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<br />.... ... ~ <br />C--~~~~::~.:~~~.i:: Y: ~ <br />C~~~~7~1 .- . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLQCK <br /> <br />CITY OJ' ZIIPHYRRILLS PlliRJIIT APPLICAT:IONA 0 0; 1/ 9 ' <br />BU.ILDi:HQ DIIPARTJUurr 5335 8th 8ftRIIT ZRPRTUJ:LLS, I'L- 33S4({ ~ <br />Phone.813-780-0020 l'ax.813-780-0021' <br />DATIl .BClIl:VJID :2 - / /-eJZ <br />PLARS IlBV.IIIIf I'RR <br /> <br />PHONB CONTACT <br /> <br />~'" <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o RBPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OeGL FAMILY DW.&;LLING <br />[] COMM.l!lRCIAL <br /> <br />OMuLTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMB <br />o OTHER <br /> <br />,; <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT " HEALTH DEPARTMRNT APPROVAL <br /> <br />.~"'<AA l.... J'fk.U7. h::l~djldL <br /> <br />SQUARE F AGE <br /> <br />HEIGHT <br /> <br />BUILDINCl SIZE <br /> <br />RESiDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS" (2) SETS OF BUILDINCl PLANS" (1) SET DRRClY FORMS. <br />ATTACH (3 ) SETS OF BUILDINCl PLANS " ( 1) SST RNBRClY FORMS. <br />PROPERTY SURVEY RBQUIRRD FOR ALL NO CONSTRUCTION. <br /> <br />rX~UILDINCl <br />o RLBCTRICAL <br /> <br />PBRMITS, RBQUBSTBD <br /> <br />$ <br /> <br />~ /OD' <br />, <br /> <br />~, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SIIRVICR <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />[] PLUMBINCl <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />[JClM <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHBR <br /> <br />TYPJI OF CONSTRUCTION t 0 BLOCK <br />FINISHED FLQOR IILEVATIONS <br /> <br />o FRAMB <br /> <br />[] STERL <br /> <br />o OTHBR <br /> <br />IS PROJBCT IN FLOOn ZONE ARBAO YBS 0 NO <br /> <br /> <br />BUJ:LDBR <br />SIClNATURE ,r.~ At: .~ ~~~ <br /> <br />'- ! <br /> <br />COMPANY <br />STATE CHRT OR REClIBT # <br />CITY PROCBSSINCl # , <br /> <br />*................................................................. <br /> <br />BLBCTR:tCJ:Q <br /> <br />SiClNATURB <br /> <br />COMPANY <br />STATE CHRT OR REQIST # <br />CITY PROCRSSINCl # <br /> <br />.................................................................. <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT OR REClIST # <br />CITY PROCESSINCl # <br /> <br />SIClNATVRE <br /> <br />IIIICIlANJ:CAL <br /> <br />.................................................................. <br /> <br />COMPANY. <br />STATB CBRT OR REGrST # <br />CITY PROCESSINCl # <br /> <br />SIClNATURE <br /> <br />........................~........................................ <br /> <br />OTBBR <br /> <br />SIClNATURB <br /> <br />COMPANY <br />STATE CERT OR RBClIST # <br />CITY PROCRSSINCl# <br /> <br />................................................................. <br />