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<br />0II8B8'. 8AMO ,?CJ"-"-\' ,,~Jc'1Dc- DA<<-R. <br />JOB SITR ADDRRSS LrODO 1C-id..q t. L0 ALl D~ \,) <L <br />LBGAL DBSCRIPTION: LOT(S) ~ ~ BLOCK <br /> <br />CITY or ZBPHYRHILLS PERMIT APPLICATION <br />BUJ:LDIH'GJ DBPARTIiBHT 5335 8th ST.BIIT ZBPBYUJ:LLS. I"L 33540 <br />Phone .113 -780-0020 Pax. 813 -780-0021 ' . -'_. 1_ ?;:2.,- <br />bATB UCJlZVlID, "7 04 0 <br />e. <br />PLUS .IIVID nB . . <br /> <br />PHONR CONTACT ~''3-1(1-- sS/() <br /> <br />PARCRL 10 it 3- ze",- 2..1-:- DI:tJ- 00000- 05 2:0 <br /> <br />SUBDIVISION <br /> <br />WORK PROPSRD: '~RW CONSTRUCTION <br />o SIGN <br /> <br />OADDITIO~ <br />o MOVR <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICB) <br />o ALTRRAT ION 0 RBPAIR }g, INSTALL <br />o DBMOLISH <br /> <br />PROPOSRD uSB:DsGL FAMiLY DWBLLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING- PbOL <br /> <br />~MOBILE HOMB <br />o OTHBR <br /> <br />o INDUBTRlJU. <br /> <br />D'RBSTAURANT & <br />I?BSCRIPTION OF WORK ,....., I\s-t f.\\\ Nccw <br />BUILDING SIZB ;;1..(, .~)( 5~ <br /> <br />HBALTH DBPARTMBNT APPROVAL <br /> <br />\1)06; L <br /> <br />Ho~E..., <br />I, Lf~9 <br /> <br />HBIGHT <br /> <br />( c_' <br /> <br />SQUARB FOOTAGB <br /> <br />RBSIDBNTIAL: <br />COMMBRCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (.2) .SBTS OF BUILDING PLANS & (1) SRT ENBRGY FORMS. <br />ATTACH (3) SBTS OF BUILDING PLANS & (1) SB'!' ENBRGY FORMS. <br />PROPERTY SURVBY RBQUIRBD FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDI~G <br />.~ BLBCTRICAL <br />.~ PLUMBING <br />b MBCHANICAL <br /> <br />$ . 72, oC>C) <br />Zoo <br /> <br />PBRHITS RBouaSTBD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SBRVICB <br /> <br />[) FLORIDA POWBR <br /> <br />v <br /> <br />W.R.B.C. <br /> <br />$ <br /> <br />00 <br />I ,S 00 VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOF;lNG . [) SPBCIALTY <br /> <br />o OTHBR <br /> <br />TYPB OF CONSTRUCTION'I 0 BI,QCK 0 FRAMB <br />''<_ <;;z l/ <br />FINISHED FLQoR BLBVATIONS ~,) <br /> <br />o STHRL <br /> <br />~ OTHBR <br /> <br />rs PROJBCT IN FLOOD ZONE AREAl] YBS <br /> <br />'lrNO <br /> <br /> <br />BUILDB. <br />SIGNATURB. ~ :~ <br /> <br />COMPANY G A.+Do'L l ~s.poa:t /0 <5c+-~u.p <br />STATB CERT. OR RBGIST # .::::t t\ D 00 0 l..f t, 7 <br />CITY PROCBSSING # .Z~ 2-\ <br /> <br />BLBCTa:rc:rU <br />'SIGNATURB~ <br />c. <br /> <br />~****.**.**A*.****.****..*.**.****..***.****.*.*.*...**.*******.*. <br /> <br />'YV\~ <br /> <br />, <br /> <br />COMPANY -..JOfLOOr') EIELf-Q,j- e- <br />STATB CBRT' OR RBGIST # C R 60CYG..; ~ <br />CITY PROCI!;SSHIG # t { 0 <br /> <br />\ r, " <br /> <br />PLUllBB. <br />SI(]NATtrnB~ <br /> <br />**.*.**.*..*....***.*****.***.*****.***************.*.**********.* <br /> <br />~k <br /> <br />, <br /> <br />COMPANY .JO(l.()Of"\ -:Ph.L~~ . <br />STATE CHRT OR .REGIST # Rf' 00 ~ .lz-3Co <g <br />CITYPROGESSHlG #.' / ~ 9 <br /> <br />IOICIIAH:rCAL' <br />SI""A~OD~' ~J( <br /> <br />**********************.****************************************1*** <br /> <br />.. . COMP~\ S G-A..-5 j(1 A (} <br />STATE CERT OR REGIST. # ~.~ <br />C!TY PROCBSSING # \~ <br /> <br />Ll~CL ~~' <br /> <br />= <br /> <br />OTaB. . <br /> <br />*****************************************************.*********** <br /> <br />SIGNATURB <br /> <br />COMPANY <br />STATE CBRT OR REGIST # <br />CITY PROCBSSING # <br /> <br />***************************************************************** <br />