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<br />fr ~'I'LH:ATIUN FOR PBIUUT / ~ <br />" \ CITY Of ZBPBYRlIILLS VT1 (J _ tJ 1.7 . . " <br />BUILDING DRrAlTHBNT Dr f <br />.---. Ii. ~~4,q7 <br />tJ1iNU'6 "Milt .J...~~_'".B.ilgJ~f.D.g_.~_ ..." ..__ "'_'''___'''_'N__tHONR"..",<~_..".._"~,......... <br />'JllRRR' 6 ^UltRB.,~....~l3 ~{_..firtk@.f;"t!..S./z.1r ]7i_~.~._.... --._.._.....~..~~._..___.__...u ~~_. . <br /> <br />..fOR ^()J)Il~!Js_.._.. ..._".._-:-:~._~?' ~..@:"..._... . "........ ....... ...,. .. .....__.... _ ._...._.. .. ...~_...~....._~.'""......,..~..... '__'. ..... <br />, <br />I.lQM. llBSC1U~Frlf)N: LOT{S) -5..5 ower\- SImDIV1510N.. sJ1;Plft;IJ"5 ~c.eN Itl SiLIk~o fllc5 <br />- ~ -- .-.....~.._--.... .....-...-.--...-... PH~ "fWO <br /> <br /> <br />fARCEL J.IJ.t~_ CQ8IAllLtlUIJ llWu.&:a TA,110ugal <br />WORk PROPOSEDf--"~W Cowltructlon bddiUon --.....-Alterathm ._..Jepaf.r ___IMt..ll <br /> <br />..~6iln <br /> <br />"OM---'1ove <br /> <br />--.-IJ~.,l ish <br /> <br />nWl'OSP'D USE: ._~5 io.gle tawUy <br /> <br />---1t/F ___.f of Unit.. .-.._"/D <br /> <br />~....__C~eccial <br /> <br />_lndust. _.Swi.. Pool ....._Other <br /> <br />.~~J~.taura1\t , lJealth Del'art..lllent Approval <br />URGCRIPt'iON OF WORK:.~_~.._.~...~.L....&_aJ=-_..._@dtJ5!!.~.",_ <br />nUILUlIO 5IZRr . ){ ,--1..5"11 Sq...are Feet.,__.JIeisbt <br /> <br />RBSIDEMTIAL: ArrAGII (2) ptor PLANS Ii (2) SETS OF BUILDING PLANS & (1) SIT RNBROY POJUiS. <br />(;OttUE.RCJAL: ATlACII (3) SBTS OF BUILDING PLANS' (1) SET . ENERGY fORMS. <br />l'ROPERTY SURVEY REQUlRIU) FOR ALl. HEM CONSTRUCT1'UN. <br /> <br />~.X'..JlUllJJl"t; <br /> <br />$ <br /> <br />fElU11l.S_BIOQISUU <br />190 <br />3t35q ~ _. Valuat:lou of TotalCon~t.:t'..et1on <br /> <br />_--..RLBCl'JUCAl <br /> <br />AHP Serv 1 ce <br /> <br />Florida Power (:t~t,.. <br /> <br />~._...__w ...1. O. <br /> <br />___.Jl8GUAJfU~I, <br /> <br />$- <br /> <br />VAluaHon of Kech~Qlc.l IO"'t.~l...tiOll <br /> <br />~.__.tLVttRIN~ <br /> <br />GAS <br /> <br />,. ROOfING __~_.-:.;;;.. nn:(aALTY <br />SCJz.e3J /'i7oJ l> <br />_,..__Fn.e .._.__Steel -AtJl~i!!P..''.:1.__0th8r <br /> <br />lIPE OP OOISlllUf.:TION: _____lock <br /> <br />f''lJUSPlro Fl.oo"Q J(UItVAl'10NS t <br /> <br />..FT. <br /> <br />IS PROJP.cr 18 FLOOD 7.0NF. AREAt <br /> <br />.......*..............**...........~.~*~~~ <br /> <br />Yll'S NO <br /> <br />J,;QHIR&CmlL SECT1Wi <br />nUl UJA . '. . '. ~... ~MPAMY~qJ!~....N,....~~~rb..-.......- ._.~ <br />. Stat('\ Pert. or Regbt:. '..-,f;:MfJ...J"t6Cr.._..__ <br />SiRUl\t.\I ._.....:.-._..... _ __ City Licel1.58 .eg1stutioo . ~CLI..:.L.-...___ <br />.......................................... <br /> <br />J.L.lWl'.lU.GJAti <br /> <br />COHJ>ANY__ r_~'_"'" ~"'....' _. .............H___..._.__ <br />State Cert. or Resist:. f_...._..~..~__.__....__.___ <br />City LicelUle ReBistraUc)U f .~..__.._._--._.._w___ <br />.......................................... . <br /> <br />s..t\UIAt.~e <br /> <br />r.UJMNL <br /> <br />(;()ftpANY_ ..............,,_...._.-_......_.T.--..."'~....-..~..........fl_ 'II. <br />State Cel't. or RetiaL ._____~_..,__ <br />City License Registration t ----IJ N' ___ <br />......................*................*.. <br /> <br />Slftl18tnre _~.___. <br /> <br />lttWANlCAL <br /> <br />5lgo-.turo _~_...._ <br /> <br />.COHl'ANY . __.__.....,,___._,._._...._..__~___ <br />State Cert. or lteg1st. '___. __ _______. <br />. city LlcenaeReBietration . ___~__ <br />.......................................... <br /> <br />u'mta <br /> <br />r,1.vU\ture ._-_..~~'"-- <br /> <br />(~OHPANY_____.___...... .......... '''__._m...__~_____ <br />State Cert.. or Rests t. f.... _....~... ._~._....".~.__._..... _... <br />T (;fty License ReallltraUon , --'-~O'-_""M__'A <br />...........................*.............. <br /> <br />ArrI.H:Al'J.QtI AP.PROVEl) BY <br /> <br />rf:IU1IT OFFIOER. <br />