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<br />-~....&. <br /> <br />V~ ~a~n1Kn~~LH ~BRMXT APPLICATION <br />DUARTJtmrr 533!; 8<11 S'1'Il.D'1' ltBPIIY1UIILLS, "L 33540 <br />PhoDe:813~780-0020 Fax:813~78D-0021' <br />DAT. JUICIIJ:VBD <br />l>L&IIS RJlVln .... <br /> <br />Bl1l:LDl"KQ <br /> <br />OWNlilR'S NAME <br /> <br />.~ 'Z ~J:-~ " )//ftt. <br />17'1 Sr. <br /> <br />JOB SITE ADDRJi:SS <br /> <br />Z &]>1+1" IZ- If t=.. LL. S <br /> <br />PHONE CONTACT <br />Fl- <br /> <br />Sf:f'l <br />LBGlU. DESCRIPTION: LOT(S) 13; It{' IS- BLOCK #;; <br />PAR,CBL IV # ii-J.6- ;z.'-i)~;D-"i/3,1"_()130 <br /> <br />:?.? 5"ftJ <br /> <br />SUBDIVISION <br /> <br />"OU PROPSED; ONB CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICB) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROllOSBD USE, B{GL PAMILY DWELLING <br /> <br />D MoVE <br /> <br />o OBMoI.ISH <br /> <br />o COMMIl:RCIAL <br /> <br />DMULTI-FAMII.Y <br />o INDUS'l'RIAL <br /> <br />D# OF ONI'l'S <br />o SWlMMlNG POOL <br /> <br />o I<<)BILE ROMS <br />o OTHBR <br /> <br />DESCRIPTION OF WORK <br /> <br />D RlilSTAURANT 6< HEALTH DEPARTMENT APPROVAL <br />RC-&cF <br /> <br />BUILDING SIZE 'SV X' 5""""2.-- <br />, <br /> <br />SQUARE FOOTAGE <br /> <br />/6 t'o pi' <br /> <br />HEIGHT <br /> <br />(?" <br /> <br />RESl:DBNTDl.L, ATTAC!H (2) PLOT PLANS & {2) SETS OF BUILDING PLANS" {i) SET I!:NBRGY POllMS. <br />COMMERCIAL: A'l"I'~ {3) SETS OF BUILDING PLANS r. (1) SET BNBRQ'( FORMS, <br />PROPER'l'Y SURVEY REQUIIl.BD FOR ALL 1mi'l CONSTRUCTION. <br /> <br />PBRKITS REQ~STBD <br /> <br />o BUII..DING <br /> <br />, 00 <br />$. '~j hOO--- <br /> <br />VALUATION OF TOTAL CONSTRUCTloN <br /> <br />o EI"BCTklCAL <br />o PLUMBING <br />D MECHANICAL $ <br />o GAS ~OFING <br /> <br />AMP SERVICE <br /> <br />o FLORlIlA POWl!:R <br /> <br />o W.ILEoCo <br /> <br />VALtJATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECII\:LTY <br /> <br />OOTHBR <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />tJ FRAME <br /> <br />o STEil... <br /> <br />o OTKIUt <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ~D YES' D NO <br /> <br />~, :~~"- -:- ~~,' ,"",- ~c~. '- '-':, , ~ ';-, _ _ >,:',"-;-:'-:-::;'-';<" 2~<'''.~ ,.':q:r:f;'--;'-~,;;~~~:~~~ <br /> <br />BUZLDD , <br /> <br />SIGNA~':'-~~ <br /> <br />------- <br />. <br /> <br />COMPlUfY. /f}J~4L1 t" ?p" r~,~, 4l/}l~"t}):it, 0 <br />STATR ClilR'r OR RBGIST i ~ ~ e,. _ _ ___ <br />CITY PROCESSING * <br /> <br />.......**.**....*******.**..**...._**..*****....**.....*.......... <br /> <br />liLBCTa:J:C!AK <br /> <br />COMPANY <br />STATE CBRT OR REGIST # <br />CITY ~ROCESSING # <br /> <br />SIGNATURE <br /> <br />**...****.***.**.**...**...~.**..***..~****.*****...**.*....***.** <br /> <br />PLVllBIUt <br /> <br />COMPANY <br />STATE CURT OR REGIST # <br />ClTY PROCESSING # <br /> <br />SIGNATUIl,B <br /> <br />DCJIAlIllCAL <br /> <br />***....*.*****...****..*********...****...******-**...*******.**** <br /> <br />COMPANY <br />STATE CBRT OR REOIST * <br />CITY PROCESSING n <br /> <br />SIGNATOlU!; <br /> <br />..****...**...*...******...****-**.........*.*******..***.....*** <br /> <br />0TJIJIIt <br /> <br />COMPANY <br />S'X'ATE CIUtT OR kaGIST * <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***...**********.****.*.~*.**.*.**...***.*-**.**..****....******* <br /> <br />I'd <br /> <br />l 0 L I ' 0 N <br /> <br />SllIH~AHd3Z jO Al!8 <br /> <br />~V88:L GOOG 'G 'H~ <br />