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<br />ONNER'S NAME -~iZA-N~ l4/2-( CVII! 1Yl./1, p. <br />JOB SITE ADDRESS 3?~3fc LAIVI}15 fiVE LtJ-r 101 ' <br /> <br />CITY OP ZBPSYRHILLS PBRMIT APPLICATION <br />BUILDING nBPARTKBHT 9335 8~ STaBBT ZBPRYRBXLLS. FL 335tO <br />Phon..813-780-0020 rax.813-780-0021' . 5- c;r A")~ <br />bAT. lUICII:rvJID, .. - ~./(V ""- <br />PLUS .WID FRR , <br /> <br />PHONE CONTACT 7f Z. - / ()G L( <br /> <br />LEGAL DBSCRIPTION. LOT(S) <br /> <br />SUBDIVISION &r;.t/t? )...k/l(cW /J1llrf. <br /> <br />PARCEL ID # 3i.f- J-5 - 2f ,- 0010 - D2rt/{) _ 0/ D I <br />NORK PROPSBD: ~W CONSTRUCTION ~DITIO~ <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />D MOVB <br /> <br />D ALTBRAT ION <br />o DBMOLISH <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSBD USB: ~GL FAMiLY DWBLLING <br />D COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />D SWIMMING. PboL <br /> <br />o MOBILIIl HOMB <br /> <br />mo:.r;ER <br />1:Jt-V/YlI/VU ItA <br /> <br />',< <br /> <br />o INDUSTRIAL <br /> <br />BUILDING SIZE <br /> <br />o . RESTAURANT & HEALTH DEPAR.~M . T APPROVA~) <br />(Jjij). . 'to ~ <br />I L)(IL 12.A I ~E. 0 .5QlfEN' !2IJlJlY!. I ::Jo 'iI/ZIeJIl.TJ I f) X /2- b I-lEo <br />I . I <br />SQUARIIl FOOTAGB 1 Lf~ HBIGHT <br /> <br />QIISCRIPTION OF WORK <br /> <br />RIIlSIDENTIAL: J,\TTACH (2) ~LOT PLANS & (2) ,SBTS OF BUILDING PLANS & (1) SET BNBRGY FORMS. <br />COMMERCIAL. ATTACH (3) SBTS OF BUILDING PLANS & (1) SBT IIlNERGY FORMS. <br />PROPBRTY SURVEY RBQUIRBD FOR ALL NEW CONSTRUCTION. <br /> <br />g-1lliILDING <br />~ECTRICAL <br /> <br />PBRMITS RBaU.~TBD <br /> <br />$ 15R~o, of <br /> <br />VALUATION OP TOTAL CONSTRUCTION <br /> <br />AMP SRRVIeS <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. B. C. fA) 11le.....sflUl <br /> <br />o PLUMBING <br /> <br />o MRCHANICAL <br /> <br />$ <br /> <br />VALUATION OP MJilCHANCIAL INSTALLATION <br /> <br />~QU <br /> <br />D GAS <br /> <br />o ROOF;J:NG ,0 SPIIlCIALTY <br /> <br />o OTHBR <br /> <br />TYPB OF CONSTRUCTION: O. BI.,QCK <br /> <br />o FRAME <br /> <br />o STEBL <br /> <br />o OTHER <br /> <br />FINISHBD FLQoR BLBVATIONS <br /> <br />IS PROJBCT IN FLOOD ZONE ARRAO YES 0 NO <br /> <br /> <br />BUJ:Ln.. <br /> <br />SIGNATURIIl ~ A l (kf~ <br /> <br />.LRCTRJ:CIAH <br /> <br />~*******.**A**..****.*.*.****.***.....*..***.*.****.*...*.......*. <br /> <br />~ <br /> <br />SIGNATURE <br /> <br />~. /1- oJu2 <br /> <br />COMPANY If C-E e L-t: G T/l ( C <br />STATB CBRTOR RBGIST It <br />CITY PROCBSSING It , f>? <br /> <br />, PLUllBBR <br /> <br />**.********..*...****.*********..********.**.***..*...**......*.*. <br /> <br />COMPANY' <br />STATB CBRT OR,RBGIST # <br />CITYPROGESSH1G #' " <br /> <br />" '. '. SIGNATUlUll <br /> <br />IIBCIlAHICAL <br /> <br />.*...*.******~.*******.*..*********.**.*************************** <br /> <br />COMPANY: <br />STATE CHRT OR ~aIST. # <br />CITY PROCBSSING # <br /> <br />SIGNATURIll <br /> <br />OTB.a , <br /> <br />******.*.**********..**********.***.**.**************.**********. <br /> <br />SIGNATURB <br /> <br />COMPANY <br />STATE CKaT OR RBGIST # <br />CITY PROCBSSING # <br /> <br />****************************************************.************ <br />