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<br />OHNER'S NAME ~ IllJ~\ vI o.6~'~ ~ 1\l\,J t~() ())$ <br />JOB SITE ADDRESS ~ ~ ~ I ~ I ill:b (\ \ ~ 1,; ~f1.1 ~ H I L-L- ~ 'r L <br /> <br />CITY or ZBPSYRHILLS PERMIT APPLICATION <br /> <br />BU:tLDIHQ DBPARTIiBRT 5335 8th ST"BIIT ZBPRT"BILLS, I"L 33540 <br />Phone.813-780-0020 l"ax.813-780-0021 , <br />DAT. RBCJI:tvml, <br />I'LAHS "WI_ .... , <br /> <br />LBGAL DBSCRIPTION, LOT(S) <br /> <br />\ ()f\ <br /> <br />BLOCK lo~ <br />" <br /> <br />PHONE CONTACT gl.J.J- 1 ~:r -' /46'--1 <br />6~~~, - <br /> <br />PARCBL ID ,. <br /> <br />SUBDIVISION <br /> <br />HORK PROPSBD: (JNBW CONSTRUCTION <br /> <br /> <br />(JSIGN <br /> <br />(J ADDITIO~ <br />o MOVE <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICB) <br /> <br />PROPOSBD USE:~SGL FAMiLY DWELLING <br />(] COMMERCIAL <br /> <br />(]ALTBRATION <br />o DEMOLISH <br /> <br />181 REPAIR <br /> <br />(] INSTALL <br /> <br />(JMULTI - FAMILY <br /> <br />(J,. OF UNITS <br />(] SHIMMING POOL <br /> <br />(] MOBILB HOMB <br />(] OTHBR <br /> <br />(] INDUSTRIAL <br /> <br />o "RESTAURANT & HBALTH DBPARTMENT APPROVAL <br />QESCRIPTION OF WORK ~OO~ <br /> <br />SQUARE FOOTAGB <br /> <br />BUILDING SIZB <br /> <br />RBSIDBNTIAL: <br />COMMERCIAL I <br /> <br />~TTACH (2) PLOT PLANS & (2) ,SETs OF BUILDING PLANS & (1) SBT ENERGY FORMS. <br />ATTACH (3) SBTs OF BUILDING PLANs & (1) SBT BNBRGY FORMS, <br />PROPBRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />(] BUILDING <br /> <br />RBRIIITS RBOU.U;'TBD <br /> <br />" <br /> <br />\ ()() C> ll{) () <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BLECTRICAL <br /> <br />AMP SERVICE <br /> <br />(] FLORIDA POWBR <br /> <br />(] If,R.E.c. <br /> <br />(] PLUMBING <br /> <br />o MBCHANICAL <br /> <br />$ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />IJ ROOFlNG ,0 SPBCIALTY <br /> <br />o OTHER <br /> <br />TYPB OF CONSTRUCTION: (] BLQCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHBD FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOoD ZONB ARBAo YBS (] NO <br /> <br /> <br />BUILD... <br /> <br />.LBCnt:tCIAH <br /> <br />~**********A****************************************************** <br /> <br />COMPANY <br />STATB CBRT.OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE. <br /> <br />PLUIIB... <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATB CERT'OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />IIBCIfAHICAL' <br /> <br />*************~**************************************************** <br /> <br />COMPANY , <br />STA~E CERT OR,REGIST # <br />CITYPROGBSSniG #. . <br /> <br />SIGNATUltB <br /> <br />OTa... Q, OflY\ \J(y ~\) Di ~H \\)W , <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATB CBRT OR RBGIST. # <br />CITY PROCBSSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />SIGNATURB <br />