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<br />:.!t.VWLCOJ/TE'j 83 2] AM ZEH{R~IE.S 5U::..D!\(; <br /> <br />~AX 11c. 3~?-78S-0:~_ <br /> <br />p, ~S I <br /> <br />CITY OF 2:&:JilHYRHILLS PERMIT APPLII::ATION <br />BUILDl1l'G DrPI\.Il.~ 5335 em Bt, hphy:<h:l.ll., J'L' 33542 <br />813-7eO-0020 FAX:B13-7eO-0021 <br /> <br />ItATE RIICJ:rn:D <br /> <br />PIIONJ: CONV.C'l' FOR UJIMU'rING <br /> <br />OWNER'S 111>_'iE'fYed .t- D.:j \s HeL..:i~ PHGNi: ~- S~"\- S-,l/3 <br />JOB ADDlUss~egb~ """ ~~"l is'*' ~ Z~l.s ~~~ <br />. ., . <br />LEG;.:. CZ"C?IFTICN: ::'01':5) D\f',) E!10C'"<<t'b"'" SUBD:::vrS!O~ o<oc:o <br />PARCEL r\g -~d'l-o~~- Ci()::) {(ll'TA": !''ll'''/~ P!<OP.,.q"'YTAY. HCTIr"R' <br /> <br />;';0,,;< PWi'3ED: ONEN CCNSTRfJCTIO:; <br /> <br />o A!)DIT:ON <br /> <br />'tt;.r.:-!:~ATICN <br /> <br />o REPP,:~ <br /> <br />o INSTALL <br /> <br />OS1GN <br />PROPOSED OSE:~GL FAMILY ~~LIING <br />o COlolMERCI.>.L <br /> <br />Cl MOVE 0 <br />~LTI-FAMI:Y <br />o !NDOSl'RIAL <br /> <br />OE..'10LISH <br /> <br />t'e (~ <br /> <br />Of O. Ut.!1'S <br />o SW!MM!~IG POOL <br /> <br />o t1C3!LE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTllURJlJ1T & I!EJ>.LTH DEPA.'<TM1WT AP?ROV.U. <br /> <br />re..'~~~~ <br /> <br />SCOARE FCOTAGE I ~6""'\ <br /> <br />HEIGHT <br /> <br />DESClUPT!ON OF "'"'JRJ~ <br /> <br />FLSIDENTIAL: ATTA<:~ (2) PLOT PLANS & (2) SETS OF 3UlLCING PLANS ~ (1) SET ENERGY FO~lli, <br />CC~MERCIAL: ATTACH (3) SETS O. BUILDING ~LANS & (1) SE~ ENERGY FOR~2, <br />IF SIGN ?ERI1IT OllLY (2) SETS C! ENGINEERED PL1l.NSMorrIRED. <br />F?OP"RTY SORVE':' REQUIRED liOR ALL NEW CONSTROCTIOl;. <br /> <br />o E"JILOIiIG <br /> <br />~.~ <br /> <br />PERMITS RZQOESTED <br /> <br />o fi:r.:O:Cl'RlCAL <br /> <br />AloW Si:~.VICl!: <br /> <br />o Pro,r..ss Energ}' 0 <br /> <br />:..R.E,C, <br /> <br />(~; ~~ <br /> <br /> <br />',ALUATION OF TOTAL COHSTRUCn0N <br /> <br />o PLGMSING <br />o MECHANICAL ~_ <br />o GAS ~OF!tiG 0 SPECIALTY <br />rY?E OE' CONSTP.UC~ION: 0 aLOCK <br /> <br />VALGATION OF ~~CHP~CIAL INS"ALlATIO~ <br /> <br />o OTHER <br /> <br />CJ FR.l\l1E <br /> <br />o STEEL <br /> <br />o OTli&F. <br /> <br />E'INIS.iED FLOOR E~'" <br /> <br />IS PROJEC': IN FICOP ZONE AREJl_O YS:S 0 NO <br /> <br /> <br />COMP~Y ~""b ta tin ~ <br />srATE CERT OR F.EGIST t. C~ ~~b ~ <br /> <br />.~...i...*....*~.**.~~~**~~..~*...*....*W'~~_.*...~Y.*.w.~~~~...... <br /> <br />IllOi:CTRIC:uN <br /> <br />CCt12ANY <br /> <br />SIGNi'_TURE <br /> <br />~TATE CER:' OR REG1Sl' * <br /> <br />..~.......*~.....*.~<<W*.*~.+....*~*.**TY*..*..*....Y*~*~***.**.*w. <br /> <br />PLUMBJ:R <br /> <br />CCMP!\NY <br /> <br />SIGNA':'TJ~E <br /> <br />STATE CiRT OR REG!3T ~ <br /> <br />..w~~~+~...~*.#*~**~..*~..*~..w..*.~.*..*+......*w.....k..*.*..*W~ <br /> <br />HBCHANlCAL <br /> <br />COMPANY <br /> <br />~IG~:A'fURE <br /> <br />STATE CER7 OR REGIST ~ <br /> <br />~Yk.*t*.*..*t.**Y._.**..*~W*..*..**~t*.*..*+*.~**.*WK~~~i~.*~*..* <br /> <br />O~R <br /> <br />CO~PANY <br /> <br />.-, <br /> <br />SIGNATeRE <br /> <br />S~TE CERT OR aEGAS~ # <br /> <br />~ <br /> <br />lJ"'\. Virginia l McClelland <br />,~; My Commission 00129893 <br />o,,..d" Expires June 30, 2006 <br />