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<br />......'... .~.. .........U..d,~U..,.u.uP .r;".tlI&\.&.Y.l...L. J.' .I\.I;'.I;'!~J.l;J\'J.'.!.lJ~ <br />:aUn.onH~ OBPARTMIilN'I' 5H5 !ltli S'l'RIilIil'I' ZIiIPHYRHILI,a I IrL 33540 <br />Phon~IBl3-780-q020 Jraxla13-7aO-OO~1 <br />flA't'Iil l\BCJilIVBlO ~___.__..__ ..' ""'''___'h <br />i'I,.Al'lS IUIIVIIllW Jj'1iI1ll"'__n__n~ .___. <br /> <br />nlllI". '8 1""'".~'2.5.J?12L20-L0~"'J____________._ 'BON8 OON'J'AC!'!2.tY!._::_d 'i OU <br />,TUE S I'fbl ADj)HEf:jS4_Z_~, -SL..~k_C:' f'__ck_____ ____________________.. _.h..__._..___._____ <br /> <br />. <br /> <br />~ jlJl.t{ <br /> <br />l,Ef,AL DESCkll'TION; LOT (oS) <br /> <br />Bf.OCK <br /> <br />PAltC!BJL ID # / ~- <br /> <br />~------ <br /> <br />f:jIJBDIVISlON <br /> <br />-.------ <br /> <br />0( d_~.L <br /> <br />o ( 80 00000 (OBTAIN F'ROM I?ROPER'l'V 'l'M\ NO'flWil) <br />e'ii!l:-Jfo- . .--_"..~..___.___._____ <br />[] AODJ'l'ION rJALTERATION JlS REPAIR <br /> <br />rlfJftK /:lROl'SEIJ; LJUEI'I ~ONsrl'RlJC!'I'ION <br /> <br />l?Rt'Jl'OSEIl <br /> <br />Os mil <br />{Jf:lE I p{smJ FAMILY <br />f] COMII1tilRCIAI. <br /> <br />[J mS'I'Aj.I, <br /> <br />lJ MOVE <br /> <br />CJ fJEI"1OI,ISH <br /> <br />PWEIJr,Il-1G <br /> <br />CJr111l4'l'I - FAMILY <br />o J;NPU~'l'RIAL <br /> <br />[J# [JF IJWI'l'S <br /> <br />f] MoanE l!nl\1E <br />II O'~'mIIR <br /> <br />[] s W IlI1M IHC3 POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RES'fAURAwr & lUilAi,TH fJljiI?ARTMEN'l' API?ROVAL <br />iSi- Ejt2J~4c.Nj~ ""4 f dr:._"LJiZ ~ .,I"'dt.L02 seeL~j,l'jsf.,A1 <br />SQUARE li'OOTAGE ______ <br /> <br />IlfHi:IU'f' <br /> <br />BlJn.OING SIZE: <br /> <br />RIiJBIDElHTIhLI <br />(~OI>1/111l11WIAI.J ; <br /> <br />A'l"l'ACH (2) t'LO'I' I?J.JAllS & ':3) SE'fS OF' ElUlJ,DIW3 PLANS 6< (1) fUiI'l' ENl.ilJir,v F'(lftlI1S. <br />A'l"I'AL:H (3) BEl/fS OF BUILDING I?LANS & (1) SIil'I' ENlillH3Y !i'OHMS, <br />PROPERTY SURVEY REQUIRElD FOR Al.L NEJW COl~S'l'RUC~TWH. <br /> <br />.~..---~, ~-_.....--':'"......~~-- <br /> <br />R~~IT~ REQUE~TJn <br /> <br />LJ BIJrI.llHllJ <br /> <br />~ ---- <br /> <br />VALUA'l'WN OF 'l'fl'l'AL CONS'I'RIJr;'I'ION <br /> <br />[J El.Ee'I'RWAI, <br /> <br />AlI11? ~EJRVICE <br /> <br />CJ FI.ORIl1A lJOWER <br /> <br />o W.1LIiJ.r;, <br /> <br />[J 1l1.1Jj.1&mG <br />p( l']ElCUJU~ r (]hI. <br /> <br />dO <br />r;d.C1 OOL- <br /> <br />[J (JA/;;/ <br /> <br />f] RODF'WG <br /> <br />[J SI?.b:rJIJH!l'Y <br /> <br />VAl.UATION (IF' MElCl!}U~(:IAr. INS'I'AI,IJA'l'I(jN <br /> <br />o O'l'HER <br /> <br />'n.'Plil OF' COWl'I'RUc'nDl~ I [j l:H,Q(:K <br /> <br />o F'RAlIJE: <br /> <br />[J S'I'EEL <br /> <br />o OTHER <br /> <br />F'JNIS}tliJjJ B'I,OOR EI.EVATIOIIJS <br /> <br />IS FRO,IEe'!' IN FUJi)f) ZONE AREAD ~ElS <br /> <br />[11m <br /> <br /> <br />l:lUILnlilB <br /> <br />IIU,1Il0'.L'IUCIAlf <br /> <br />....i.....i..........**..*......*......*.......*.....*............ <br /> <br />CCitIJI?AHY _______.. ____.__._____.____,~ <br />S'I'A'l'E CElk'l' OR RElC3IS'I' # _-_.._._____~___.__ <br />Cl'l'Y I?RO(JJj;SEHNG#_________ <br /> <br />.---.--...~..'-~ <br /> <br />Slf3NA'I'l1RJj) <br /> <br />_.__.__._-------_._~----_.__.~--.--_--- <br /> <br />8 J mlA'!'IJRBJ ____ _.___.__________________ <br /> <br />CDIY1I?AHY <br />STATE CERT OR REGIST # <br />CITY PROCW8SING # <br /> <br />_.----~-~-_.~,---._-...-- <br /> <br />'-'--",- '.- ~ ~-... ----..-, ....,."............_---~.- ........"-._.....~- <br /> <br />i'LUMliUlIR <br /> <br />AtA........,.....,*......,........**********,..***t***ttt.""..tt <br /> <br />---_.-......._.-..~-........ ........._._-,.~.--.-. <br /> <br />.--.--------- <br /> <br />COMPANY---__._-c--_~________.____._.__.__ <br /> <br />STATE: CElRT OR ~EC3IST # _______________..__ <br />CITY PROCESSING # <br /> <br />SWHA'l'IJREl <br /> <br />WlllCJH.AlUCAI4 <br /> <br />......................................... ~.. ':f'~"", ....I A ' <br /> <br />t. ,tl 0 ~~~;':"~'N'r :. ~8'" # ~~~7~_iT'-~-=~ <br />'/lL.'!./I ~~-7j'_. CITY 'ROCESSING # ::c d.;zo ._.___..___ <br /> <br />''''_--._.~- <br /> <br />SWNATlJRE <br /> <br />OTHER <br /> <br />*A.*t*'..'*A..*...**,***..***********....*****......*..*..,..**** <br /> <br />_._-_..~------_._- <br /> <br />-....------_~R.,__ <br /> <br />.....---- <br /> <br />(~0I,1I?ANY <br />. - <br />S'l'ATE CERT OR REGrST # <br />CITY PROCElSf:lINC3 # <br /> <br />....~..-,..........--._._....- <br /> <br />srcWA'l'URE <br /> <br />*******.ttt**..*....******.t.,***....**..*..*...*,..****'*t'A**.. <br /> <br />------...,...,..,-.-..""-------.~7....... ---. <br /> <br />-_..--.........._._--.-------.........~"............,.......~.......--.,............-,-_. <br />