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<br />I Ct(.~U ~/l,~ /D;} t!- <br />CITY 01' ZIIPHYRHILLS pJiRJIIT APPLICATIO~--, .' <br />BUI:LDtR'c) DBPUTlimft 5335 8th BT.BlI'1' ZIIPIITRIIXLLB, rL- 33540 <br />Phone.B13-7BO-0020 rax.813..780-0021' /} _ J,e-- ....; <br />DATB .BCBXVIID . oL /.;;;;1 O~ <br />~LARB IBVIRW rRB <br /> <br />OWNBR' S NAMII .0 A 1/1 r; 7i:> J1 ('~ Z II f( <br />JOB SITB ADDRBSS S 6' tJ 7 :;f'"/ H' oS r; <br /> <br />LRGAL DBSCRIPTION: LOT (B) W &.$ '1 'i.!f.(.,. BLOCK <br />/,s,,,,,..Dr7 <br />PARCBL ID ., <br />/I .11. ,).1 .(>0/0' /Pt:>t>tJpo,5"O <br />. <br /> <br />WORK PROPSED: oNEW CONSTRUCTION 2 ADDITION <br /> <br />PHon CONTACT ? f' C' - ?.,1 R"/' <br />c;~ ~ 1J'i - .3 !J."t.- <br /> <br />SUBDIVHUON <br /> <br />(OBTAIN FROM PROPIIRTY TAX NOTICR) <br /> <br />DSION <br /> <br />D MOVE <br /> <br />DALTRRATION <br />tJ DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSRD USR:~BgL FAMILY DW_LLING <br />o COMMERCIAL <br /> <br />o MuLTI - FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMINO POOL <br /> <br />\; <br /> <br />o MOBILR HOMB <br />o milER <br /> <br />DRSCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />.QUARE FOOT,",R / f :;/;;11 RRIQIlT Is'" '" :l' <br />n-->:J <br /> <br />ATTACH (2) PLOT PLANS & (2) SRTS OF BUILDIN PLANS & (1) SRT RNRRGY FORMS. <br />ATTACH (3) SRTS OF BUILDING PLANS & (1) SST ENBRGY FORMS. <br />PROPERTY SURVBY RBQUIRBD FOR ALL NBW CONSTRUCTION. <br /> <br />JD )( IL <br /> <br />RESI'DBNTIAL: <br />COMMBRCIAL: <br /> <br />-~ BUILDING <br />,.~ ELH<:!'rRICAL <br />'..,c PLUMBING <br />. ~MECHANICAL <br /> <br />PBRKITS. RBaUBSTBD <br /> <br />$ <br /> <br />.3~OD.ll 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ t f) jk;~ I SI/Alr/ AMP SBRVICB <br /> <br />W FLORIDA POWBR <br /> <br />o ".R.R.C. <br /> <br />$ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFINg <br /> <br />o SPRCIALTY <br /> <br />o OTHRR <br /> <br />TYPB OF CONSTRUCTION t 0 BLOCR <br /> <br />B1FRAMB <br /> <br />o STEEL <br /> <br />o OTHIIR <br /> <br />FINISHRD FLQOR RLEVATIONS <br /> <br />IS PROJBCT IN FLOOD, ZONR ARRAO YIlS 0 NO <br /> <br /> <br />BUJ:LDIIR <br /> <br />Ri"""TUlUl~ j)~.. ~ <br /> <br />COMPANY . <br />STATE CHRT OR REGIST <br />CITY PROCESSINg ff , <br /> <br />*........,...............**..****.**...*.*****..***,..****.**..*.. <br /> <br />IILIIC'l'RtcI.... ~ <br />.iOHA~~( y~ <br /> <br />COMPANY, /~ <br />STATE CERT OR REGIST t <br />CITY PROCE8SING ft <br /> <br />.******...*.**......*......*...................................... <br /> <br />PLUllBBR <br /> <br />.IOHATURR ~~~ <br /> <br />COMPANY F~ <br />STATE CERT OR RRGIST ff <br />CITY PROCESSING ff <br /> <br />MJlCRAHlCAL ' <br /> <br />.I"""TURfJVcf?~ y~ <br /> <br />..**.............................................................. <br /> <br />COMPANY 4' ~~..~ <br />STATB CBRT OR RRGIST ., <br />CITY PROCESSING ff <br /> <br />........................~.....*.................*................ <br /> <br />OTR8. <br /> <br />SIgNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING , <br /> <br />...............................*............~.*.................. <br />