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<br />BUILDINQ <br /> <br />'-'1M ~....- - ~.U.u1..U..L~ .. ....~.';;u:T APltLICATION <br />nBPARTHmft 5335 8Ua STaallT ZBPHYRJ~ILLS. I'L 33540 <br />Phon..813-780-0020 l'ax.813-780-0021. <br />DATa UCllZVBD <br />PLAHS RWI... na . <br /> <br />.. <br /> <br />OWNER'S NAME t-\ c.... l' "I <br />.TOB SITB ADDRBSS :3 ~. <br /> <br />SUBDIVISION S} e ~ ~ y <br />PARCEL ID # 'G J.. - :{ b- :2 J ... .D ~ i> GoO a ~~(J-I Vl./O(OBTAIN FROM PROPBRTY TAX NOTICB) <br /> <br />L~ (1e,Y\ s ~ .J <br />c;).. L <br />J Lt '-I <br /> <br />LBGAL DBSCRIPTION: LOT(S) <br /> <br /> <br />A v-<.-. <br /> <br />PHONB CONTACT / <\ t; - ;2 7 '-/5 <br /> <br /> <br />\)w <br /> <br />BLOCK <br /> <br />WORK PROPSBD: [JNEW CONSTRUCTION <br /> <br />[Jsrcm <br /> <br />[JADDITIO~ <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o RBPAIR <br /> <br />.8 INSTALL <br /> <br />PROPOSED USE: [JSGl. FAMILY DWELLING <br /> <br />[JMUJ~TI - FAMILY <br /> <br />0# OL<' UNITS <br />[J SWIMMING rooL <br /> <br />QtMOBILE 1I0M'~ <br />[JOTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />~ESCRIPTION OF WORK <br /> <br />o RBSTAURANT & HEALTH DBPARTMENT APPROVAL <br /> <br />~ ~ri ~/f;;'q 4- fiv k:,'-4~ /I1c4&1'4~ <br />" '" " <br />SQUARE FOOTAGE /6S HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL~ <br />COMMERCIAI~ : <br /> <br />~1~ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />A1~ACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NBW CONSTRUCTION. <br /> <br />[] BUILDING <br /> <br />PBRMITS RBQU.~TBD <br />$ '3 Lj oo~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELBC'l'RICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POH~R <br /> <br />o H.R.B.C. <br /> <br />[] PI.UMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAI.. INSTALI.i\.TION <br /> <br />o GAS ~ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLqCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />o 01'HER <br /> <br />l"lNTSIIED FI.C;>OR EI.EVA'rrONS <br /> <br />IS PROJEC'r IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDBa <br /> <br />~................................................................. <br /> <br />COMPANy;r /Ill,' n~" b/e. A S" 5 () C <br />STATE CERT OR REGIST # C <:. c. 0 I.{ 9 3 b 7 <br />CI'l'Y PROCBSSING # -3 0 CJ <br /> <br />B IGNA'rURE <br /> <br />BLBCTRICIAN <br /> <br />SIGNA1'URE <br /> <br />COMPANY <br />STATE CERT OR RBGIST # <br />CITY PROCESSING # <br /> <br />.................................................................. <br /> <br />PLUllBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING #. . <br /> <br />SIGNATURE <br /> <br />MBCHANICAL <br /> <br />.............................................................~.... <br /> <br />COMPANY <br />STATE CERT OR RBGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'I'URE <br /> <br />................................................................. <br /> <br />OTHBa <br /> <br />SIGNA'l'URE <br /> <br />COMPANY <br />STATE CHRT OR REGIST # <br />CITY PROCESSING # <br /> <br />...........................................~~~................... <br />