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<br />OWNBR'S NAMB _ CfZ4N/) J~I7.'( ZotJ /Yl-I-I, p, <br />JOB SITB ADDRBSS 3'7 ~ lftf !--O{lf::'j\/fI- AVE un- I '2-S- <br /> <br />CITY OP ZBPNYRHILLS PERMIT APPLICATION <br />BUILDIHQ DRPARTIiBHT 5335 BUt STaRlIT ZBPRTRBILLS. I'L 335tO <br />PhoneI813-780-0020 FaxI813-780-0021' <br />bATB IUIC!JIJ:VBD, 7-/ s--{)~ ~ <br />PLUS aBYJ:_ n., <br /> <br />PHONB CONTACT '7 <f 2. - I bG if <br /> <br />LBGAL DBSCRIPTIONI LOT (B) <br /> <br />BLOCK <br /> <br />PARCEL ID # "3lf ~ 2--'5'- .2-1 - DOl ()- O-z...,lr-CJo _ O/ZS- (oBTAIN FROM PROPBRTY TAX NOTICE) <br />WORK PROPSED: B1fJIW CONSTRUCTION [3'1WDITIOtl D ALTBRAT ION 0 REPAIR 0 INSTALL <br /> <br />SUBDIVISIONGRAA/tJ JJ&Il-( Z~ m.f/. p, <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSBD USE: ~ FAMi~Y DWRLLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING. P60L <br /> <br />o MOBILB HOMB <br /> <br />BOTHBR <br />tclt.A-'/1/l1 N' 1/ /YI. <br /> <br />". <br /> <br />o INDUSTRIAL <br /> <br />,QBSCRIPTION OF KORK <br /> <br />o ~RANT " HBALTH DBPARTMBNT ~VAL .' <br /> <br />I () X' I ( . S [2A I S/~ .5'LflI~C/oJ ~, I 2.-)( 5 ~/lIJoIlr + ->'HIEO <br />. , ' <br />SQUARE FOOTAGB '7'11 HEIGHT <br /> <br />RESIDBNTIAL: ~TTACH (2) PLOT PLANS & (2) ,SRTS OF BUILDING PLANS <br />COMMBRCIALI ATTACH (3) SBTS OF BUILDING PLANS & (1) SET ENBRGY <br />PROPBRTY SURVBY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING SUB <br /> <br />g.-1illILDI~G <br /> <br />PBRKITS RBQUISTBD <br /> <br /> <br />FORMS. <br /> <br />$ 132.?>9'. OCo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />GJ-1ILBCTRI CAL <br />o PLUMBING <br /> <br />AMP SBRVICB <br /> <br />o FLORIDA POWBR <br /> <br />o W.R.E.C. ?vIla; S/f{:1/ <br /> <br />o MBCHANICAL <br /> <br />$ <br /> <br />VALUATION OF MBCHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOF;J:NG ,0 SPBCIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTIOl'l: 0 BLQCK <br /> <br />o FRAME <br /> <br />o STEBL <br /> <br />o OTHBR <br /> <br />FINISHBD FLQOR ELBVATIONS <br /> <br />IS PROJBCT IN FLOOD ZONE ARRAO YBS 0 NO <br /> <br /> <br />BUJ:LDBR <br /> <br />,. COMPANY BJif+c OW5r/luc.T "ON of Ct~/V(t2AL FL c <br />17 /J (1 ~i . .. STATE CBRT, OR REgIST # C{5coS7F? 6'2- . <br />~ t.!:.. ~ 'CITY PROCBSSING # 2~ <br /> <br />~**********.******************~*********~~;:~~~~ ();'~ <br /> <br />COMPANY IkE UeLT(2..( c <br />STATE CBRTOR RBGIST # <br />CITY PROCB~~ING fI:~~1 <br /> <br />SIGNATURE, <br /> <br />BLB&raZCZAH <br />'SrGNATURB_~ /J. <br /> <br />~ <br /> <br />~ <br /> <br />PLUllBBR <br /> <br />****..****.******************************************************* <br /> <br />COMPANY , <br />STATB CBRT OR,RBGIST # <br />CITY PROCESSING #' , <br /> <br />\ ", SIGNATtmB <br /> <br />IIBCllAHlCAL' <br /> <br />****************************************************************** <br /> <br />COMPANY: <br />STATB CBRT OR REgIST. # <br />CITY PROCBSSING # <br /> <br />SIGNATURB <br /> <br />***************************************************************** <br /> <br />OTSB. , <br /> <br />SIGNATURB <br /> <br />COMPANY <br />STATE CBRT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />