|
<br />~'~,'~~.
<br />
<br />j >", /1,
<br />
<br />, .~) {..
<br />
<br />APPLICATION FOR PERMIT
<br />CITY OF ZBPHYRHILLS
<br />BUILDING DBPARTKENT
<br />
<br />:;1-1-~ 5
<br />DATI: RECEIVED
<br />PLANS REVIEW I'D
<br />
<br />O~.~~',~. ~~., ' 1,a.11d , ft.'l
<br />JOBw"'-riREss I .. . 3 7'5 :2- (
<br />~,~r,~.., ,':4 _ _
<br />''\..
<br />
<br />~.ClJv4Me n+5 r()~1
<br />~ fJ"*- W"1
<br />
<br />PHONE
<br />
<br />!)~ 7--- 799')-
<br />
<br />,,,,,,,'
<br />
<br />.,'.' ~ .,
<br />
<br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
<br />,:,PAR~~L: .~D ';' ':?'4, a~ - ? 1-CXX:JO-C:b?IJQ-CC:20 (OBTAIN FROM PROPERTY TAX NOTTCF.l
<br />WORK PROPSED: ~ CONS'l'RUC'l'ION 0 ADDI'rION OALTERATION 0 REPAIR 0 INSTALL,
<br />....1'
<br />
<br />., .<r",
<br />
<br />[]SIGN
<br />PROPOSED USE: []SGL FAMILY DWELLING
<br />
<br />.I ,
<br />
<br />[] COMMERCIAL
<br />
<br />[] MOVE [] DEMOLISH
<br />~TI-FAMILY []" OF UNITS
<br />[] INDUS'fRIAL []SWIMMING POOL
<br />
<br />[] HOBIL~ HOME
<br />[] OTHER
<br />
<br />',. ,"
<br />
<br />,0 RESTAURANT & HEAL'rn DEPAR'fMEN'f APPROVAL
<br />_B t...< I' t J () f) ,..{ 4p:A. riM (' n+ 6~, 'd i V~
<br />
<br />DESCRIPTION OF WORK
<br />
<br />. 4 ',;,"'l !,'~
<br />
<br />SQUARE FOOTAGE
<br />
<br />HEIGHT
<br />
<br />O)/i
<br />
<br />BUILDING SIZE
<br />
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS.
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING. PLANS & (1) SET ENERGY FORMS.
<br />PROPERTY SURVEY REQUIRED EUR ALL NEW CONSTRU~fION.
<br />
<br />. \
<br />
<br />"
<br />
<br />~ILDING
<br />~LECTRICAL
<br />~LUHBING '
<br />~CIIANI~ $
<br />[] GAS', " ~FING [] SPECIALTY
<br />T~~~t:~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 />
<br />. .
<br />
<br />\ ,"
<br />
<br />VALUA'l'ION OF MECIIJ\NCIAL INSTALLATION
<br />
<br />."
<br />
<br />[] O'fIlER
<br />
<br />[] FRAME
<br />
<br />[] STEEL
<br />
<br />[] O'fHER
<br />
<br />, '
<br />
<br />FINISHEDIFLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREA.[] YES ~
<br />
<br />~..~, t"f' . 'I .
<br />
<br />,'" '1 Ii ...';1
<br />
<br />
<br />BUILDD.
<br />
<br />. ,....
<br />
<br />SIG
<br />
<br />\li' .
<br />
<br />..................................*.*...*****..............*....**
<br />
<br />, ~ ~ , : t .
<br />
<br />
<br />COMPANYF,'(S..{-- ClctSS I: I!d<'
<br />
<br />STATE CERT OR REGIST # t::tx::> ~'S"? 0
<br />CITY PROCESSING # I 4/J:'
<br />
<br />BL&CTRIC
<br />
<br />SIGNATURE
<br />
<br />"
<br />
<br />**** **" ***** "...*** * *.*..*.****..*.*.*****..*~,. U
<br />
<br />
<br />COMPANY-~cy1~ 1 Jd . .
<br />STATE CERT OR REGIST # 9~ 7<6 t:) ".
<br />. CITY PROCESSING # J
<br />.
<br />
<br />PLUHBBR
<br />
<br />SIGNATURE
<br />
<br />
<br />'.~; '\"L . r.' . -.j"
<br />
<br />" '
<br />
<br />"'~ f~ .,\ ,;11 t,t,I...'
<br />~l
<br />
<br />......*....***..........*........*...***...*............**.*...*.
<br />
<br />.'
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />~"..I)t~...,.\.,-,. ~("""
<br />
<br />*..**.*.***.*"*."".*."""""""*"*.....".".""*"*.**""*.**"."",,*.....
<br />
<br />j,'bf'1,,!~t^,-,;
<br />
<br />, " .:~ "';'.
<br />
<br />.' h.- t"','.' ..!\~.....,.~._-r"
<br />
<br />, ;".,' ,
<br />',. '..':,
<br />~~~<;J1~ ~ .f:
<br />
<br />'-~:'" :Ir~' .,,;. ';_~
<br />
<br />. ~,
<br />','
<br />
<br />" t'
<br />
<br />'-/
<br />
|