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<br />OIfHBR' S U_ - (_"..,. J t/<-r,---J <br />JOB SITB ADDRBSS (t...C~-r "7 sj 3 7 S / 9 <br /> <br />LEGAL DESCRIPTION. LOT(S) <br /> <br />CITY or ZapSYRHILLS PBRKiT APPLICATION <br />BUILD.IBQ DBPAR~ 533!1 8~ ST.B.'1' ZBPRYRBXLLS. FL l3UO <br />Phon.1813-780-0020 Jr'axI813-780-0021' 'L/ ..., ~/ ,1 <br />DAT. R.CII.IVRD, =+-~ ~ J.:: {!J t1IC. <br />I'LAHS RDln .... . . <br /> <br />~cvndh-IJ\J<'" <br /> <br />PHONR CONTACT <br /> <br />SUBDIVISION <br /> <br />G--A~ /-10 7ft 1"1. ",,^, <br /> <br />PARCBL ID # <br /> <br />BLOCK <br /> <br />WORK PROPSEDI oNBW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICB) <br /> <br />DSIGN <br /> <br />oADDITIOt{ <br />OMOVIil <br /> <br />o ALTBRAT ION <br /> <br />o RBPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />'. I <br />PROPOSED USBr [JSGL FAMiLY DWBLLING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMIN<<J PboL <br /> <br />~LE HOMB " <br />D OTHBR <br /> <br />OCOMMBRCIAL <br /> <br />o INDUSTRIJ\.L <br />, <br /> <br />o . RESTAURANT & HEALTH DBPARTMBNT APPROVAL <br /> <br />MJl. ..All j- ~ <br /> <br />SQUARE ~OOTXGB <br /> <br />.~ESCRIPTION OF WORK <br /> <br />BUILDING SIZB <br /> <br />RESIDBNTIALr <br />COMMIilRCIALI <br /> <br />~TTAC~ (~) J;lLOT PLANS & (.:a) .SIiTS OF BUILDING PLANS & (1) SET BNBRGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SRT ENERGY FORMS. <br />PROPERTY SURVBY REQUIRBD FOR ALL NBW CONSTRUCTIQN. <br /> <br />HBIGHT <br /> <br />RBRIIITS RBaUJi~TBD <br /> <br />o BUILDI~G <br />o BLRCTRICAL <br />[) PLUMBING <br /> <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SIIRVICS <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o MECHANH!AL <br /> <br />$ <br /> <br />VALUATION OF MRCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFlNG . [) SPECIALTY <br /> <br />o OTHBR <br /> <br />TYPE OF CONSTRUCTION I D. BLqCI{ <br /> <br />o FRAME <br /> <br />o STBBL <br /> <br />o OTHBR <br /> <br />FINISHBD FLQOR RLIIVATIONS <br /> <br />IS PROJBCT IN FLOOD ZONE ARBAO YBS 0 NO <br /> <br /> <br />BUXLD.R <br />SIGNATURB, <...;..>~~ <br /> <br />8LBCTa.IC.IU <br /> <br />~**********.***********************.**********.*.*****..********** <br /> <br />COMPANYB~ :,1.:-t:7 <br />STATE CBRT'OR BGISTft <br />CITY PROCESSING * tt5(~ . <br /> <br />SIGNATURE <br /> <br />uJ:~~;'/ <br /> <br />COMPANY ,~e:::::- <br />STATE CRRT'OR RBGIST <br />CITY PROC.SSING # <br />. . <br /> <br />PLtJllBB. <br /> <br />*********A.*.***************************************************.* <br /> <br /># <br />qs <br /> <br />.~ <br /> <br /> <br />COMPANY' ~~ '.. <br />STATB CBRT' OR, .. GIST # . , <br />CITYPROGESSING #'.-- ~ Y <br /> <br />I r, r. SImfATUltll <br /> <br />SIQNATURII <br /> <br />*************~***.****A.*************.*****.***.*********.****.**. <br />COMPANY ~t::-.~ <br />STATB CBRT OR l'BGIST. # <br />CITY PROCBSSING # <br /> <br />IIBCIlAlfICAL' <br /> <br />W'~U-o/L/ <br /> <br />~ <br />~5 <br /> <br />OTB8R , <br /> <br />**.*********************.*********...*********************.****** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATB CBRT OR RBGIST # <br />CITY PROCESSING # <br /> <br />****************************************************.******..**.* <br />