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<br />~~~y OF ZBPHYRH~LLS PBRHIT APPLICATION <br />BUILDING DBPARTMBHT 5335 B~ STRa8T Z"HYRBILLS, PL 33540 <br />1Iholl..'813-780-0020 PQXI813-780-0021 ~ I <br />DATB UCIlrvm -, ~ 01 <br />PLJUfS RJrVl:1IIf nil <br /> <br />OWNER'S NAME t< 1 ~ ~h4 Jtj) /J c ",()C.. <br />JOB S!TE ADDRESS 3 .>) 1'"D :.J tU/.-Jf: :J~tt'~ff ~. <br /> <br />PHONE CONTACT <br /> <br />~'/ <br /> <br />:7JSLJ/ <br /> <br />LBGAI.. DESCRIPTION: LOT(S) <br /> <br />aLOCK <br /> <br />StmDIVISION <br /> <br />PARCEL ID # II ,# ~;l..1 IJO tD <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />I ;}5'DO 01 ?o <br />Q(AnDITION <br /> <br />o MOVB <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />o DEM.OLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />" <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF woax ({O()W\ <br />BUILDING SIZE ,!,LA 7--b SQUARE FOOTAGE ~ yo <br /> <br />HEIGHT /0 J <br /> <br />RESIDENTIAL: <br />COMME!tCIAL ; <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ~ (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS REQUBSTED <br /> <br />Jlf BUILDING <br />g{ ELECTRICAL <br /> <br />$ <br /> <br />96t!tJ, CO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AM{I SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANC:rAL INSTALLATION <br /> <br />o GAB <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAMS: <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FIN~SHED FLOOR ELEVATIONS <br />. . <br /> <br />IS PROJECT IN FLOoD <br /> <br />YES 0 NO <br /> <br /> <br />BUXLDD <br /> <br />BLBcrncIU ;;;72:..... <br /> <br />SIGNATURE . <br /> <br /> <br />COMPANY <br />STATE CERT OR R2GIST <br />CITY PROCBSSING # <br /> <br />SIGNATURE <br /> <br />*************************************** <br /> <br />COMPANY C!.A- ~ ~ (l()o kl <br />STATE CERT OR REGIST # IE- ~ D()l) 0 J bO <br />CITY PROCESSING # <br /> <br />**********************************.****.********~~!**...********** <br /> <br />PLUMBD <br /> <br />COMPANY <br />Sf ATE CERT OR RBGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />IIBCBANlCAL <br /> <br />*..************.......*************........* <br /> <br />COMPANY <br />STATE CE OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />****.***.******** <br /> <br />SI~TURE <br /> <br /> <br />************..**....***************.******.****************...**. <br /> <br />O'l'BD <br /> <br />SIGNATOlUil <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*.************...****..***********...***..*************.......*** <br /> <br />l 'd <br /> <br />6tLO'ON <br /> <br />SlI1H~AHd3Z ~o \l1J <br /> <br />~dlt:ZI IOOZ 'S 'inf <br />