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<br />~~~x OF ZBPHYRH~LLS PBRHIT APPLICATION <br />BU~LO~NG D.PAR~ 5335 8~ STRaBT ZBPHYRBILLS, WL 335fO <br />PI1011.411813-780-0020 Faxl813 -780-0021 <br />DATB UCIlZVBD <br />PLaNS RW%1IIf I'JUl <br /> <br />@P <br /> <br />OWNBR I S NAME 70 MM V l. beK't3 <br />JOB SITE ADDRESS '39IJjl./ oS JI/G <br /> <br />PHONB CONTACT ~~y <br />, <br /> <br />t.BGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCBL ID # ,,16.21- Dlc>o ~eOOo()- 0020 <br />WORK PROPSED: DNEW CONSTRUCTION )ii ADDITION <br />OS Il>>{ 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICB) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Dt OF UNITS <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />" <br /> <br />o SWIMMING POOL <br /> <br />OESCRIPTION OF woax <br /> <br />CJ RESTATJRANT & HEALTH DEPARTMENT APPROVAL <br />k'aOW\ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />)t'(./ <br /> <br />HEIGHT <br /> <br />i'" <br /> <br />RESIDENTIAL: <br />COMME!tCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SBTS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED ~OR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS RBQUBSTED <br /> <br />SJ! BUILDING <br /> <br />$ <br /> <br />1;5: cO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BLECTRICAL <br /> <br />AMI? SBRVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCl:AL INSTALLATION <br /> <br />OGAs <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />I:J OTHER <br /> <br />TYPB OF CONSTRUCTION: 0 BLOCK <br />FINISHBD FLOOR ELEV~TIONS <br /> <br />o FRAMa <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN ~LOOD ZONE ARRAO YES 0 NO <br /> <br /> <br />aUXLn_ <br /> <br />COMPANY <br />STATE CERT OR RSGIST <br />CITY PROCESSING * <br /> <br />-*..*****t*********__********************************************* <br /> <br />BLBCTR%C~AN <br /> <br />SIGNATlJRE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************.********************************~~*.************* <br /> <br />PLUMBD. <br /> <br />COMPANY <br />Sf ATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATUR.'S <br /> <br />KIIC1lAHICAL <br /> <br />********************************************************t***.***** <br /> <br />COMPANY <br />STATE CERT OR REQIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************************************************..******** <br /> <br />OTBD. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATB CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />l 'd <br /> <br />6HO'ON <br /> <br />Sll!Y~ Hd3Z ~O IIJ <br /> <br />~dlv:Zl [003 'S 'in! <br />