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<br />L.:l'!':Y: OF Z.EPHYRHII~LS PERMI'r APPIAICATION <br />BUIl,DING DBJilARTMBlN'l' 5335 8 th S'rRBlBl'f ZBlPHYRHILI,S I 1fL 33540 <br />PhoneI813-780-Q020 FaxI813-780-0021 <br />DA'rBl RBCllilIVJllO tf-::.ll::/?.:3.---- <br />PI,ANa RBlVUW 'If .II!_______..____. <br /> <br />OI'lNER I 8 HAHEl_~.hq.~a.-.:_ , rOJ!~,.;r_______._________.___ PHONEl r;ON'l'A(!T_~_~r-$RV'CE <br />'R . ci t L 813-788-5314 <br />.JOB S I'j'liI ADDRESS ~5.51_.__er-!__~_____!l:_________._.___ '__'___. ______.________.______._____ ... ____ <br /> <br />I"ElClAL DESCRIPTION I LO'f(S) ___.~_37___ BLOCK ____..__ SUBllrVISlON E~ra..lAJ'o'.1.r ______ <br /> <br />!?}\RUEJI, In # ~~- ~(,- ~'-=.f2!2!H2=~ ~ ~.~__________~~~TAIN _~~ROM ~~~~!_~~:_~~~.._~~~'1' WBl_~__ <br /> <br />WURK I?ROI?SEIJ I O(NBIW (,ONs'rRI1CTION 0 ADDI'rION OAL'1'ERATION [1 REPAIR 0 INSTALIl <br /> <br />[JSWN 0 MOVE 0 DElMOIIISII <br /> <br />PROPOSED USE I l)(aGI' FAMILY DWElLIJum <br />[] CQt1MBlR(! fAll <br /> <br />nMtJW'T.. FAMH,Y <br /> <br />0# OF UN !'l'S <br />[] SWIMMING POOL <br /> <br />IJ MOB ILBl Hot~Bl <br />[)OTHBlR <br /> <br />[) INDUSTRIAL <br /> <br />D RElSTAURAN'f & HEAllTlI DElPART~1ENT APPROVAL <br />IlESCRIPTION OF WORK __Sc.r~e.n... E~~_:+- She~ QrL...~l~tr r1~.--st~~-.-----------.-- <br />BUILfHN(j SIZE ID x., L______ SQUARE FOOTA(,E _} go HElWH'f ~~.-p./a..~ s... <br /> <br />RESIDENTIAl" <br />(]OI"lMElR(!IAL I <br /> <br />A'l"fACH (2) PliOT PI"AllS .& (2) SBJTS OF BUUDING PI,AHS & (1) SElT ElNlilRCfi FORMS, <br />A'rHj'At~H (3) SE'rs OF BUILDING PLANS & (1) SET ENeJfWY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FBRMITS REQUESTED <br /> <br />~ B1JILIJINC3 <br />Ll ELBlCTRWi\I, <br /> <br />$ 1 tJptl. O() <br /> <br />VALUATION OF TOTAL CONS'I'RUC'fION <br /> <br />----.--__ AMP ~E1RVICBl <br /> <br />o FI,ORIDA POWER <br /> <br />o W.R,EJ,n. <br /> <br />[] PWfIJBING <br /> <br />o IIJEUHAlHUAT, <br /> <br />I <br />$---_. <br /> <br />VALUATION OF MEC'HANCIAII INSTAI,IJA'I'ION <br /> <br />fJ GAEl <br /> <br />[) ROQFIHG <br /> <br />[J SPElCJIAUl'Y <br /> <br />[J O'I'HElR <br /> <br />TYPE OF CONSTRUCTION I [] BLOCK <br /> <br />1M" FRAMEl <br /> <br />[] S'I'EEL <br /> <br />~OTHElR altLtM../~ <br /> <br />FINISHEl\J Fl,QOR BJI,ElVATIONS <br /> <br />----- <br /> <br />IS I?ROdElC'I' IN l<"LO()/) ZeJNBl AREA 0 YElS [) 1m <br /> <br /> <br />BUILnBlR <br /> <br />it it '/I '/I . '/I . . . * '/I " '/I . . . . * * . . * * '/I '/I * * . * .* * '/I '/I '/I * '/I '/I ** . * . * * * * * * * * * * * * * * . '/I * * * * . * * * <br /> <br />C~ot1I?ANY ...J~~..!f_'%> Q IAAl ,.ty---AL.~J"!!._'_~~~____._ <br />STATE Cl1lR'r OR R~GIS'l' # ----_._h__.___.____.__..~__ <br />C I'l'Y PROCESS ING #......i~___.____~___.____.__._.___._____ <br /> <br />f:llGNATURE <br /> <br /> <br />11Il,BlCl'ra I 0 IAN <br /> <br />SIGNATURE _"___ <br /> <br />..----...--.- -------..------'------..----------- <br /> <br />Cm1PANY_______._____________~------.__ <br />S'fATE e'ER'!' OR RElr.HS'l' # <br />CITY PROCESSING # <br /> <br />.-._._--~_._-_._._--._---...._-~.._-...._~- <br /> <br />~*****************************************1o*1o******.**...***.*.*** <br /> <br />-------~,~.._,---..-_........- ..-..----..------ <br /> <br />PI,tJWBBlR <br /> <br />--_._------~------_._-" <br /> <br />r~OH P ANY ----_____________....,--_________.__.__.______ <br /> <br />STATE CEJR1.' OR REGIST # ________,____.__~...:_ <br />CITY PROCESSING # <br /> <br />S WNA'l'lJREl <br /> <br />MBlCHANICAI, <br /> <br />***********1o*****1o***********************************1o*********..1o <br /> <br />_.._'---._-------_.----_.-------~- <br /> <br />------------------.-----.---- <br /> <br />COI"lPANY____ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~--~-_.._.__.----_._-------....--..._-~.~ <br /> <br />STGNA'l'lJRBJ <br /> <br />------------..---.-..---..- <br /> <br />1o******'/I***'/I**1o'1o********'/I************~********'/I'/I********'******* <br /> <br />OTHBlR <br /> <br />s rcJHA'I'URE <br /> <br />CO/vIPANY <br />S'l'A'!'El CElRT- OR REl~#--------"-----'-----'--- <br />CITY PRClCElSSING # -----------__________ <br /> <br />~----_.-------_.- <br /> <br />'..****.******'/1*********************************'/1**********"**** <br /> <br />--..._--_.._......----~---..-..-._..-.._---- <br />