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<br />APPLICATION FOR PEmaT <br />CITY or ZBPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ f'-9-(J;"'~ <br />DATB RECEIVED 'f - :2 -O~ <br />PLANS REVIBW I'EJI: <br /> <br />~ Tu..d'1 Spill\t4 <br /> <br />t{4"-"'i"'\j~O~ D~. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />s fev e <br />10340 <br /> <br />PHONE 7 r;r t - 9 S- / b <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVI S I ON <); ! v'~ /" 014 KJ <br /> <br />PARCEL ID # 0 ~ - d.~ -.;l, I - 0/20 - 00000 -0 95"() (OBTAIN FROM PROPERTY TAX NOTICEI <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERAT ION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />~WIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~-JrI~rv1 $lA/iMIM'....J roo I vV'1 dIU/( J- SC~~CA <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. ,. ~ ~ <br />REQUIRED FOR ALL HEW COHSTRUCTIO~ t!J11l-O;~ . <br /> <br /> <br /> <br />PE::T~O::~:~HST~ ~ ~y <br /> <br />AMP SERVICE 0 FLORIDA pow~1 0 ' Jcr:tJ <br /> <br />$ J..l,oOO, <br /> <br />$ <br /> <br /> <br />VALUATION OF MECHANCIAL INSTAL <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN <br /> <br />ZONE AREAD YES 0 NO <br /> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />d COMPANY ,rrtJ INt ~M'4~ F""" <br />)~ STATE CERT OR REGIST # ~c;C"'CD $'"g., 3 <br />/ CITY PROCESSING # rJ ~ s 7 ~ <br /> <br />***************************************************~****~~*~ ~ <br /> <br />COMPANY JiJ.A.iJtrnj z: lee.. ;JJc.. Co <br />STATE CERT OR REGIST # ec.C'COd1a ( <br />CITY PROCESSING # / 'II). /0 ~ <br />, v <br /> <br />***************************************************************** <br /> <br />--:rrl3 t1ltJ I 4J-.} T- r " <br /># C(?CO'iGC/3Y <br />'2 "3 ')-'l <br /> <br />Uf3;?f <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />***********.******************************************************* <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />-~~ <br /> <br />COMPANY ~/F#I/'It/(/ n::>/V'5 4-..10"-,, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~~~ <br /> <br />***************************************************************** <br />