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<br />OVINER 'S HAl>1E BeeNd p, He C uJ I qu- +h <br />JOB SITE ADDRESS _~o9 ~illJ~F- <br /> <br />l:!'j'Y OF Z:S:PHYRHILLS PERMIT APPIJICATION <br />BUILDING DBPARTMEN'r 5335 B~h S'fREE'r ZEPHYRHILI.S. Ii'L 33540 <br />Phon.IB13~780-~020 FaxI813-780-0021 <br />nA'l'B RBCBIVBD <br />PJ.Al'fB R!llVUIW Ji'IB________ <br /> <br />------.-.----------- <br /> <br />LEGAL D~SCRIPTION: LOT(S) <br /> <br />PHONE CONTACT g/3- ~fo-J..OOJ- <br />o 8.ks Q~ I ~~__.____ <br /> <br />'.--.---.,---- <br /> <br />BLOCK <br /> <br />PARCEL ID # 03-J.b-:J../-OI;/.J-OOOOO-//j..O <br /> <br />SUBDIVISION <br /> <br />WORK l'ROPSEJD: 0 NEW CONS'I'RUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o AUrERATION <br /> <br />,MREPAIR <br /> <br />DSIGN <br />PROPOSED USE: P(SGL FAMILY DWELLING <br />o COMMERCIAl, <br /> <br />D J'NS'rAI.I, <br /> <br />o MOVE <br /> <br />o DEMOl,ISH <br /> <br />OMUL'l'I - FAMILY <br /> <br />0# OF mUTS <br /> <br />[] MOB I r ,E HOME <br />IJ O'!'HER <br /> <br />o INDUSTRIAl" <br /> <br />DSWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RElSTAURAwr 6< HEALTH <br />EiU4/ cARllfe-od <br /> <br />SQUARE li'OOTAGE <br /> <br />DEPARTMENT APPROVAL <br />S li -foN C'ONOerJser<._ A",J- (2t1"'fL <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />C0Jl11YJERCIAL: <br /> <br />HEIGIHT <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERfJY FORMS. <br />A'l"J'ACH (3) SE'rs OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />....----.--- <br /> <br />fERMITS ~EQUEST~ <br /> <br />o BUILDING <br />[] ELEC'I'RICAIJ <br /> <br />$ <br /> <br />VALUATION OF TO'l'AL CONSrl'RUc'rroN <br /> <br />AMP ~ERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,FLEl.C, <br /> <br />[J PLUMBING <br /> <br />~ Jo1ECHANICAL <br /> <br />1300 ;'C <br />$_. <br /> <br />VALUATION OF MECllJU'1CIAI, INS'l'ALLA'rrrm <br /> <br />o GAS <br /> <br />o ROOFIHG <br /> <br />[] SI?E;CIAL'l'Y <br /> <br />o OTHER <br /> <br />'l'"iPE OF C01~S'I'RUCTION: (J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />F'IHISHED FLOOR El.EVATIONS <br /> <br />IS PROc1ECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDilR <br /> <br />COtlJJ?ANY <br />STATE CENT OR REGIST H____ <br />CITY J?ROCESSING # <br /> <br />SIGNATURE <br /> <br />****-'******'********************************.************.******* <br /> <br />BJ,BlCTlUCIAN <br /> <br />SIGNATURE __'__. <br /> <br />CDtIJPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />-------------~--- <br /> <br />*.*********'************************************************.**.*. <br /> <br />PLtIMBJlIR. <br /> <br />COMJ?ANy____ <br />STATE CERT OR ftEGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'l'IJRE <br /> <br />MECHANICAL <br />SIGNATURE ~ <br /> <br />*********.********************************************-****-***-.* <br />COMPANY ~(JAi P.I'P- SCC>~.lLICeS <br />STATE CERT OR REGIS'l' # C4CQi.f4q <br />CITY PROCESSING # <br /> <br />-~- <br /> <br />~ <br /> <br />*****************.********************~********************..**** <br /> <br />OTHJlIR. <br /> <br />SIGNATURE <br /> <br />COJl1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*************************.*.******************.*****.******t..... <br />