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<br />OWNER'S NAME .0fZA/Jo !--/.UflrZ()t..! /YlH,? <br />JOB SITE ADDRESS ? 7 & Z ( Lo 11.[N It JJ Ve.. . <br /> <br />. " i ~ Ifr3V-0.:2~./- <br />CTTY 01" ZB:P!tYRHILLS PBRMIT APPLICATI~ .' <br />BU:tLDl:HQ DBPARTJbmT 5335 gl:h STaBIIT ZBPRTaRl:LLS. I'L 33540-- _ <br />Phone.81'-780-0020 POX.81.-780-0021. ~ ~ ~ <br />DATR lUIcBJ:VlID - .:l 'S - CJ p(. <br />PLAHS aBVJ:BK I'B. . ~ <br /> <br />LEGAL DESCRIPTION. LOT(S) <br /> <br />!-O r 1/ '1 <br /> <br />PHONE CONTACT "If- 2...-1 ex::. L( <br /> <br />SUBDIVISION <br /> <br />CfVJM/ I.)M-f ZO/J /IJ-IJ? <br /> <br />PARCEL ID * '3/f-2.5 -'2-t -.00 0-'- 02?oo - 0/1 <br />WORK PROPSBD: ~W CONSTRUCTION ~DITION <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICB) <br /> <br />oALTBRATION <br /> <br />o REPAIR <br /> <br />9'iNSTALL <br /> <br />oSIGN 0 MOVB 0 DEMOLISH <br />PROPOSBD USB: ~ FAMj~y DWBLLING oMULTI-FAMILY 0* OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING P60L <br /> <br />o MOBILB HOMB <br /> <br />o OTHBR <br />,4 Lv /YII N {//Vt <br /> <br />'~~ <br /> <br />BUILDING SIZB <br /> <br />o RBSTAURANT & HHALTH Dill PART, MENT APPROV~j <br />d1:D ~ (!Jf2/ <br />/ Dx J2 5;/Eo, (;l-X L.J C RPl)/LT I () X Ii/- ~, ~tl/ ..5c/lfE/l! R-Of>>vl. <br />. I I <br />SQUARB FOOTAGB 'i I '),- HBIGHT <br /> <br />~BSCRIPTION OF WORK <br /> <br />RBSIDBNTIAL: 1,\TTACH (2) ~LOT PLANS & (2) .SETS OF BUILDING PLANS & (1) SBT BNBRGY FORMS. <br />COMMBRCIAL. ATTACH (3) SBTS OF BUILDING PLANS & (1) SBT BNERGY FORMS. <br />PROPBRTY SURVEY REQUIRED PaR ALL NBW CONSTRUCTION. <br /> <br />[!t'1iUILDING <br />crBi.RCTRI CAL <br />o PLUMBING <br /> <br />$ " 2--i'O I . 07 <br /> <br />PBRKZTS RBQU.~TBD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SRRVIeE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br /> <br />o MRCHANICAL <br /> <br />$ <br /> <br />VALUATION OF MRCHANCIAL INSTALLATIO <br /> <br />o GAS <br /> <br />o ROOFJNG . 0 SPBCIALTY <br /> <br />o OTHBR <br /> <br />TYPB OF CONSTRUCTION: O. BLQCK <br /> <br />o FRAMB <br /> <br />o STBBL <br /> <br />o OTHBR <br /> <br />FINISHBD FLQOR BLBVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARRAO YBS 0 NO <br /> <br /> <br />BUZLDRR <br /> <br />SIGNATURIll <br /> <br />~ /1, :{V~ <br /> <br />COMPANyj39l-!- Colu5rJ&cr~1V oF CW'iJlik... FL. <br />STATB CBRT. OR REGIST # (" rs-CoS1'7 '?L: <br />CITY PROCBSSING # ?-c:' <br /> <br />RLBCTRJ:CIAH <br />SIGNATURE---1~ 4, ~ <br /> <br />~***********************************************.***************** <br /> <br />COMPANYfla F:'l-E c '1/2...( L <br />STATB CBRTOR RBGIST # <br />CITY PROCBSSING * <br /> <br />1~'7 <br /> <br />PLUllBBR <br /> <br />*********A******************************************************** <br /> <br />COMPANY' <br />STATB CBRT OR,REGIST # <br />CITYPROGEBSING ,.. . <br /> <br />" " " SIGNATtmR <br /> <br />IIBCRAHICAL' <br /> <br />*************~********.*******..*********.**.************..******* <br /> <br />COMPANY: <br />STATB CBRT OR REGIST. # <br />CITY PROCBSSING # <br /> <br />SIGNATURB <br /> <br />OT... . <br /> <br />***************************************************************** <br /> <br />SIGNATURB <br /> <br />COMPANY <br />STATE CHRT OR RBGIST # <br />CITY PROCBSSING * <br /> <br />**********.***....*.**.*****.******.*****.**.*.***.***********.** <br />