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<br />I O~IIl!lR I S [,JAMS <br /> <br />? ~-A ~ '1<0'" "''''^C, <br />JOB SI'l'g ADDRESS !:lL\d~_~;.. '~'~~'_==-_____,_____ <br /> <br />IltJILD.[N(~ UB:PARTMliN'f 5335 8'~ B'l'RIIlBT Z.PIIYRRILLS. PL 13940 <br />Ph"ne,813-'/eO_OO:lO 'aJ<,8lJ.780_00:U I" _ '7..... ()' <br />DAU UaBrVIID --~.~~oL. <br />PLANS RBVI.", 1'.._, <br /> <br />--- - -- -....& A.~&., <br /> <br />LEGAL OEseR I P'l' roll: LOT (S) <br /> <br />PARCEL Tn II '~4 - ~s - DOJ.':) - (JC"'~-, -llctAOBTAIN <br />WORK PROPSIi:D: ONEW COlIS'rRlJCTION 0 MDIl'IOlI OAJ,T!;;RATl:ON <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />i'ROM PROPER'!'Y TAX NOT ICE I <br /> <br />~N <br /> <br />o REPAIR <br /> <br />f.J WSTALr, <br /> <br />o ~IOVE <br /> <br />U DEllOLTSH <br /> <br />PROPOSED lISE I OSOL FAMa.Y DHELLTll(j <br /> <br />~C:RcrAI. <br /> <br />OMIJLTI-FANH,Y <br /> <br />0# OF VIII'I'S <br /> <br />o l'l()BILE HOllE <br /> <br />o INDUSTRIAl. <br /> <br />OSWIMMTNG POOl, <br /> <br />rJ OTIIER <br /> <br />o RES1'AURANT " HEALTH D!i:PARTMENT APPROVAL <br />UESCR! PTIoN OP' WORK ~.L..W....-~c!_~ \ h.. ht.L~_~ \\ ~\Q, r-. <br />&llILOHIQ SIZE d42~~r~SQ(JARE FOOTAGE ___. IIIl:I(]l11' <br /> <br />RESTDENTIAL, <br />C(JI1MERCIAI, , <br /> <br />A'J"fAC!! (2) PLOT PLA.HS & (J) BETS OF &nII,DINO PLANS " (1) SET ENERGY FORI.IS. <br />A'rTACH (3) BETS OF BUnDING PLAt/s & (I.) BST ENERGY FORMS_ <br />PRLlt>ER'l'Y SURVEY REQUIRlm FOR ALl. ww c.::ONs'rRUCTiON. <br /> <br />~lJINQ <br /> <br />$-2L(5VQQ. <br /> <br />PERMlr~Q~~BTED <br /> <br />o ELECTRICAL <br /> <br />VALlJATJOll OF TOTAl. COI1S1'RlTCTlOH <br /> <br />AMP SERVICE <br /> <br />o nQRIPA POWER <br /> <br />rJ I~,R.E,('. <br /> <br />IJ i'LlJMBIlm <br /> <br />o I1E:C:HAlHCAL <br /> <br />o (JAB <br /> <br />LJ ROOI>'IN(] <br /> <br />$_.~---- VALUATION OF MECIIANCIAL INSTAl,I.ATrON <br /> <br />[] SPEC!AUfY <br /> <br />lJ OTUER <br /> <br />TYi'S OF COllH'!'RlTCTlON, 0 BLOCK <br /> <br />o FRANE <br /> <br />Cl STEEL <br /> <br />o O'fffER <br /> <br />Fl!lIt;III!D FLOuR E{.l!:VATIONS <br /> <br />IS PROJECT IN FLOOD ZONli; ARii:Ao YES <br /> <br />Cl NO <br /> <br /> <br />BUlI,nBR <br /> <br />BLIIC'l'RICIAN <br /> <br />...........................................,....................... <br /> <br />COMPAIlY_ ____ <br />STATE CEnT 11R REO 1ST jj ______~___ <br />CITY PROCESS fNG ,~ <br /> <br />S 1 GIIA'fURE <br /> <br />-.----- <br /> <br />S lCJNA'I'IJRlI: <br /> <br />COMPANY~________~ <br />STATE CERT OR REUTST # <br />CJTY PROCB:8SIlJG jj <br /> <br />PLUKBBR <br /> <br />.................................................................. <br /> <br />MaeHAllICAL <br /> <br />................................................................,. <br /> <br />COMPAUY_ <br />STATE CERT OR Rl':a!ST #I <br />CITY PfWCESSINO 1/ <br /> <br />SIGNATURII <br /> <br />OTIUIIl <br />, B IlJNA1'\JRE t<. <br /> <br />................................................................. <br /> <br />------ <br /> <br />COMPANY <br />STATE CERT OR RE(JTST II ______________ <br />C[TY PROCESSING II <br /> <br />S IOHA"fOREl <br /> <br /> <br />,........................................................ <br /> <br />CmIPANY~~--1- ~":::,-\ S\s...~____ <br />~ STATE CERT OR REGIST II ~~D~\cs::: <br />('n'y PROCESSING II _3C\\'~.____--,_.. <br />