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<br />t. '!7 <br />/~) ~ f. 1-/ D A K';or~ <br />"i"~ YJ-/ <br />(~O ~'7 bL'+ <br />I4N Q:SL~ C-0lJr(\ 'ZEf'H"RJ")LL~ r=-L33~4-\ <br />/ <br /> <br />C\ R.C~. 'z.E.PH'l'QH-ILL'S. FL. 3:s S4l <br />. I' <br /> <br />V\ LLH S:.:IL <br /> <br />Alf>PLTG.i\'ITm'il .IF\O'I~ pif::mn,l' <br /> <br />CJLTY OF ZEPU11R:UTl"I,:S <br />lfmU"DJLlf'JG ]}E!P'c\rt'Jl1'rrE,~iJT <br /> <br />O'k"NER' S NAME W U SSE L L <br />8235 <br /> <br />.TOB ADDRP.sS 4- '7 fao -=:; , LV E Q <br /> <br />\'\1\, <br /> <br />Oh'NP.R' S ADDRESS <br /> <br />LEGAL DF_SCRIPTION: UJii'(S) <br /><f<Eco rLD <br /> <br />pLHr <br /> <br />h"URK PROPOSED: 0'cw ConstrucltiDlfl _At(~dit.ion _Alter3t:iua _Repair _Install <br /> <br />PARCEL I.D.t- <br /> <br />_Sign <br /> <br />_Uove <br /> <br />PROPOSED US F. : <br /> <br />~ngle P3~ily <br /> <br />~HfF' <br /> <br />_IndUJ:sL <br /> <br />_ \"oi'lmile rcia 1 <br /> <br />bRoLuN <br /> <br />l"HOJH:: <br /> <br />m.OC'K__Smmn"JSIOiN C. H 14 L fa NT <br /> <br /><BcoIC 3' <br /> <br />P\4 ~61 0 <br /> <br />_Demolish <br /> <br />_ill of FoiLs <br /> <br />_Mill <br /> <br />_Swim. P(1)J <br /> <br />Other <br /> <br />_Restaurant & ne.alth ]}ep.arment i\pI?J;'ovaJ~ <br />I ., . t"V\cQ.;L- UN IQuG Q ( ... n <br />BUILDING SIZE: ::<q X J;-3'b2 / :::<.lob 111' Square Feet. 0 0 oK E i\vSSUeight <br /> <br />RESIDENTIAL: <br />GOMHERCIAL : <br /> <br />ATTACH (2) I'T.OT PlANS & (2) SETS OP mrrU>IiH'G PLi\,1iS Fe (1) SET ENERGY FOm-IS. H <br />ATTAcn (3) SETS OF' nrr,[]LD][]<lIG l"Lt\JliJS & (1J SET ENEff{GY Fm\.!"IS. H <br />HCOPY OF (')JWfRACT RE'Q1rlllIJ!UID. <br /> <br />",.. <br /> <br />~UILDING <br />VF.I.ECTRICA L <br />~IF.CITANI CAL <br />~LUMBING <br /> <br />$ <br /> <br />Pf1:JRilfiTS RF.QUESTF.Tl <br /> <br />V.alua~ion of Total ConstnlCtion <br /> <br />100 <br /> <br />MIP Service ~Florida Pm"(>3~ CDI'p. <br /> <br />$ <br /> <br />GAS <br /> <br />~"ramle _St:eel <br /> <br />TYPE OF CONSTRUCTIO~~: ~ock <br /> <br />ITNISITF.D FLOOR ELEVATIO!{S: /7 1.17'_ <br /> <br />W.R.E.C. <br /> <br />Va_hn.d11tion of IT'!echan!ctl Tnstallat:ion <br /> <br />ROOFTi!~G <br /> <br />SPiECIAT.TY <br /> <br />Other <br /> <br />'.IS PRO.J.ECT IN FLOOD ZG?{E ARL\'; _ ~ <br />YES NO <br /> <br />~~~~**~~*~*~*~**~~*~t**~~~~~*~~*~~*~~~~~~* <br /> <br />nUll.DEH <br /> <br />~ fl1. :-g VL~ <br /> <br />Signat:ure <br /> <br />romnrRi\C'!l"OJR Slt~GTTm~ <br /> <br />OOfrfPA!Ni' c;2us<::;. ,-=;/ { <br />SLate GerL or Regi~;L <br />Cit..y "License Registration ::.~ <br /> <br />Y1r1 13 )20 lu ILl <br />;Ii CfrC 03 /b /( <br />'?- LI- 3. <br /> <br />~~~~~*~~~~~~*~tt~~~~~~~~~~~~~*~~~~~'~~~~~~~ <br /> <br />F.r.,ECTRICTAN 0 . _ <br />SlR,naturc '-/~ vY\. <b~ <br /> <br />or.J\7'H" L'\.I?~ y <br /> <br />QVSS6LL- <br /> <br />M. 9fWC.v/J <br />t=fl.. 00/055 I <br />168 <br /> <br />~*~~~t~~~~~~~~~~~~~~~~*~~*~~~~**~~~'~'~~*~*~ <br /> <br />Stat.c Cert. or ltel~ist~ f}~ <br />(;it.y :Liccnse l\cgist!_-ation .A <br /> <br />PUMBER <br /> <br />~ ,yv\.q;~ <br /> <br />Signature <br /> <br />CO~!".i\NY <br /> <br />9 u <c;. ;::;u.-- <br /> <br />rvt. ~nOWI~ <br />cr=c 63qClql... <br />IDI <br /> <br />~*~~~~~*~~~~~~~~~~~~*~~~~~*~*~~~*~~~~~~~~* <br /> <br />Stat.e GerL Dr l~cgisL ~, <br />C:it.}.... I..icCI1SC l\ceis Lra tion <br /> <br />!"fF,.c:n^~TT('A\T. <br /> <br />~lt <br /> <br />M.<&~ <br /> <br />*~~~*~~~~~~~~~~k~~~~~~~~~~~~~**~~~~~~~~~~~ <br /> <br />G) r,) Stat.e c.ert. or Ht>gisll.: _ #i <br />7'tu.JY:u..U.. 1\1\, ='\'tr1.- ::c:"::cmse Rc:,iSU'sUnn . <br />~**~*~~~~~~~*~~~*~*~*~~~~*~~~~~~~~~~**~~*~ <br /> <br />AI'PI.ICATlON APPROVED BY 11 MU' "11 ><f ~ <br /> <br />Signature <br /> <br /> <br />OTlIER 1/ J <br />Signa~ <br /> <br />OOID' AiNiY <br /> <br />0. u S.S 6LL <br /> <br />'tv". 13 (l D Lv l\,l <br />cl4 CoLf- 1?54 <br />'/1 <br /> <br />State CerL or l{egist. '." <br />City I.iccnse Reg is t r.~) tion , <br /> <br />I'EH1'HT OFFICER. <br />