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<br />{ <br />OWNHR' S NAM~ ../l //;A.A.lL.-e' ct vv"Gk <br />JOB SITR ADDRBSS ~){5'/ ro/~ .kI~9 ~~ <br />./ <br /> <br />I -vJJ.'! I' , <br />CITY OP ZBPSYRHILLS PBRHiT APPLICATIO~ G. ~1~_2_o~~ <br />BUILD.IlfQ DBPAltT.MBRT Un 8th STaRlIT ZRPBYRRZLLS. I'L ;Jist'b---- <br />Phon81813-780-0020 l'axIBU-780-00:I1' . c:.,- / O.~ <br />DATa RJlCaZVlID, J ~ - <br />PLOS awzlIIf 1'.. , <br /> <br />PHONR CONTA63S- 6).) 7 3 ~ - 5"3d. ~ <br />" . 'f<)'Ck. <br />-4' ~ ph Y /J h I II j <br /> <br />LBGAL DBSCRIPTION. LOT(S) <br /> <br />PARCBL ID # <br />WORK PROPSBD. ~BW CONSTRUCTION <br /> <br />BWCI<: <br /> <br />SUBDIVISION <br /> <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICR) <br /> <br />Dsnm <br /> <br />o ADDITIO~ <br />o MOVR <br /> <br />o ALTJlRAT ION <br /> <br />o RBPAIR <br /> <br />o INSTALL <br /> <br />o DRMOLISH <br /> <br />PROPOSRD USR: OSGL FAMiLY oWRLLING. DMULTI-FAMILY <br /> <br />,.l1 COMMRRC~AL <br /> <br />o INDUSTRIAL <br />, <br /> <br />0# OF UNITS <br />o SWIMMING. P60L <br /> <br />o MOBILR HOMB <br />o OTHBR <br /> <br />BUILDING SIZR <br /> <br />o . RBSTAURANT &: HRALTH DRPARTMBNT APPROVAL <br />jI()e;J< vp (:', f.e' ~y?+,gM I~. k, Y--che:.--c..) J,t1/ocf! <br />r . <br /> <br />.QRSCRIPTION OF WORK <br /> <br />SQUARB FOOTAGB <br /> <br />HRIClHT <br /> <br />RBSIDBNTIALr <br />COMMJIRCIAL. <br /> <br />~TTACH (2) Ii'LOT PLANS &: (.;1). SliTS OF BUILDINCl PLANS &: (1) SRT RNBRClY FORMS. <br />ATTACH (3) SRTS OF BUILDINCl PLANS &: (1) SBT BNBRGY FORMS. <br />PROPBRTY SURVEY RBQUIRBD FOR ALL HRW CONSTRUCTIQN. <br /> <br />PBRIIITS RBauil;JTBD <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o RLRCTRICAL <br /> <br />AMP SRRVIes <br /> <br />o FLORIDA POnR <br /> <br />o W.R.B.C. <br /> <br />o PLUMBING <br /> <br />o MBCHANICAL <br /> <br />J o() <br />$ /, t/ r- t!l . <br />./ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o ClAS <br /> <br />o ROOF;J:NG . 0 SPRCIALTY <br /> <br />o OTHBR <br /> <br />, TYPE OF CONSTRUCTIO>>: tJ. BLqCK <br />FINISHRD FLQoR RLBVATIO~S <br /> <br />o FRAMB <br /> <br />o STBRL <br /> <br />o OTHRR <br /> <br />IS PROJHCT IN FLOOD ZONB ARRAo YRS 0 NO <br /> <br /> <br />BUZLDBR <br /> <br />COMPANY <br />STATB CRRT'OR R&GIST . <br />CITY PROCBSSINCl # <br /> <br />SIGNATURB. <br /> <br />aLaCT"J:C:rU <br /> <br />~*****.*...A...*...*.**....**..**.....**.......................... <br /> <br />SIClNATURR <br /> <br />'0,. <br /> <br />COMPANY <br />STATB CRRT'OR RBGIST '" <br />CITY PROC~8SI~Cl '" <br />. . <br /> <br />PLUIDJ... <br /> <br />.................................................................. <br /> <br />COMPANY' <br />STA~B CHRT OR!",GIST # <br />CITYPROGBSSING#. . <br /> <br />'. SIGNATUlUI <br /> <br />IIBCIIAIt:rCAL. <br /> <br />.............~........**..*....*.....*...***...*........*.*....*.* <br /> <br />~\.~~ L**~~.......**.......~...........*.......*...........*............ <br />r' ,.. "7 Y 'i"~1t1 CtlA/"f Y<<A~-I t:11C.... <br />O'l'S." ~eJWAr~ (, l..e'lU/.5 <br /> <br />COMPANY: <br />STATH CHRT OR ~GIST. # <br />CITY PROCESSING . <br /> <br />SIClNATURII <br /> <br />......*.......***...*........**.............**............**.* <br /> <br />COMPANY .4me:'" C./I..,(/ h~~ .JL fA- Fe~y Xvc. <br />STATB CHRT OR RBGIST # Clb 'b/,j,-ooo'A, 6- <br />CITY PROCRS,SING #. aq <br /> <br /> <br />SIGNATURE <br />