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<br />APPLlCAT:ION I'OR PERM:IT
<br />CITY 01' ZBPHYRHILLS
<br />BUILDING DBPARTMENT
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<br />;2.J1-0 ~
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<br />OAT.&: RBCBIVBD
<br />PLANS RBV'XBW I'D
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<br />~.~R'>S, N.~ ' ' l,a. nd i 11'!-
<br />JO,~:~~~sp;... 375;2 '5
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<br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
<br />'PARCEL in'lI ':-::34,. ~s-- ?/-()(X:;O-C0300-,CC;20 (OBTAIN FROM PROPERTY TAX NOTTeR)
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<br />PHONE
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<br />5l~ 7~ 79'9') -
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<br />'of"-"
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<br />WORK PROPSED: ~ CONSTRUCTION
<br />......;
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<br />OSIGN
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<br />o AUDI'l'ION DALTERATION o REPAIR o INSTALL
<br />o MOVE 0 . .
<br />DEMOLISH
<br />~TI-FAMILY 0# OF UNITS o MOBILE HOME
<br />o INDUS'fRIAL o SWIMMING POOL o OTHER
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<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
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<br />.1.
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<br />. D RESTAURANT & HEAL'fU DEPAR'fMEN'f APPROVAL
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<br />DESCRIPTION OF WORK
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<br />BUILDING SIZE
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<br />SQUARE FOOTAGE
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<br />HEIGHT
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<br />0)/"
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<br />RESIDENTIAL:
<br />COMMERCIAL:
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<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 CONSTRU~fION.
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<br />~ILDING ' .
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<br />~LECTRICAL
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<br />~LUMBING '
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<br />~CIIANI~ $
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<br />o GAS'. .I ~FING 0 SPECIALTY
<br />T~~~t:'~Ft:~~~~;~UCTION: ~~~K .
<br />
<br />PERMITS REQUESTED
<br />
<br />$
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />~FLORIDA POWER
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<br />o ,W.R.E.C.
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<br />VALUA'l'ION OF MECIU\NCIAL INSTALLATION
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<br />o O'tHER
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<br />o FRAME
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<br />o STEEL
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<br />o O'tHER
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<br />FINISHED.FLOOR ELEVATIONS
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<br />IS PRO.:JECT IN FLOOD ZONE AREAO YES
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<br />COMPANY F, . (oS +- C ICt5S r:; I ~d ~.
<br />STATE CERT OR REGIST 1# txx:> ';)~ 0
<br />CITY PROCESSING 1# I 'I/t:J
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<br />BLKCmIC
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<br />SIGNATURE
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<br />COMPANYj')?cy:t~ 1 J-.J .
<br />STATE CERT OR REGIST # ?~ 7<i Fi ' , .-
<br />CITY PROCESSING # J
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<br />SIGNATURE
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<br />SIGNATURE <. . ~~' . ~ . . .fv-'---/"
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<br />COMPANY:
<br />STATE CERT OR REGIST # I
<br />CITY PROCESSING 1# '~11S-"
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<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
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<br />SIGNATURE
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