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<br />,. <br /> <br />"'~\ <br />v? <br /> <br />APPLICATION FOR PERMIT <br />CITY or ZBPHYRHILLS <br />BUILDING DBPAR'l'HENT <br /> <br />:<-1-tJ 5 <br /> <br />DAD RBCEIVBD <br />PLANS RBV:tEW I'BE <br /> <br />OWNER'S NAME <br />. ...: ~ ~... 1': ',. I . .. <br /> <br />, 1.-4 flcJ "I'l'l- ,t)p:lv'fMe rrt5 r YlC I <br />'375'1 5' '(YlJ~~ ()~ LJ'i <br /> <br />PHONE <br /> <br />~b 7; 799~- <br /> <br />..... ",...,.,.,. .~.~:' , 1 :' . <br />JO}~<;p~~S . <br /> <br />"J~' ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />"PAR~EL':iD' 'II "~4,.. as- - ? 1-()CX::JO-C:b?tJQ-CCi'o (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~ CONS'l'RUC'l'ION. 0 ADDI'l'ION OALTERATION 0 REPAIR 0 INSTALL <br />"'1' <br /> <br />.. .~ <br /> <br />1, <br /> <br />,r <br /> <br />OSIGN <br />PROPOSED USE: ClsGL FAMILY DWELLING <br /> <br />J .i. <br /> <br />Cl COMMERCIAL <br /> <br />o MOVE 0 DEMOLISH <br />~TI-FAMILY 0# OF UNITS <br />o INDUSTRIAL 0 SWIMMING POOL <br /> <br />Cl MOBILE HOME <br />o OTHER <br /> <br />. ~ I '", <br /> <br />~t.- .~ _ ~ <br /> <br />. 0 RESTAURANT & HEAL'fH DEPAR'fMEN'r APPROVAL <br />_Bl..(;tJ l)nl'i~rttyv,t1+ ~V"di'ntr <br /> <br />DESCRIPTION OF WORK <br /> <br />. ~ ';." !~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />0)/' <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTy SURVEY REQUIRED FUR ALL NEW CONSTRUCTION. <br /> <br />" <br /> <br />~ILDING <br />~LECTRICAL <br />~LUMBING ' <br />~CIIANI~ $ <br />) GAS', ,I ~FING Cl SPECIALTY <br />T~~if:~F ~~~~;~UCTION: ~~~K ' <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o ,W.R.E.C. <br /> <br /> . . <br /> VALUA'l'ION OF MECIIANCIAL INSTALLATION <br />. 0 <br /> O'fllER <br /> 0 FRAME 0 STEEL 0 o'rHER <br /> IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br />FINISHED 'FLOOR ELEVATIONS <br /> <br />',t, (1' . '\' <br /> <br />,'" '. . ...." <br /> <br /> <br />BUILDER <br /> <br />Ilj. <br /> <br />.................................................................. <br /> <br />";"" ~'<' <br />" . , <br />BLBCmIC <br /> <br /> <br />COMPANYF, '(sf' C Iqss f: !~c:f~' <br /> <br />STATE CERT OR REGIST # Ct::o ~~ D <br />CITY PROCESSING f# I 4 ~ <br /> <br />SIGNATURE <br /> <br />, l., ,. . <br /> <br /> <br />.................................:...........~ ~ <br /> <br /> <br />COMPA.Nyj)?cvt~ I J~ . ' <br />STATE CERT OR REGIST # ~~ 7<i &:\ ' . . <br />CITY PROCESSING # J <br />. <br /> <br />PLUN8BR <br /> <br />SIGNATURE <br /> <br />.... t " It'';<'.%~ . ~. " ,..; .... <br /> <br />acJIMICAL . <br />\,..,.~ <br />SIGNATURE . -:. \ . I . . ..~ <br /> <br />l:~ <L,,~ <br /> <br />;',~hp.:L' l.l.I.;' <br />naa..l' <br /> <br />......................*...*..*******.******..*...........*.***... <br /> <br />'" 4tm~''',':' '_, ~ ~-l(";' <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING H <br /> <br />SIGNATURE <br /> <br />...*........**..****************************.*.*****..********... <br /> <br />. .-....-.........-.--...-.... <br /> <br />'.'t-:)N.!'(~'," <br /> <br />, '. ,:- ',; ~ . <br /> <br />,.t,\ <br /> <br />, '0 . ",...ft .~ ' ~ <br /> <br />)<:if",,: ,'" <br /> <br />", <br />