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<br />C J. J, Y. <br />BUILDING <br /> <br />u.tr :6.11JJ:lH:i RUILLS PERMI'l' APPLICA'!'ION <br />IJBPAR'l'MJllN'r 5335 8th STRElll'r ZBIi'HYRHILLS, PI. 3354,0 9-/0 <br />Phbt1.,81l-'1eO-0020 P'a~:1813-780-0021 ~ <br />02 <br />DATa RBOBIVlllD ____ __________ <br />PI.ANS RaVlaw FBB <br /> <br />, OWNER'S NAME-.M\CV\G'DJ ~t _. <br />JOB SI'l'E ADDRESS 10. 2'4CLJJ. Lc~ DrJv-....O <br />LEGAL DESCRIPTION. LOT(S) ~ ~ BLOCK <br /> <br />PHONE CONTACT <br /> <br />..-- <br /> <br />---- -------------------~VD.r <br /> <br />SUBDIVISJON~~~~Qng}'~o <br /> <br />---.--- <br /> <br />PARCEL ID # 63 . 2/1" '21 ,~~ . cafX)- 07?-O <br />WORK PROPSED. ,AlJNEW CONSTRUCTION 0 ADntT.10N <br /> <br />(OBTAIN P'ROM PROPERTY TAX NOTICE) <br /> <br />OAIlfEIlATION <br /> <br />[] REPAIR <br /> <br />[) INSTALl, <br /> <br />DSIGN <br /> <br />[] MOVE: <br /> <br />[] DEMOLI Sll <br /> <br />PROPOSED USE: OSGI, Fl.lVJIL,Y DWEuLING <br /> <br />o Jl1lJLT I - P'AMIL Y <br /> <br />0# OF UNITS <br />~WIMMING POOL <br /> <br />[] MonnE llotllE) <br />rJ OTHER <br /> <br />[JCOMMr~RCIAII <br /> <br />o INDUSTRIAL, <br /> <br />DESCRIPTION OF WORK <br /> <br />Cl RESTAURANT & HEA:Ll'll DEPAR'rt..,EN'!' APPROVAL, <br /> <br />.J:h-~ Q~ib p~ ~ ~~. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RES IDEN'l'IAIJ : <br />C(JMJl1ElRCIAIJ' <br /> <br />II El I GII'l' <br /> <br />A'l'TACH (;2) PLO'!' PLANS & (2) SETS OF BUII,DING PIJANS <br />ATTACH (3) SETS OF BUIJJDING PLANS & (1.) SE'l' ENERGY <br />PROPERTY SURVEY REQUIRED F'OR ALL. NEW CONSTRUCTION. <br />., <br /> <br />o OAS <br /> <br /> <br />o BLJII,nING <br /> <br />PERMITS REQUF:BTED <br />$J ~ OtJ(;- VALUATION OF <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. ',& '_/1').0 <br />J~ '1r!-_~X~-<t <br /> <br />[J ElI,EC1'RICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />[] PI,(Jf.IJBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VAr4UATION OF MECIIANCI <br /> <br />LJ ROOFING <br /> <br />o SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE Ol!' CONS'l'RUC'I'lON I 0 BLOCK <br /> <br />o FRANE <br /> <br />o STEElJ <br /> <br />FllHSIIED FLOOR ELEVA'I'IONS <br /> <br />IS P.,WJECT IN FLoo;:'1 ZONE ARE <br /> <br />BUILDER <br /> <br />PLUMBER <br /> <br />COMPAl1yAn1..hoY1u t" W.J~ fucls_____ <br />STATE CERT OR REG.~' #I U ':!SC/If..~__.__. <br />CrfY PROCE881t!JZ 3' G f 3. ----__m. <br /> <br /> <br />B1L. B. .0. TRICIAN .. ... ... ~............. ... .. :::::: ~(lli ilf ~;t~ is lftl CQ I InC. <br /> <br />.. ~ . - STATE CER'l' OR REGTS' t7!ljnt5J.'11:L.. 4-H.J <br />.i....A.l"~ ~ "'1'Y PROCES.ING~. . t4:. /-a~--:;:ji~ <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * .. * * * * * .* * * * * ,. * * * * * * * * * * * * * * ;, * * * * * * * ~ It* * . T<' _ <br /> <br />COMPANy~n...u~ *--~~e(.)ol) ___.________ <br />STATE CERT OR REGIST # C f Cu 4.sc,vy __'_ <br />CI1'Y PROCESSING #I --I()Q____.________ <br /> <br />1 <br />SIGNA'rtJRE _~......f!..",- <br /> <br />~.~~. <br /> <br />SIGNATURE <br /> <br />j.r.J~ E~~. <br /> <br />MECHANICAL <br /> <br />****************************~~************************************ <br /> <br />O'l'HBlR v <br /> <br /> <br />C0JI1PANY <br />S'I'ATE CERT OR REGrST #I <br />CITY PROCESSING # <br /> <br />---------.--..----- <br /> <br />S lGNA'ruRE <br /> <br />-----.--------- <br /> <br />\.. <br /> <br />*****************************..~********************************** <br /> <br /> <br />~~l!M-/u~tr& . $.~ a~_._.__ <br />. .. _ __ ~;:;~E P~~~'.~~NG _ ___~ <br />.' / f)-/6 - [):l.... '_________ <br />***************'**\***~*..***************************************' <br />/,., <br /> <br />- ~.._-----._-- <br />