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<br />Feb 17 00 10:52a <br /> <br />Cit~ o~ 2eph~rhil1s <br /> <br />(813J788-3293 <br /> <br />p.5 <br /> <br />UPLlCArIOK I'OR PBBHIT <br />CITY or ZlI:PHIIUIXLLS <br />BUIWIRG DEPARftIBRT <br /> <br />DAD UCEIVBD !2. - P --00 <br />PLARS UVIBIf I'D <br /> <br />OWNER':I NAME <br /> <br />~s .D G't/Glop:; In en7 <br />6WG VS36/ <br /> <br />PHONE <br /> <br />1'/7- 7'-'F ~JII <br /> <br />PARCEL ID # <br /> <br />d hlUr'1 ~ c.; <br />Aa'rtl C4.!CwmsnIVISION <br />khr A-c,/:T-EL) <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR D INSTALL <br /> ~GN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> ~OMMERCIAL D INDUSTRIAL DSWIMMlNG POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />::I.vsrtffl!#q)hvdJ I;'~ da)~o?/e' 6 'fjr) <br /> <br />/IOiX/t/O' SQUARE FOOTAGE IS:- /20 <br />, <br /> <br />HEIGIIT <br /> <br />28' <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS, (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PI~S & (1) SET ENERGY FORMS. <br />PROPERTY SURVEy REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />,?;7.t:.? -I3VJ lell;" <br />rI /__ ~ ,.. <br />~. 70 -'PC; C oJ '5J>?...J <br /> <br />'515l.oJ ~ <br /> <br />~UILDING <br />rrE'LEc'fRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />(/ I. cOt) ~ <br />$ , <br />BIS7/J1S AMP SERVICE <br /> <br />PERMITS REQUESTED <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W,R.E.C. <br /> <br />$ <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />~LEC'nUCIAR <br />QsIGNATURE <br /> <br />ff ,~ <br />C;~/.-J(~ I <br />-r~' <, Job7 /'; / <br />q(J/:Jf5 n . <br />~ l..L- ~~ <br />0" 1M' ?; ~ --Q510 <br />7 q lfI~ ~.-<J~ <br />0'.lfi1' ~ )/', i)Jfr <br />fl'"- I l' /;#J <br />LJ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEV~TIONS <br /> <br />.1.5 PROJECT IN FLOOD ZONE AREA.D YES 0 NO <br /> <br />f1~~~~g~m~m~~~~~~ilim~~~~m;m~~~jW~~~~k;j~~~~~:~~ -- -- -- ~~~~I~g~~m~;~l~~lifu~I~~~]jiG~~~~ <br /> <br />BUUD.,. / <br />SIGNAr6~ <br /> <br />4~ COKPANY /J143~ 6~~ <br />~TE CER!:)lR, REGI ST II ::l 0 00 O~" ~ <br />_ _ I E'ROCESSING II <br /> <br />w**f*********************.************.***.***~*.********* <br /> <br />COME'ANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING II <br /> <br />****..*******..*******.********.*.*********************-.***-**... <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***~~**ft**~*.****.l**~.*..***.***.******~.****.*******....*.*..... <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING . <br /> <br />JIIICIUlIQ;CAL <br /> <br />..*.-...-**...***-*--..*****-*.**.****-*._****.***.********..**** <br /> <br />0THIUl <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.**..........*................_...*...............*.*......-..... <br /> <br />S'l. <br />Com. <br />The i <br />Before <br />by <br /> <br />'1t,.thlS-l--Q.. da~of F- r;.-o , 19O'U <br />^ It-iLAJ oJ , f\'L/I\ 6G/IC <br />(name of person acknowledged) <br />o who is personally known to me, or <br /> <br />Before me tl}.i.:> ~d.ay or -^i ,1." ~ <br />by l~ JL.L...,..j J,' v'- A "tC.. <br />~e of person acknowledged) <br />~ is personally known to me, or <br /> <br />~as pro<:luced <br />~e of identification) <br />~ not take an oath. <br /> <br />i g acknowledgement <br /> <br /> <br /> <br />of identification) <br />take an oath <br /> <br />acknowledgment <br /> <br />RENEE L OIJ <br />My Comm Exp 5/5/2002 <br />fio. CC 739909 <br />I Ht."rsonally Known [ I Olher [0 <br />