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<br />OWNBR' S N~ --1-k l-ef\ ~ ~ Q.. \.D('0N\be~ <br />JOB SITB ADDRIISS~ J ';:> ~ l 0 (" ; ('; n '{ <br /> <br />if, Il(11) <br />CITY or zmpSYRHILLS PBRHiT APPLICATIO. ~ ~ <br />BUILDIBQ DBPARTMBHT 9]38 8~ STRWwr ZBPRTRBILLS. FL 3iseo <br />PhoneI813-780-0020 .axI813-780-0021' <br />bATII 1uIcIIJ:VJID, <br />PLUS RlIYI_ nil . <br /> <br />LBGAL DBSCRIPTION, LOT(S) BLOCK <br /> <br />PmMR ICT 7&g -Ilero <br />?XPhy r-ht I k 8} c.ol3lP i=1- k:(r9~ <br /> <br />SUBDIVISION <br /> <br />PARCBL ID ,. <br /> <br />WORK PROPSBD: oNBW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICR) <br /> <br />oSIGN <br /> <br />o ADDITIOt{ <br />o MOVE <br /> <br />D ALTBRAT ION <br />o DBMOLISH <br /> <br />D RBPAIR <br /> <br />D INSTALL <br /> <br />PROPOSBD USB: DSGL FAMiLY DWBLLING <br />D COMMBRCIAL <br /> <br />DMULTI - FAMILY <br />D INDUSTRIAL <br /> <br />Off OF UNITS <br />DSWIMMING. PbOL <br /> <br />o MOBILB HOMII <br />o OTHRR <br /> <br />QBSCRIPTION OF WORK <br /> <br />O'RBSTAtJRANT Ii HIlALTH DBPARTMBNT APPROVAL <br /> <br />SQUARB FOOTAGB <br /> <br />HBIGHT <br /> <br />BUILDING SIZR <br /> <br />RBSIDBNTIAL: <br />COMMBRCIAL: <br /> <br />~TTACH U) ~LOT PLANS & (.:it). SRTS OF BUILDING PLANS Ii (1) SRT IIHBRGY FORMS, <br />ATTACH (3) SBTS 011' BUILDING PLANS Ii (1) SIT IINIIRGY FORMS. <br />PROPBRTY SURVEY RBQUIRED FOR ALL NEW CONSTRUCTIQN, <br /> <br />o BUILDI~G <br /> <br />RBRlUTS RBQUI'TBD <br /> <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o RLB.CTRICAL <br />o PLUMBING <br /> <br />AMP. SIIRVICil <br /> <br />o FLORIDA POltRR <br /> <br />o It.R,B,C. <br /> <br />o MBOHANICAL <br /> <br />$ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFJ,NG . 0 SPBCIALTY. 0 OTHBR <br /> <br />Typg oir CONSTRUCT lOll: tJ. BLQCK <br /> <br />o FRAMB <br /> <br />o STBHL <br /> <br />o OTHIIR <br /> <br />FINISHED FLQOR BLBVATIONS <br /> <br />IS PROJBOT IN FLOOD ZONB ARBAo YBS 0 NO <br /> <br /> <br />G~hd ~ <br /> <br />CO~PANY W l ctnf> f.. <( Oc>+; nj <br />STATB CIIRT.OR RRGIST ,. <br />CITY PROCBSSINQ 41 .::J 51 () . . <br />, <br /> <br />BLBC'l'RJ:CJ:AH <br /> <br />~.................***.*..*.**...................*..........*.*.... <br /> <br />SIGNATURill <br /> <br />.... <br /> <br />COMPANY <br />STATB CBRT'OR RaGIST ,. <br />CITY PROCRSSI~G ,. <br /> <br />PLUllBBR <br /> <br />............................**................***.*...*.......*... <br /> <br />IIBCIlARICAL' <br /> <br />.*.......*****.*.************.*.***.****.*********..*.*.****.***.. <br /> <br />COMPANY' <br />STATB CBRTOR!~GIST ,. <br />CI'rYPROC!ESSIHG ,.. , <br /> <br />SIGNATUlUI <br /> <br />COMPANY. <br />STATE CBRT OR ~GIST. ,. <br />CITY PROCBSSING ,. <br /> <br />SIGNATURB <br /> <br />01'SII. . <br /> <br />********..............*..*....................................... <br /> <br />SIGNATURE <br /> <br />.*..*..**.*....*..**..*..**...........................**..**.**.. <br /> <br />COMPANY <br />STATE eRRT OR RaG 1ST ,. <br />CITY PROCBSSING ,. <br />