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<br />CITY 01' UPIIYRRILLS PBR)O:T APPLICATION <br />BOIUlDl'G DI.~ 813-788-'611 WAX: 113-'88-1516 c:l.. -c:< I- 0 I <br />DAn UClIYIID - <br />JLMq DVDIlr I'D <br /> <br />-." - (ire ( e K. 51:H'''' <:. <br />J:JB ADDRESS 3% S-D" Cd ~ t c. Cl' I?cf <br /> <br />----- <br /> <br />fne <br />.'1 <br /> <br />PHONE <br /> <br />LEGAL D!SCRrPTION: LOTIS) BLOCK SUBDIVISION <br /> <br />PARCEL 10. 62 - 2~ -- 2/-./ 0 .I ~stSa..n.. <br /> <br />cgn~v.~~v TAV Nn~rrF.} <br /> <br />WORK O'ROE>SED, o NEW CONSTaUCTION Cl ADDITION DALTERATION Cl UP/UIl. o INSTALL <br /> DS1GN o MOVii: D OEMOLISfI <br />PROPOSED USii:: DSGL FAMILY OMELLING DMOLTI-rAMILY 0, OF ONUS o tIDBILE 1l0Wi: <br /> o COHMERC IAL o INDUSTRIAL DSiHMMING POOL o OTHER <br /> <br />DESCRIPTION O~ NORK <br /> <br />o RESTAURANT & !l.EALTH DEPARTMENT APPROVAL <br />tlelJ 2. J~JICd.f~jJ lee e f1tdC(~ I <br /> <br />ha.fa f t!v"<'-e fD;'& <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />llJ;:IGIIT <br /> <br />RESIDENTIAL: ATTACH (2) 'LOT PLANS & (2) SETS Of BUILDING PLANS & (1) SiT ENERGY FORMS. <br />COMMERCIAL: ATTACH (31 SETS OT BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SUaVEY REQUIRED roll. ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />~TRICAL <br />o PLUMBING <br />o Ml!:CHANlCAL <br /> <br />$l~~ <br /> <br />PBRMI'l'S lUIQUBSftD <br /> <br />VAI.UATION OT TOTAL cONSTRUCTION <br /> <br />lIMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />"'.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECBANCIAL INSTALLATION <br />Cl OTHER <br /> <br />o GAS <br /> <br />o ROO!'ING [J SPECIALTY <br /> <br />TYPE O~ CONSTRUCTION: 0 e~OCK <br /> <br />o TRAME <br /> <br />o STEEL <br /> <br />o OTRER <br /> <br />FINISKED FLOOR ELEVATIONS <br /> <br />IS PROJ~CT IN FLOOD ZON~ AREACJ YES 0 NO <br /> <br />[ <br /> <br />.-".: <br /> <br />BUILD" <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING . <br /> <br />SIGNATURE <br /> <br />IILIlCDIC <br /> <br /> <br />******.*********.*...*.......;..*.**...*.~*~.w**ww***.~*...**~**_* <br /> <br />COMPANY -:p. tJ. Ad T~ Y /J5S oe ~ tJ:L <br />STATE CERT OR REGIST~ <br />CITY PROCESSING . (II? Y <br /> <br />*~*...*.*****w.***~**.********w...*w*~**~* <br /> <br />PLUNDR <br /> <br />COMPAN'.tL <br />STATE CER'l' OR REGIST t <br />CITY PROCESSING , <br /> <br />SIGNATlffiA; <br /> <br />..ClIQIQL <br /> <br />****.~**.***.**.**.*.*w****w**.....~************'~*w.***.*...***.~ <br /> <br />COMPANY <br />STATE CERT OR REGIST . <br />CITY PROCESSING # <br /> <br />5 IG~!ATURE <br /> <br />********~~**~w.*w****.**********.**.~*..**.*.~*~*.****..********* <br /> <br />0'fIlU <br /> <br />SIGNATURE <br /> <br />COMI?ANY <br />STATE C~RT OR REGIST . <br />CITY PROCESSING * <br /> <br />*~****..*~*.w*.~~****************....*.+*+.**..*...*************. <br /> <br />'d <br /> <br />LS30'ON <br /> <br />Sll[H~AHd3Z jO AIIJ <br /> <br />~ldO 0 <br /> <br />100l 91 qaj <br />