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<br />L:.J.'J.'~ U14' ~EPHYRHILL8 PERMrr APPI",ICATION <br />aUILDING DIIPARTMBlN'I' 5335 8th S'rRBlE'f ZlllPHYRHILLS, FL 33540 <br />I?hon~IB13-780-0020 FaxIB13-760-0021 <br />DA'.I.'lll RlllCIilIVlllD ________.____ <br />l?J,ANS RlIlVUW fiB <br /> <br />mINER'S H""E~~/l'<!/2: to ~. D7It <br />,JOB SITE ADDRESS 13:31J ~ ~ 't <br /> <br /> <br />t,.J Ji:v <br /> <br />PHONE CONTACT <br /> <br />, <br />-----_._--~--... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN F'ROM l?ROI?ER'l"l TAX NOTICE) <br /> <br />WORK PROl?SIW; []NEW CONS'rRlJCTION <br /> <br />o ADDITION <br /> <br />DAI-JTERATION <br /> <br />o REPAIR <br /> <br />o INSTALl, <br /> <br />Os IGN <br /> <br />o IVIOVE <br /> <br />o DEMOI,ISH <br /> <br />PROPOSED UBE: OS8L FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />o COMMERCIAL <br /> <br />o INDUS'l'RIAL <br /> <br />0# OF mUTS <br />o SWIMMING POOL <br /> <br />o MOB I l,E HOME <br />o O'!'HER <br /> <br /> D RESTAURANT '" HEALTH DEPARTMEN'l' APPROVAL <br />DESCRIE'TION OF WORK cJ!; , () f ~\ d/.' rfYJ ~4 /.r S~. <br />011 5ou~~. 5,dA <br />BUILDING SIZE SQUARE FOOTAGE HEmH'r <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS '" (2) SETS OF BUIlJDING l?LANS & (1) SET ElNijRrn' F'ORMS, <br />A'r'l'ACH (3) SE'l'S OF BUILDING PLANS & (1) SJ:lT J:lNJ:lRGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ERMITS REQUESTED <br /> <br />o BlJILDHll1 <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRlJCrl'ION <br /> <br />Ll ELECTRICAL <br /> <br />AMP 8ERVICE <br /> <br />o FI,ORIDA POWJ:lR <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o I>1ECHAlHCAr, <br /> <br />~--- <br /> <br />VALUATION OF MElCH.n..NCIAL INS'l'ALLA'rION <br /> <br />o GAS <br /> <br />o ROOFIHG <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION; 0 BLOCK <br /> <br />o FRAlVlE <br /> <br />o S1'EEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EIJEVATIONS <br /> <br />IS PROc1ECT IN !:<'LOOfJ ZONE AREA 0 'tES <br /> <br />o NO <br /> <br /> <br />BUILDBlR <br /> <br />C(Jtlll? AN Y <br />STATE CERT ok REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************.*.*...... <br /> <br />lilLBlCTRICIAU <br /> <br />COIVlI?ANY <br />STATE CERT OR RJ:lGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE ____ <br /> <br />------------ <br /> <br />********************************************************.********. <br /> <br />PLUMBJilR <br /> <br />COMI?ANY <br />STATE CERT OR REGIST # <br />CITY I?ROCESSING # <br /> <br />SIGNATURE <br /> <br />*******.******************************************************..** <br /> <br />MlllCHANICAJ, <br /> <br />COIVJI?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />.****************************~************************** <br /> <br />CQt.1l?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*************.*****************.*.*******.********* <br />