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<br />.............. ... <br /> <br />~.. ~.....,,, ".l.A.O..a......Ld:t .. .....Io'Olll.a.-J.-,U:".t'.LI.a.\,;A-.l..a.U~ <br />DBPARTMlmT 5335 Sth STRBft ZBPBYRHILLS. WL 33540 <br />Phone.S13-780-00JO Wax.813-7S0-00Jl' <br />DATB .BCBIVE <br />PLAKS RBVIBIf WB. , <br /> <br />BUILDING <br /> <br />... <br /> <br />OWNER'S NAMB Ge r f rLA.-d c- <br />.JOB SITE ADDRBSS '1 f I[) 7......0 <br /> <br />- G- ,,' V\ C] r , 'c L, <br />E tv j) ,4v, <br /> <br />PHONB CONTACT J? / J -- 1 Reo ~ 'Ill <br />W " VI. -HX r:}>C>d- Lr 1'1 H P <br /> <br />LBGAI. DBSCRIPTION I LOT (S) BLOCK SUBDIVISION <br />0000 <br />PARCBL ID # r 4 - L b- L l..:- 0000- 0-.0'700- (OBTAIN FROM PROPBRTY TAX NOTICB) <br /> <br />WORK PROPSBD: o NEW CONSTRUC'nON DADDITIO~ DAI.TBRATION o RBPAIR o INSTAI.I. <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~. FAMILY DWELLING DMUI.TI - FAMILY 0# Oli' UNITS w-r.6BILE 1I0MH <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING moL o OTHER <br /> <br />BUILDING SIZB <br /> <br /> <br />c:J RBSTAURANT & HBALTH DBPARTMENT APPROVAL <br />, r' I f' <br />\Qv-L V" -( (j n vt M..{ -to\ v-o Dt <br /> <br />SQUARE FOOTAGE 7 Of 2 <br /> <br /> <br />w <br /> <br /> <br />DBSCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />RBSIDENTIAL: ~TTACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SBT BNBRGY FORMS. <br />COMMERCIAL: A17ACH (3) SBTS OF BUILDING PLANS & (1) SBT ENERGY FORMS. <br />PROPBRTY SURVEY RBQUIRBD FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PBRMITS RBQU.~TBD <br />$ Y t b '3 L'~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BLBCTRICAL <br /> <br />AMP SBRVICB <br /> <br />o FLORIDA POWER <br /> <br />o W.R.B.C. <br /> <br />o PI,uMBING <br /> <br />o MBCHANICAL $ <br />o GAS ~OOFING 0 SPECIAI:.TY <br /> <br />VALUATION OF MBCIJANCIAL INSTALI,ATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:' 0 Br.qCK <br /> <br />o FRAMB <br /> <br />o STBBL <br /> <br />o 01'OER <br /> <br />!<'INJSHED FI.OOR BI,BVA'rrONS <br /> <br />IS PROJEC'r IN FLOOD ZONE AREAO YBS 0 NO <br /> <br />(,\--:, - I I, - I - - '. - ", I' ,I " - ': :,:," ~ ,fi'(lt <br />\ If' ,I , , " , , , ' , : I' r . J: 1'1} <br /> <br />BUILDBR COMPANY ;r" II: n ~ i 61 e. AS" 5 a L <br />4? / //_ _ ' . STATB CERT OR REGIST # C <:: c. 0 L( 9 3 b 7 <br />SIGNATURE ~ ~ CITY PROCESSING # ~3 0 ~ <br />" ~JL- <br />................................................~:.i..........w. <br /> <br />BLBCTRICIAH <br /> <br />SIGNA1'URB <br /> <br />COMPANY <br />STATB CERT OR REGIST # <br />CITY PROCBSSING # <br /> <br />.................................................................. <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT ORREGIST # <br />CITY PROCESSING #' , <br /> <br />SIGNATURE <br /> <br />HBCIlAHICAL <br /> <br />.................................................................. <br /> <br />COMPANY <br />STATE CBRT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />................................................................. <br /> <br />OTBB. <br /> <br />COMPANY <br />STATE CHRT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'I'URB <br /> <br />................................................................. <br />