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<br />'c..r~~ fro -:F-Iy-o :2 q <br />~~~~ V~ ~~rn~Kn~~~~ ~~~~T A~~L~~ATION <br />SUILPINa DKPART~ 5335 8tb STREET ZBPHYRHILLS, PL 33540 <br />~hQn.s813-780~OO~O Fagl813-780-0021' (7 _ <br />DATB UCE:rVlm X - ~ - u..:2__ <br />PLANS RBVI~W FBB <br />~ ~;;VA.l..J <br />O*NER'S NAME 34l: 4/f,1..J3€MA INe.. ~ PHON~ CONTACTl3/3-t/04_ 9f<)~ <br /> <br />JOB SITE: ADDRESS (daIS GALL _ '&vo... ZePl:ffl?JlIUS I fL- ''S3'b4-1 <br />~ tAM:7s ~3 2 Pt;. Co ~LI.. I/z. if h2ACi '7 IN 9i:L7it:W :3 U'SS ~ Z/',J I~ v:; ~(J/;. t.f;55. <br />\-LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # 03-2(b-Z/-OOIO-OI700 -CA?ZO (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: )lNEW CONSTRUCTION o ADDITION o ALTERATION o RSPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE I DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS o MOBILE HOME <br /> l(COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK IUSTA/....(... AI7f.?R:E5SA&.E fiLE II~ Sjs1CYJlI..,. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIPENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF EUILDI~G 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 /> <br />.......... <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br />'}(~THER <br /> <br />PERMITS REQUESTED // S ~~'~I rtj& <br />i '--f~ J f{ !:J <br />VALUATION OF TOTAL CONSTRUCTI~N ~7 1')' <br />\.... D YO d' ..~. ~ [) A <br />l..J-~~....c.~ ;-- r,. <br />lNBTALLA::: '~."..~'~ ~ 5...~;[)?- . <br />L~ _ ~) <br /> <br />I <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o BUILDING <br />o ELECTR.ICAL <br /> <br />$ <br /> <br />2.5 J 38?" a::J <br /> <br />AMI? SERVICE <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME: <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZON'E AREAD YES 0 NO <br /> <br /> <br />BUIJ:.DlIlR <br /> <br />COMPANY <br />STATE CERT OR RBGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />l!I!.ECT~lCI.A!-7 <br /> <br />SIGNA'l'UREl <br /> <br />COHP iU'iY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUD:n. <br /> <br />COMPANY <br />STATE CERT OR ~GIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE C~RT OR REGrST # <br />CITY PROCESSING # <br /> <br />SlGNATURE <br /> <br />OT..... he~_.~~) COMPl\NYlMtJOST~;;€GJ-~V./.JC_ <br />~ e. , STATE CERT OR RECUST # [roan fZ<;n <br />SIGNA REo CITY PROCESSING # /' <br />l<./~99 <br />************************************************* **177* ******* <br /> <br />***************************************************************** <br /> <br />l . d <br /> <br />SOlZ'ON <br /> <br />Sll]H~AHd3Z jO Al18 <br /> <br />~VZ9:8 ZOOZ '5Z'lor <br />