f.LIv SQUARE FOOTAGE i '... '.J
<br />
<br />HEIGHT
<br />
<br />DESCRIPTION Of'
<br />
<br />HF.SI DENTI AI.:
<br />COMNfmCIAL:
<br />
<br />ATTACH (2) PLO'l' PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY F'onMS.
<br />ATTACH (3) SETS O~ BUILDING PLANS & (1) SET ENERGY FORMS.
<br />PROPER']'Y SURVEY REQUIRED E'OH ALL NE:W CONSTRUC'l'ION.,'l" .. !
<br />rnl2JL r-f>P- N f}
<br />
<br />j? ntl. ht10 A~~~
<br />
<br />VALUATION OF TOTAL CONSTRUCTION (/! 1. ID,
<br />;15,&0
<br />~
<br />
<br />$
<br />
<br />///' r'/,l/'\
<br />'7 ,/~ ..J__v
<br />
<br />PERMITS REQUESTED
<br />
<br />.f"
<br />g' 8UILDING
<br />
<br />/
<br />(1} ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />FLORIDA POWER
<br />
<br />'0
<br />
<br />W.R.E.C.
<br />
<br />BpLUMBING
<br />iB' MECHANI CAL
<br />
<br />$
<br />
<br />" ('r-;I""'\ () t)
<br />:/-....,: -..,/:..."./ /
<br />
<br />VALUATION OF MECHANCIAL
<br />
<br />TYPE OF CONSTRUC'rION: 0 BLOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />INSTALLATION t,lO
<br />
<br />~)<1(#
<br />
<br />o GAS
<br />
<br />o ROOF'ING
<br />
<br />o SPECIALTY
<br />
<br />o OTHER
<br />
<br />o OTHER
<br />
<br />FIN1SHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES
<br />
<br />o NO
<br />
<br />L
<br />
<br />BUILDER
<br />
<br />\
<br />
<br />c;~~t{.;::~~j't~
<br />/ I
<br />COMPANY (51 {"..L:~,t) r /raf!)~
<br />STATE CERT OR REGIST #.
<br />CITY PROCESSING
<br />
<br />
<br />,
<br />,J
<br />
<br />SfGHATURE
<br />
<br />i' / ~ ,
<br />
<br />{~ll'Aj{tl. "J>.. :rl)-(vz
<br />
<br />******************************************~**~~~*****
<br />
<br />''\ --,.. I r'''J,.,
<br />ELECTR:!CIAN, 1 1 COMPANY -i . _. \ - ~..J it' (! ~I G
<br />
<br />t >~ "/ h' /l L/ / /fLn - _ STATE CERT OR REGIST H ~ r ~ ~. . ~.
<br />SIGNATURE 1\ c,r l':r" P'=2!..L-<A.. / / "vcrr-.. CITY PROCESSING # _ _~ _
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<br />SIGNATURE /(~-"L'i~J{ . feLl,
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<br />
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<br />
<br />COMP ANy;)6. /1') r "/r..,; ll.!!'. 0 ,:) y""
<br />STATE CERT OR REGIST # ::/",;.'t)o/)O </.:;: '7
<br />CITY PROCESSING 1#
<br />
<br />PLUMBER
<br />
<br />........\
<br />
<br />* * * * '* * * * * * * * * * * * * * * * .. *,\ * * * * * * * * * * * * * * * * * * * ~~* * f * *:. * * t * * * ~-If.'"!*; ;/* * * * * Ie *
<br />l.tECHANlCAL "\ COMPANY /~J"" <: ..1..,,,/' (.:... . J/
<br />~ /) .. :_- Ii )) .. STATE CERT OR REGIST 1# (!,tJ (!(J 'i'39 Cf8'
<br />SIGNATURE /C;'7'[;f,tCIl&. -;/ / /."'&-#/'-. CITY PROCESSING It
<br />
<br />***~**~***************A********.****~****************************
<br />
<br />OTHER
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />A*~******~'************~*~**********k*.****.**********************
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