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<br />L:1.'J.'~ UJ'" ZEl;lHYRHILLS lJERMIT APPIJICATION <br />BUILDING DBPARTMBlNT 5335 8toh STRBlBl'f ZBlPHYRHILLS, ]j'L 33540 <br />JilhoneI813-780-0020 li'axI813-780-0021 i/J- ~-O"" <br />DA'L'Bl RBCBlIV'BlD ~,__E!:.__._~ <br />i:'I,JU-lS RIllVIIllW Ji'JilB_____.___ <br /> <br />OHNER'S HANEl <br /> <br />,.... <br /> <br />117~) R51( <. <br />, <br /> <br />,lOB SITE ADDRESS _-'-c r Ja~ / f <br /> <br />o A '::::'S <br /> <br />PHONE CONTACT <br /> <br />,__J./'f._~JL ,Ui4/(c.; B/~ J <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PRO J:;S ElD ; [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[] 1NSTM,!, <br /> <br />[] SIGN <br /> <br />o MOVE <br /> <br />o DEMOI,ISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWEL!,nm <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />r.:rMOBI!'E HOME <br />[] OTHER <br /> <br />[J COMMERCIAl, <br /> <br />o INDU8'l'RIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT ~PPROVAL <br />p~Jr~ w(J..... <br /> <br />BUILDING SIZE ;)...."75 Y ..J '7 <br /> <br />SQUARE FOOTAGE <br /> <br />mUGU'!' <br /> <br />RESIDENTIAL, : <br />COII1MERCIAI. : <br /> <br />ATTACH (:2) PLOT PLA11S & (:2) SETS OF BUII,DING PLANS & (1) SElT ENiilRr;1{ ];iIORlI'!S. <br />A'f'l'ACH (3) SETS OF BUII,DING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~RMI~~ REQUE~TED <br /> <br />0 B1JILDIl'H1 <br />II ELEL:~'I'RICAL <br />0 PL[JI\1B ING <br />0 J.1B:CHAN r CAI, <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRuc'rI0l1 <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o \'I.R.E,C. <br /> <br />$ <br /> <br />VALUATION OF MECH~~CIAL <br /> <br />INS'I'ALLA.'J;'Itll~ ;' 5"'7 -ru <br />91 j .._.~...,".., <br /> <br />~_._-_..--- <br /> <br />) <br /> <br />" <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[] SI?ECIAI/l'Y <br /> <br />[] OTHER <br /> <br />'l'YPE OF CONSTRUCTION; [] BLOCK <br /> <br />o FRANE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />c___ <br /> <br />FINISHElJ FLOOR }jl!,ElVATIONS <br /> <br />IS PRO,IECT IN !:<'Loon ZONE AREA 0 l{ES <br /> <br />o NO <br /> <br /> <br />CQtil PAN Y (I.d;~;# <br />STATE CERT OR EGIS'!' # ___ <br />eI'l'Y PROCESSING # Iff <br /> <br />BtJILDBlR <br />SIGNATURE _-k:'~~ <br /> <br />****t*********************************************************tt*t <br /> <br />IilJ,BlCTRICIAU <br /> <br />~ COMPANY (",^,.~",/I <br />STATE CERT OR REGIS'll # <br />"WHAT"R. --- LJ'~Ll - - --- CITY PROCESSrNtl # 7.Q.... <br /> <br />t**********k*******k***************************************t*****t <br /> <br />COMPANY p~ <br />STATE CERT OR ~EGIST # <br />CITY PROCESSING # <br /> <br />Ji>LtIMBBlR <br />SIGNA"'''RE __U ~~ <br /> <br />SIGNATURE <br /> <br />***********************************************~************** <br />COMPANY 11 r . <br />STATE CER'f OR REGIS'I' # <br />G ><;~/l!') CITY PROCESSING # /1 <br /> <br />**************************************~************************** <br /> <br />MBlCHANICAJ. <br /> <br />OTHBlR <br /> <br />COf\1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S H:lHATURE <br /> <br />*********t**t****t*********************************************** <br />