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<br />OWNBR'S NAMB .0!Z,c).1Jj} I-kru ZtJtJ <br />JOB S ITB ADDRBSS S r"J (f) 0 Y AI Ei.J <br />LBGAL DBSCRIPTION. LOT(S) <br /> <br />CITY OFZBPSYRHILLS PBRMIT APPLICATION <br />BUILDIHQ DBPARTNBNT 9335 8~ BTRBBT ZBPBYRRILLB. FL 33840 <br />Phone.813-780-0020 FaxI813-780-0021' ~ /~ <br />DATB lUIcBIVlID, 1-/~ -D~ <br />PLAHI llBVIIDf n. . <br /> <br />/11 -1-1 . p, <br />!Jail. ( 7iJ tv <br /> <br />BLOCK <br /> <br />Lilr- 52'- 5 J <br />SUBDIVISION c;P fiNO /J.r../2 ( Z()fV tJ1i-lp- <br /> <br />PHONR CONTACT r;Rz -I DC, t.f <br /> <br />PARCEL ID # 34--25"-21-: 00/0- 02rOD - 5~~') (OBTAIN FROM PROPIIRTY TAX NOTICE) <br />WORK PROPSRD; B1fliw CONSTRUCTION [31IDDITIO:tl OALTBRATION 0 RBPAIR 0 INSTALL <br />DSIGN D MOVE 0 DBMOLISH <br />PROPOSED USE: ~ FAMi~Y DWBLLING OMULTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING P60L <br /> <br />o MOBILE HOMB <br /> <br />~BR <br />;t!L-v/h I A/J~ <br /> <br />BUILDING SIZB <br /> <br />CJ RESTAURANT & HEALTH D~BP NT APPROVAL <br />~ . &0 <br />1--0 i. 7"[ (,4fl1IJ{l."f, I LX J v T I 0 +,5 H EO <br />~ { <br />SQUARE FooTAGB 879 0 <br /> <br />QBSCRIPTION OF WORK <br /> <br />RBSIDBNTIAL: <br />COMMBRCIAL: <br /> <br />HRIGHT <br /> <br />GrBUILDING <br />ffBLECTRICAL <br />o PLUMBING <br /> <br />1,\TTACH (2) PLOT PLANS & (.2) .SBTS OF BUILDING PLANS & (1) SRT RNERGY FORMS. <br />ATTACH (3) SBTS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPBRTT SURm RBOUIRBD FOR ALL IlIllI CONSTRUCTION. '-/l d AI lJ <:!- . <br /> <br /> <br />RBRIIITS RBQUJlSTBD c.- (tf- <br />$ I Z- (,I, ? . 'if, VALUATION 0. TOTAL CONSTROCTIOH . Y - <br /> <br />AMP SIIRVICB <br /> <br />o FLORIDA POWIIR <br /> <br />o W.R.B.C. 01flC S{-I-r3tl <br /> <br />o MBCHANICAL <br /> <br />$ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOF;J:NG . 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION; 0 BLqCK <br /> <br />o FRAMB <br /> <br />o STBBL <br /> <br />o OTHER <br /> <br />FINISHBD FLQOR ELBVATIONS <br /> <br />IS PROJECT IN FLOOD ZONB ARBAO YIIS 0 NO <br /> <br /> <br />BUILDB. <br /> <br />SIGNATURE. <br /> <br />COMPANY g ~ {+ (()/Vsr1l.....te-(/ D{I.J. b/=- CQJr1lA<.. Fe ' <br />h /l (k,f"MC. STATB CBRT. OR RBGIST # C8Cos;f}'76"Z-- <br />I~ N, . CITY PROCRSSINQ . 2-.0 . . rf:- <br /> <br />"****'****'******************~***..*********.**~~*~tJ <br /> <br />BLBCTaXCIAH <br />SIGNATURE ~ 14. rk..euP <br /> <br />COMPANY /lee: 13"u<... ill.. { <- <br />STATB CBRTOR RBGIST # <br />CITY PROCI!;~SI"f(~ t/JfIJ <br /> <br />~ <br /> <br />PLUllBBR <br /> <br />....*.**.A*....*..***..........*..*....**...*.........*.......*... <br /> <br />COMPANY . <br />STATB CERT OR,REGIST # <br />CITY PROCESSING # . <br /> <br />" '. " SIGNATUlU!l <br /> <br />IOICRAlfICAL' <br /> <br />.............................*...........*.**..*...******.*..***.. <br /> <br />COMPANY: <br />STATB CHRT OR ~GIST. # <br />CITY PROCESSING # <br /> <br />SIGNATURJI <br /> <br />OTSB. . <br /> <br />..*****...*.*.****.***...***.*......................****.*******. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATB CIIRT OR RBGIST # <br />CITY PROCBSSING # <br /> <br />*.*....*****.****.*****..**...***.******.....********.**.**...... <br />