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<br />OWNER'S NAME Le ~ + ~~ <br />,TOB srrE ADDRESS LJ <t 2'D <br /> <br />C.i'li L..H.h,:; F4;H...b~:rl ..~ ""J~ICA'L..ON <br />BUILDING DBPARTMBNT 5335 sth STRBBT ZSPHYRHILLS. rL 33540 <br />PhoneaS13-7S0-0020 F.xa813-7S0-00~1 <br />OATB RBeBIVBD <br />Ji'LANS RBVIBW I'BB . <br /> <br />W{A\S.h <br />GoO of" ~ o~ <br /> <br />~. <br /> <br />PHONE CONTACT 119 - aD b 9_ <br /> <br />W \' ^ t~ ( s 1'1)11 /t,r/r <br /> <br />I.EGAL DESCRI PTION I LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # )5- J. 6- ().7- '010.3 0- O~J\)()- '0\)/0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OADDITIO~ <br /> <br />o ALTERATION <br /> <br />Jl REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED; ONEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />jgJ MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HBALTH DEPARTMENT APPROVAL <br /> <br />DE.CRIPTION OF WORK ~ \(.'() (\:.s, w) ~ " '\3) ~ P)1 {{"" h k, ~ l'Y\ b { ~ !f(... <br /> <br />BUILDING SIZE SQUARE FOOTAGE 7 r '3 HEIGHT <br /> <br />RESIDENTIAL; <br />COMMERCIAL: <br /> <br />AT'rACH (2) PLOT PLANS & (2) SETS OF BUIIJDING 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 />o BUILDING <br /> <br />PBRMITS RBQUB~TBD <br />$ '3 7 7. s-.~ VALUATION OF To'rAL CONSTRUCTION <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 MECHANCIAL INSTALLATION <br /> <br />o GAS ...2iJkUOF ING <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 />_ OTHER <br /> <br />FINISHED FLOOR ELEVA'l'IONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />.................................................................. <br /> <br />COMPANY .x 1/ II" l"I ~ .. 61 e. As 5 () L- <br />STATB CRRT OR R~GIST # c c. c. 0 L{ 9 3 6 7 <br />CITY PROCESSING ~O~ <br /> <br />SIGNATURE <br /> <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATB CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.................................................................. <br /> <br />PLOIIBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ' <br /> <br />SIGNATURE <br /> <br />NBCHAHICAL <br /> <br />...........*..**.***.*k~k**~**..~.*..*****....*....**............. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />................................................................. <br /> <br />OTHBR <br /> <br />SIGNA1'URE <br /> <br />COMPANY <br />STATE CRRT OR REGIST # <br />CITY PROCESSING # <br /> <br />...................*.............................~.**............ <br />