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<br />L:l.'l'~ <br />aUILDING <br /> <br />Uli' ~Bil?HYRHILLS PERMIT APPI~ICATION <br />DBPARTMENT 5335 ath S'rREE'r ZEPHYRHILI,S, Ii'L .3.3540 <br />Phon~1813-780-0020 FaxI813-780-0021 <br />, DA'rE RBCEIVED io - 8 - za:,z. <br />PI,ANS REVIIllWJi'~B'--~T~._~-. <br />."" ~'~ <br />~'" <br /> <br />PHONE r:~~~l:A(,! _~I~ - g1j-D~ <br />~ ----- - <br />........,_.._,_._~._.~ <br /> <br />mmliJR'S mU\1E~f\~L BcLlE;,sT <br /> <br />,JOB SITE ADDRESS __~O(2.:n-\___Lp.~ ~ <br /> <br />f . <br />SUBDIVISION ~"'l1a>\-\QJSG~ ArSI\..V6n. Mlc'S <br /> <br />t"f2.. <br /> <br />BLOCK <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />-~---------..- <br /> <br />WlJRK PROl'SED; ONEW CONSTRUCTION <br /> <br />o ADDITION' <br /> <br />o AI"TERA T I ON <br /> <br />o REPAIR <br /> <br />o INSTALL, <br /> <br />Os mN <br /> <br />o lVlOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELI,nw <br /> <br />DMULTI - FAMIlN <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB nE HOME <br />1~'mER <br /> <br />C]COMMERCIAI, <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEAl,TH DEPARTMENT APPROVJI.L <br />SC~ Roof= PooL eJcl.vsu~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'r <br /> <br />RESIDENTIAL: <br />COI>1MERCIAL; <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF' BUII,DING PLANS <br />A'l'1'ACH (3) SETS OF BUIlJDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENElRCjy F'ORI4S. <br /> <br />FORM;' b'h, ~ <br /> <br />f~RMITS ~EQUESTED <br /> <br />D BUILDING <br /> <br />$ 2"'&>~ <br /> <br />VALUATION OF 'J'O'rAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />[J I?LlJl'1BING <br />o 11&:CHANICAL <br /> <br />9 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFWG <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION; [J BLOCK <br /> <br />o FRAlvJE <br /> <br />o STElElIJ <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EI,EVATIONS <br /> <br />r S PRO,JECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />cm1PANY fYlf\R.Q\Je;sA &~sT# <br />a. STATE CER'l' OR RElGIST # CO~O q <DO <br />3.....-- --..;;:;-'-.:...-- -- ~.~ CI'l'Y PROCESSING # 2o<:{ q <br /> <br />**~*ikk*******************~**k********k**********~*~~**k*:***~* <br /> <br />SIGNATURg--- <br /> <br />lill,ECTRICIAH <br /> <br />COlvJPAHY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _ <br /> <br />.-----------------..---- <br /> <br />kk******kkkk****.***k*****.*..*****************k********kk****kk*i <br /> <br />i>LUW5ER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCElSSING # <br /> <br />SIGNATURE: <br /> <br />MilCHANICAIJ <br /> <br />*k***k*k*..*******************************************k**k*******t <br /> <br />COMPANY <br />STATE CElRT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************~******************k'k***** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGHATURE <br /> <br />---.--,.......--------- <br /> <br />*kk*****k************************k*************************k***** <br />