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<br />C~TY OP,ZBPRYRBILLS PBRMIT APPLICATION <br />SUrLDDIQ ZJ_~ 5335 eUo 8Dmtt ZD1lY1tJaLLS, FL 3:iS40 <br />>>~.:e13-780-0020 ~axt813-780-0021' I <br />ar. ~ ~-C(---tJ,2 <br />PI..UnI RlW1:1Df ... <br />OtfNElt'S HAM!!f VCr! Lon rncor po r-ctk. d paONE CONTl\CT 4<63- .J..:lUS"' <br />JOB St'l'li: ADJ)~.s .3g60~ A- AvUllAe. 2e..p ~h IllS F L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PUCEL ID # <br /> <br />BLQC~ <br /> <br />SUlID.!VIBION <br /> <br />WORX PROPSBD: nH1nl (YBJA'MrI.. ..,.. nv <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICE) <br /> <br />I.....J ..........~......L"'-...,~ <br /> <br />U^W.,I;.l!il'UU: .I,V~ <br /> <br />'tjJ .RJ5PAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />OKNB <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: tJSGL FAM:tLY DWBltLING <br />j4cOMMERCIAL <br />D RBSTAtllUWT & HlIALTH DllPA:R.TMJI:NT APPROVAL <br />DESCRIPTION OF won ~ _~ <br />BUILDING SIZE (q L.{ "- g 8' SQUARB FOOTMB , ~ I ~ 0 <br /> <br />DMULTI ~ FAMILY <br /> <br />Dj OoP UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />HBIGRT <br /> <br />&:1#J f7 f-t <br /> <br />RJ;!lSIDBN'l'IAL; ATTACH (2) PLOT Pl.J\NS &:- (2) SliTS OF BUILDING PLANS & (1) SST ENERGY FORMS. <br />COMMERCIJ\L: A'rrACH (3) SRTS OF BUILD:tNG ~s " (1) mrr ENERGY FORMS. <br />PROPRRTY SURV'BY REQU:tRBD ItOR. ALL milW CONSTaUCTION. <br /> <br />\ 33 11:2.. PlmMITS R.B:OUJiSTBD <br />o BUILDING $ .~ VALUATl'ON OF TOTAL CONSTRUCTION <br /> <br />o ilLBC'l'R:ICAL <br />o PLUMBING <br />o MECHANICAl, $ <br />o GAS )&.ROOI':rNG 0 SPEC.:tALTY <br />TYPE OF CONB'l'R.tJCTION c 0 BLOCK <br />FDnSHED FLQOR 8LRVATXONS <br /> <br />AMP SERVICI!l <br /> <br />tJ FLORl:m\ Elona <br /> <br />o W.R.l!I.C. <br /> <br />VALUATIOl{ OF MECHAHCIAL INSTALLATION <br /> <br />o OTHliR <br /> <br />~... <br /> <br />o PRAME. <br /> <br />o STl!ICL , 0 OTHBR. <br />:IS PROJECT IN P'LOOD ZONE ARRAO YES 0 NO <br /> <br />\ <br /> <br />:,~,~:.-,-j> '" c.. .' " "_~- _ C:C',~:'!'~::.~~~'~~:,:'c..,~i~>~~r.~~,~}..~~~,:-f~t~p:~~' <br /> <br />1ltrXLJ)JDl <br /> <br />COMP~ <br />BTATa CKRT OR REGIST # <br />crTY PROCBssnm # <br /> <br />S IGNATtJ1UI <br /> <br />....*....***...*.........****..*****......**.............**..*.... <br /> <br />JILIICn:tcZQ <br /> <br />COMPANY <br />STATE CBRT OR. 1U!lG:IST .. <br />CITY PROCEssnm it <br /> <br />SIGNATURE <br /> <br />......****.........***....**.*******.*.*...*.......**.*.******.*.* <br /> <br />pL-mmn. <br /> <br />COMPANY: <br />STATE ClIRT OR lUIGrST ft <br />em PROC1!lSSING .. <br /> <br />S!GNATtJRE <br /> <br />IIJICJIAH:[CAL <br /> <br />.*..*....**..*..*..*~...**...**.*.**.....*.*.*.........***.***..** <br /> <br />COMPANY <br />STATE CHRT OR REGrST # <br />CITY PRQCB8SING 11 <br /> <br />SIGNATUU <br /> <br />. <br /> <br />*..********...,.**.**..********..****.*..*.*********.**.***..*..* <br /> <br />- ~o-+;'n5 <br />s,,,,,,,,,,,,,,,,' ~ tJmvwW <br /> <br />COMPANY Sau+jloxn ~~ ~ . <br />STATE CUT OR RBGIST # _ c: LI 8lj <br />CITY PROCBSSING 1t c5l.~.IJ~ <br /> <br />-- <br /> <br />**......**............*********....****.****......*****.......... <br /> <br />l 'd <br /> <br />Sv8l'ON <br /> <br />C'" I jIll' to <br /> <br />8 'u~~ <br />