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<br />L:l.'J.'~ Uf' ~E1JHYRHILLS PERMIT APl?IJICATION <br />aUJ:LDING DSi'ARTMlIlNT 5335 ~th s'rRlIllll'r ZlIli'HYRHILI.S, FL 33540 <br />ihon~1813-780-~020 'aKI813-780-00~~ATlIl RSCEIVBn ~t?_=!~_~_ <br /> <br />i'LANS RlIlVlliIW Ji'Bm___._~__ <br /> <br />mlHER'S HAHEV/ <br /> <br />J111{!~ c;!(7{! hOu) <br />~' ,-~gL!;2() r:;YIA Jj{/eIJUe. <br /> <br />PHONE CONTACT <br /> <br />g/OS/fJ ~/ <br />cp~----3:26 q7 <br /> <br />?etJAvrh/l? I <br />7 I . <br />SOBDIVISION <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BIJOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN Ei'ROM I?ROI?ER'l''l TAX NOTICE) <br /> <br />WORK l?ROI?SED; ONEvl CONS'l'RlJCTION <br /> <br />o ADDITION' <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />D n~STAI,I, <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />D DEMOl,ISH <br /> <br />l?ROPOSED USE; DaGl. FAMILY nWELI,Um <br /> <br />DMUL'l'I - FAMILY <br /> <br />[J COMMERCIAl, <br /> <br />o INDUS'l'RIAL <br /> <br />0# OF UNITS <br />OSWIMMING POOL <br /> <br />(] MOB J I,E HOME <br />[J OTHER <br /> <br />DESCRU?TION OF <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APl?ROVAL <br />!'lORK ~~tl-<117tt7;1 ~ ~) <br /> <br />! .,) 4/.# 'r~ <br /> <br />TAGE <br /> <br />BUII~DING SIZE <br /> <br />SQUARE <br /> <br />HEmH'l' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) l?LOT PLANS & (2) SETS OF BUIIJDING PI,ANS & (I) SET ENERC~'l ii'ORMS, <br />A'f'l'ACH (3) SE'l'S OF BUILDING PLANS & (1) SIilT IilNERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />P~~I~S REQUESTED <br /> <br />o BlJIl,DING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E,C, <br /> <br />[J PLUMB ING <br /> <br />o 11B:CHAlHCAI. <br /> <br />$- <br /> <br />VALUATION OF MECHANCIAL INS'l'ALLATION <br /> <br />o GAS <br /> <br />o ROOFInG <br /> <br />o SPEOIALTY <br /> <br />D OTHER <br /> <br />'l'Yl?E OF CONSTRUCTION; 0 BLOCK <br /> <br />D FRANE <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR EI.EVATIONS <br /> <br />IS PROJECT IN !<'Loon ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDEB <br /> <br />CmiJPANY <br />STATE CERT OR REGIST #__ <br />CITY PROCESSING # <br /> <br />*****"",,*.....* <br /> <br />* **'i * * . * * * * * * * * * * * * * * * * * . * .. * .. * . . * * * * * . * * '" " .. . . <br /> <br />ilLBlCTftICIAU <br /> <br />8 I GllATURE __. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*.************************.**.**.***********************..*..***..,,* <br /> <br />fLUMBBlR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************************.**************************.** <br /> <br />MBlCHANICAI, <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*****************t********************~***************.tt*ttt*t** <br /> <br />OTHilR <br /> <br />COlvIPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGHATURE <br /> <br />***t*********************.*..**.*.****t****.**.********..**.....* <br />