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<br />L:: J.. 'J.' ~ <br />BUILDINQ <br /> <br />UlI' lGJ1i1JHYRHILLS PERMrr APPI~ICA'rION <br />DBPARTMENT !:)3J5 ~th S'fREE'l' ZEl?HYRHIllLS, Fll 3354Q <br />ibon~lel~-780-DOaO F&XI813-760-002.1. . .1 <br />. ' IlA'L'E RBOEIVJllO ~-~.b~ Dlf?_ <br />PI,AN8 RlllVIlllW ~BB.:za-7 O~I 0079 <br />, "1SQ~ ~ .:?-- <br />PHONE CONTAC'!' tiS. 7:J9. ~/O <br /> <br />mINER I SHANE Sir/(I!J.IA 7J/()h>J:iS <br />JOB SITE ADDRESS ~5~ -rim~ tcJ~ <br /> <br />LEGAL DE8eRJPTION: Lo'r (8) . ':i~ <br /> <br />SUBDIVISION ~er ~<lftllJf , <br />(OBTAIN );i'ROM 1?11-0I?ElR'l'l{ TAX ~n'!'+QBl) <br /> <br />BLOCK <br /> <br />ilARCEL ID # J~ ',2~ CJJ-(Jd.OO .(XX)Ct) '0350 <br />WORK ElROl'SED: o NEvi CONs'rRUCTION 0 ADDITIOl'J <br /> <br />OALTERATrON <br /> <br />o REPAI;R <br /> <br />q HHrl'M.I, <br /> <br />Osrcm <br />l?ROPOSEO USE: ~L FAMIlJY DWELLmG <br />o COMMERCIAl, <br /> <br />[lMOVE <br /> <br />o DE/'IlOLISH <br /> <br />o MUI/l'I - FAMIlN <br /> <br />0# OF mnTS <br />o SW IMMING I?OQl, <br /> <br />[J MQlH !,liJ HOME <br />IJ OTHER <br /> <br />o INDUf'j'l'RIAI~ <br /> <br />CJ RESTAURANT & HEPoI,TU DEPARTMElN'r APPROVAL <br />DESCRIPTION OF !'10RK ./N5T/fIJ ?!-t, 15u~.I1WJ.9~ ~/;::: OIl~R /~AJp) ~~ S#/N/f/If' <br />BUILDING SIZE ,;J-~ /J SQUARE FOOTAGE ~~.,p HElem'!' ..~~ <br /> <br />RESIDENTIAL I <br />COII1I'<1ElRCIAL: <br /> <br />ATTACH (2) PLOT I?LA1~S & (2) SETS OF BUIl,nn~G PI~lU-.}E! fi4 (l) SET ijJNJJlRqV Ii'lJIRlI1S, <br />A'l"l'ACH (3) SE'rs OF Bun.p~NG PLANS & (1) SET ENE,RGY FORME!. <br />PROPERTY SURVEY REQUIRElD FOR ALL NElW CONSTRUCTION. <br /> <br />~/ <br />f'-X>C ./ <br /> <br />~ER,MIT~ REQUESTlID <br /> <br />lJ a{JILnIl~(3 <br />fJ ELECTfU CAL, <br /> <br />$ /3/~~C <br /> <br />V~LUATroN OF TOTAL COl'lsrrR{](~'rION <br /> <br />AMI? ~ERVIC.El <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLm1Bu/G <br /> <br />o 1.1ElCHAIUCAI. $ <br />o GMi ~FIlW <br /> <br />VALUATION OF MECHAHCIAl. INS'l'ALLNr:rnN <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'1'YPjjJ OF CONS'I'RUCTrc.m; D BLQCK <br /> <br />o FRANE <br /> <br />~'l'EEL <br /> <br />o OTHER <br /> <br />,fi'IlUSH,jjJP ~~.QOR EI,EVATIONS <br /> <br />IS PROJ'ECT IN FLOOD ZONE AREAD '1ES ~') <br /> <br />! <br /> <br /> <br />/ -# t.Jf:> <br />iUILnJllR I /L'O 1 CCltIJPANYW INJX>W..$ufPt.lJl~ <br />~~ STATE CERT OR RElGIST # ~ <br />SrGNATU~~ _ .J . ) , CITY PROCESSING # <br /> <br />.....t*.*,.....*...********..**...*.*****.***.********"t'****'*,* <br /> <br />il.BOTUCI,fill <br /> <br />SIGNA'l'URE __..._: <br /> <br />C0[.1l?ANY <br />STAT~ CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />--~--- <br /> <br />~""""-------.....-.-.......---.,....,...-- <br /> <br />*"*"""'*'*'*'********""""**'*.****..,............*ttt.*... <br /> <br />PLUMI:UilR <br /> <br />COMPANY <br />STATE CERT OR ~EGIST # ~ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHAlUCAL <br /> <br />.*..*.....*..*..*.**......*........*.......*..*.*.**..""**'**'.' <br /> <br />COII/fPANY <br />STATE CER'f OR REGIS'r # <br />CrTY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.*.********.*****.*.******.*******.*.*~**.*******.*.**t**.t,***** <br />j <br /> <br />OTHli!R <br /> <br />CO[.ll?ANY <br />S'l'ATEJ CERT OR HEGIST # <br />CITY PROCESSING # <br /> <br />S rc~HATURE <br /> <br />*~.*****..************************************~*******_***t****** <br />; '; " ~ ' ",; <br /> <br />~'.-P <br /> <br />J.q <br />