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<br />C.lT1 OF ZL.. .,d.Y'RHL,-"J~B PERMIT AP.-;-,..:.,(CATION <br />BUILDING DBPUTMlnrr 5335 Sth STRBBT ZBPHYRHILl..S. I'L 33540 <br />PhoneaB13-780-0020 FaxIS13-7BO-0021 <br />DATB aBCil:IVlID <br />PLANS RB'v:IJIW J'SS . <br /> <br />OWNER'S NAME mf}.~ II/IX JlJrr (~l;Vj <br /> <br />.JOB SITE ADDRESS (PI D f1 1J&fJr IJ ~-r; Z#JlydJ/n'<.~ R-. 3 ~ )'10 <br /> <br />PHONE CONTACT$/)-/jBh_J6YI <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 It Od- 'd.h ~J 00;;.0 (If}~O[) Ot/) D <br />WORK PROPSED: ONEW CONSTRUCTION D ADDITIO~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />OSION <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />, <br /> <br />))ESCRIPTION OF WORK ;(~~OO~ 51N~ thY H1hJJM.MJI. <br />BUILDING SIZE /J/){ (., 1-- SQUARE FOOTAGE IJ.,q\ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PlANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS RBQU.~TBD <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF 'I'O'fAL CONS'I'RUC'TION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~OOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />F'INTSHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY ;I 1/ Ill' )'\ ~ " b Ie. Ass 0 L <br />STATE CERT OR REGIST It c <::. c. 0 1..(9 3 b 7 <br />CITY PROCESSING It -3 0 ~ <br /> <br />SIGNATURE <br /> <br />.................................................................. <br /> <br />BLBCTRICIAH <br /> <br />8IGNA'l'URE <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING # <br /> <br />.................................................w................ <br /> <br />PLDHBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING # ' <br /> <br />SIGNATURE <br /> <br />HBCIlAHICAL <br /> <br />...........................................*...................... <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />............*....**...........................*.*..*....*..**.... <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNA'l'URE <br /> <br />.........*..................*............*..*..*..**......*..*... <br />