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<br />OWNBR'S NAME <br /> <br />CITY or ZBPItYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTHBHT S335 8~ STaBRT ZRPRTRRXLLS. FL 33540 <br />Oh""".8"-780-0020 0.,..8"-780-0021 . ~ _ /h' '_ H <br />111 DATR "RClIXVJID, L L/~ ~ <br />III'?/- ;;z y ~e: E /1/ c. (L! II if /11 PLUS aBYIJIIf FilII . . <br /> <br />c.hore! //J! PHOHB CONT>=9tJ!- 33"'>-1'0:;- <br /> <br /> <br />BLOCK <br /> <br />JOB SITB ADDRBSS <br /> <br />LBGAL DBSCRIPTION. LOT(S) ~~~ <br />PARCBL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICB) <br /> <br />oSIGN <br /> <br />o ADDITION <br />o MOVB <br /> <br />oALTBRATION <br /> <br />o RBPAIR <br /> <br />o INSTALL <br /> <br />o DBMOLISH <br /> <br />PROPOSBD USE: DSGL FAMiLY DWBLLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />D SWIMMING P60L <br /> <br />o MOBILE HOME <br />D OTHBR <br /> <br />o INDUSTRIAL <br /> <br />Cl RIIlSTAURANT & HBALTH DEPARTMENT APPROVAL <br />QBSCRIPTION OF WORK 5C-4.PU'1~Ot:>m ~jl-/~ <br />BUILDING SIZE !tJ.;x 2- 2 SQUARE FOOTAGB 22LJ I <br /> <br />HBIGHT <br /> <br />~/t:} <br /> <br />RBSIDENTIAL: <br />COMMERCIAL. <br /> <br />~TTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANS & (1) SET BNBRGY FORMS, <br />ATTACH (3) SBTS OF BUILDING PLANs & (1) SBT BNERGY FORMs, <br />PROPBRTY SUR""" RBQUIR8D POR ALL IIIIll CONSTRUCTION. LJ7 ~ pl)r!-- <br /> <br /> <br />PBRHITS RBQUaSTBD <br /> <br />o BUILDI~G <br />o BLBCTRICAL <br /> <br />$ <br /> <br />J'7 c/O, [JO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />AMP SBRvrCB <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />D PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOF;J:NG . 0 SPBCIALTY' <br /> <br />o OTHER <br /> <br />TYPB OF CONSTRUCTION: 0 BLqCK <br /> <br />o FRAME <br /> <br />o STBEL <br /> <br />o OTHBR <br /> <br />FINISHED FLQOR BLBVATIONS <br /> <br />IS PROJBCT IN FLOOD ZONB ARBAO YBS 0 NO <br /> <br /> <br />BUIm.. , ~. ~ <br />aI-TOR. rYJ2h-'(, . d.-i..UW/Pk.'. <br /> <br />COMPANY <br />STATB CBRT,OR RBGIST <br />CITY PROCESSING # <br /> <br />BLBCTR:IC:IAH <br /> <br />~********.*...****.****.******..********..*...*..**.**.........*.* <br /> <br />SIGNATURE <br /> <br />..r <br /> <br />COMPANY <br />STATB CERTOR REGIST # <br />CITY PROCBSSING # <br /> <br />PLUllBIIR <br /> <br />....*........*.......**......*.....*...*.*...........**...***.*.*. <br /> <br />COMPANY' <br />STATB CERT OR,REGIST # <br />CITYPROCBSSniG # ' <br /> <br />SIGNATtmB <br /> <br />IOICBAHICAL' <br /> <br />**.*********.*********.********..**..****************.*********.** <br /> <br />COMPANY: <br />STATB CBRT OR ~GIST. # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTSBR . <br /> <br />***********.***********.**.*.********.***.*..***.*.*.************ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CBRT OR REGIST # <br />CITY PROCESSING # <br /> <br />********.*******..*************.********************************* <br />