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<br />mINER 'S HAI>1E :J) C? 12-0 / d G Va n. ~ s ~~ <br />JOB SITE ADDRESS -3 f 7 z r Vi<.J J r'Al1/?_ ~/YO(!,J/e__ <br /> <br />L:.J..ll'~ OF ZEJ?HYRHILLS PERMIT AJ?J?I~ICATION <br />:SUILDINli DBPARTMENT 5335 ~th S'I'REE'r ZllJPHYRHILLS, :n 33540 <br />inoniiI813-780-0.020 i'lixI813-780-0021 . //1 /r-... <br />. DArn RBCIllIVilD .-Lf2::::_/::L-::O-Z <br />PI.ANS RilVIIllW i'BB______ <br /> <br />PHONE CON'l'AC'I'7 Jig /-fL Yo <br /> <br />~~?""', .-, <br /> <br />aJ;-;;g---;~ O-V <br />l~r <br />(-~AR-cli;C'ID.#~ 0 2.. ~ (, Z I c)o / r. 0 CJCJOO DCL~O (OBTAIN F'ROM I?R()I?ERT~~AK l'J(tq <br />'/' <br />WORK PROI?SED: DNEW CONS'fRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 HH3TAI, I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br /> <br />o S IGll <br /> <br />o lVlOVE <br /> <br />o DE/YlOLISH <br /> <br />I?ROI,JUSEI> USE: OSGL FAMU,y DWELLING <br /> <br />o MUL'l' I - FIUv1IlN <br /> <br />0# OF lJHITS <br />OSWIMMING l?OOL <br /> <br />o MOl:lnlil HOME <br />o O'fHER <br /> <br />o COMMERC nu, <br /> <br />o INDUSTRIAT" <br /> <br />CJ RElSTAURAWf 6< HEJ\Lml DEPARTMEN'f APPROVAL <br />DESCRIPTION OF WORK 1- ~ <!./ CIId~d CP Fe-. n.. ft:> I"'{!_.)//" "* <br /> <br />~~.e-v- ~h -4--e...Y <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HlUGH'f <br /> <br />RES IDENTIAl,: ATTACH (2) t'LO'f PT"ANS 6< (2) SETS OF BUn.DING PLIl.NS 6c (1) SET ilJNijlJtq'l F'ORMS. <br />CW>1MERCIAL: ATTACH (3) SETS OF BUILDING t'LANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BlJn.Dnm <br /> <br />( - <br />'ti:..IllLEC'l'RICAL <br /> <br />[J l'LUMBING <br /> <br />, 11: :;~ <br />~r. _ 6 <br /> <br />FERMITS ~EOUE~TED <br /> <br />VALUATION OF 'fO'l'AL CONS'fRlJC'1'ION <br /> <br />AMP ~ElRVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o HilCHAlHCAI. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAI, INS'l'AI,LA'flON <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'l'Y!?jjJ OF CONS'I'RUC'fION; lJ Bl,OCK <br /> <br />o FRAl'4El <br /> <br />o S'l'EEI~ <br /> <br />o OTHER <br /> <br />FINISHED FLqOR EI,EVATIONS <br /> <br />IS PROJECT IN FLOOn ZONE AREAO '1ES D NO <br /> <br /> <br />:SUn.OlllR <br />SIGNi1TUR~ <br />I <br /> <br />lQ~f..R~ -J~ ~ <br /> <br />CClt-lPANY-{. "" Lv JIl fe_V-- <br />STATE CtiJRT OR REGIST # ____~ <br />CITY PROCESSING # <br /> <br />.....,...*.....*..,*....,.......***...****..,..*"...,"""""'. <br /> <br />ilLilOTRIOIAN J ~ COI1PAl'r~;,f-.... ()J W h ~~. __~ <br />STATE CERT OR REGrST # <br />SJGHA'rll..~.<J)~~ ~. CITY psoe.ssmo # -----_._ <br /> <br />*****....*.,***..*****.**..*****.*****.****.*..*.*....*."...*.... <br /> <br />iLUWlilR <br /> <br />COMPANY <br />STATE CERT OR ~EGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'l'l1RE <br /> <br />UIIlCHANICAL <br /> <br />********..***************************.*********.*.**.,.**........' <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*A********'*'***"*'*****'*******'****~*t***.**.***.**........,.. <br /> <br />OTHIiIR <br /> <br />CQ/\1PJUJY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*......................**,*.,.**..........*..*..**............'t, <br />