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<br />(j3) <br /> <br />OWNER I S NAME <br /> <br />CITY OF ZBPHYkRXLLS PBRNZT APPLICATION <br />aUZLDDlQ uuuTMiarr 5335 ,tk STIlBaT ZUBnlQLL8, n. 33,.0 <br />PhaDe.813-780-0020 Fax:813.780.0021 <br />%)Aft UCJl~ <br />PLAKe RWl:1hf 111II <br /> <br />.5;1:'11 ~~~ -- cw.~t~-~~ M <br />r;. 6L1/7;). .?~.R7~1.t.S 914'# 1fo"~ <br /> <br />JOB SITE ADDRESS <br /> <br />LBGAL DHSCRIPTtON: LOT<<S) <br /> <br />BLOClt <br /> <br />SUBDIVISION <br /> <br />PAJtCEL ID # <br /> <br />7~-oJ'- c.. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />tfOlUC PROPSED: ONEW CONSTRUCTION <br /> <br />oSIGN <br /> <br />o ADDITION OALTBRATION 0 REPAIR <br />o MOW )< DBMOLISH <br />oMOLTJ:-FAHILY 0# OF UNITS <br /> <br />o INSTALL <br /> <br />DESC1UPTION OF <br /> <br />PROPOSBD USB: osm. FAMILY DWELLING <br />p( COMHBRCJ:AL <br />CJ RSSTAURANT & HEALTH DBPARTMENT APPROVAL <br />WORK lZ6Mb\L t:; L 4-') U ~\6 <br />N I A.. SQUAD FOOTAGE N.! P- <br /> <br />D INDUSTRIAL <br /> <br />o SWItoMtNG POOL <br /> <br />o MOBILE HOME <br />o OTHD, <br /> <br />BUILDING SIZE <br /> <br />HEIGHT ~ <br /> <br />RESIDENTXAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS 01' BUILDING PLANS & (1) SIrr EIlJ:RGY FORMS. <br />ATTACH (Jl SETS OF BUILDING PLANS & (1) SET BNERGY FORMS. <br />PROPERTY SUllVEY REQUIRED ll'OR ALL NBW CONSTRUCTIQ)!. <br /> <br />~~o <br /> <br />Jil'BRlaTS lUIOtJBSTBD <br />$ 'qa::o. 00 <br /> <br />VALUATION OF TOTAL CONSTIWCTJ:Q)! <br /> <br />AMP SERVICE <br /> <br />'. <br /> <br />D ELBCTRJ:CAL <br />o PLUMBING <br /> <br />D FLORIDA POWP:>>. <br /> <br />o W.R.B.C. <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SJ:lBCJ:ALTY <br /> <br />DOTHER <br /> <br />TYPB OF COUSTRUCTION, D BLOCK <br /> <br />D FRAMB <br /> <br />o 8'rBBI. <br /> <br />o OTIIBR. <br /> <br />FINISHED FLQOR ELBVATIONS <br /> <br />IS PJl.OJ.Bcr IN FLOOD ZONE AREAO YBS n NO <br /> <br /> <br />SIGNA'l'UR!: <br /> <br />COMPANY &7~~~ <br />STA'rB CBRT OR REGIST . ~~ <br />CITY PROCESSING i_ <br /> <br />BLaCTIlJ:CJ:AH <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR. lUlGIST # <br />CITY PR.OCESSING # <br /> <br />.....AA...**.**.**..**.....**************.****.................... <br /> <br />PLUDD <br /> <br />COMPANY <br />STATE CERT OR RBGIST i <br />CITY PROCESSING It <br /> <br />SIGNATURE - <br /> <br />IOICIWO~ <br /> <br />...................**.**......****...****......***....*...*....... <br /> <br />COMPANY <br />STATE CERT OR REGIST. . <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />*......**..**.......................*****.....**.........******** <br /> <br />OTIIR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT Oll UOIST # <br />CITY PR.OCBSSINQ It <br /> <br />**...........*******.**........***.****.***....**.....*********.. <br /> <br />I . d <br /> <br />tltO'ON <br /> <br />SlllHdAHd3Z ~O Al!8 <br /> <br />~V8t:6 IOOZ 'ZZ'Je~ <br />