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<br />~~.... ,".. ~"''''U''''''''.u~,ol.J.uP .r;-,CU\W..L.l .t\.t'.t'J..JJ.l;I\'J,',l,U!'i <br />aUIl.OrNG OSPAR'I'MEN'.l' 5335 ~tll S'l'REE'r Zllli<IiYRHII.I.S, Fl. 33540 <br />ibon~181]-7Bo-q020 FMKI813-7aO-OO~1 <br />nA'.L'Ji1 i\JlICJIlIVEO __.__._.. _ '_""'__h <br />:E>J.AlilS lUIIVUW Ji'ilJl:..______.,..____ <br /> <br />01/11'.' 8 IIA'." Abh " (~I:L ITItt:thS'- W _____________ PHONE COH'J'A"'LE::.'L~=-YJjL_ <br />,JUB S I'l'E ADnHESS_,S_~_.~ L__-.S:~ --.sjg~t_-.---____u________o_o .____... _..____ __. '. ___ <br />LliJr,AL DlilsrJltli-''l'Wl'l; LOT(S)ft .J?_fL___ Bf.OCK __I ':Ai_ f:lIIBIHVISlON ~tr.h#h,il<' <br />-~!Wl, IiJ..#..~.-11.-^~'.~I__-OQLO - {~400 -cn~O <br /> <br />~J(JltK lJftCJI'Sl:illJ; LJNEvJ COm3'1'ftlJlJTION [] APDJ'l'IDN []ALTERATION [] R&:PAr~ <br />fJSJGll [J ['<lOVE: ~nE:JY1OI,rSIl <br />I?RlJl-'Uf:lEIJ USE: [JSGL FAMILY DWE1,r,nm [Jr1UI{I'I o. FAMILY D# DB' llNI'l'S <br /> <br />(OBTAIN E'ROM 1?1WI'IlJR'l'V 'l'M\ lW'l'IPJjI) <br /> <br />.,.-..---........--.........----.-.---......- <br /> <br />[J lHS'rM.i. <br /> <br />fJUOMMJilRCIAl, <br /> <br />o I.NPU/:i'l'RIAL <br /> <br />DSWIMMIHG I?OOL <br /> <br />f] MOB Il<E Unl\1lil <br />l] O'l'UHlR <br /> <br />nESCRIPTION OF WORK <br /> <br />CJ <br />--Ve/fJo!/c; A <br /> <br />RIiJSTAURAl~T & HBlJa,'l'H IJEPAR'l'MElN'l' AlJl?ROVAL <br /> <br />(j!.X isiLfvj. St-illelv ~~Ii!e>v_./2!!jdJvG <br /> <br />SQUAREl F'OOTAGE ____~_ JjllllWI'l' ._____________ <br /> <br />BUIJ,IHNl3 SIZE: <br /> <br />RESIDENTIAL I <br />COJ1/11HlReIAI~ : <br /> <br />A'I''l'ACH (2) i"LO'r I?I~AllS & (2) SEl'rs Of' ElUU ,lHNl:J PLANS ~ (1) S!-Jl'!' ijJNijjJiGV li'()l'(IIIJS, <br />A'!"I'ALJH (3) SE'rs OF BUILDING PLANS & (1) Sij'l' ENliikC3Y l<'ORMS, <br />PROPERTV SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FBRMIT~ REQUESTED <br /> <br />LJ BIIILDnl(3 <br /> <br />$--------- VALllATWN OF 'l'O'l'AL CONS'rRU(2'I'ION <br /> <br />[] ELIilC'l'RlCAL <br /> <br />./ <br />---__ ANI? SliIRVICE: <br /> <br />o FLORIDA l?OWElR <br /> <br />[J W,}(,fiJ,n. <br /> <br />U l-lI,[)J'11HHG <br /> <br />o 1.1IiJCUAHICAI. <br /> <br />9-__. <br /> <br />VALUATION (If' MECllANC!IAL INS'l'ALI,A'I'HJN <br /> <br />o (,Afl <br /> <br />[] ROOFllW <br /> <br />fJ Sl?lW!JU/l'i' <br /> <br />[) O'I'HER <br /> <br />'J'YPIl1 CJIi' (.!om:l'I'RlJC'l'ml~ j [) BLOCK <br /> <br />o Ii'RAlilE <br /> <br />[J S'I'EEL <br /> <br />[J OTHER <br /> <br />F'HIISHlnJ B'I,ODl< EI,JilVATIONf:l <br /> <br />I S PRO') EC'L' IN FLDOD ZON!-Jl AREA 0 VlilS <br /> <br />[1 l~O <br /> <br /> <br />ElUILni11< <br /> <br />:&iIl.JllC',l'lUCIAH <br /> <br />, <br />......................*...*..*.*.................*........**..'wi* <br /> <br />CW1lJANY..v:._ <br />S'l'A'i'll: CEl~'J.' Ok RElGIS'I' # ~__.,_ .____._.~~,____. <br />CITY PROCESSING # <br />--_._~----,.,---_..---_--'-.--....-..........--- <br /> <br />S H3IU,TURIiJ <br /> <br />sr(~HA'I'IJRE _,___ <br /> <br />"--"---'" .._--_._~-~----_.._----_._- <br /> <br />COI-1PAHY_ <br />STA'J'E) CER'!' OR REGIS'!' # <br />CITY PROC~8SrNG # <br /> <br />._---.-..-,~~ ~._-,~---......---- ..----.----- <br /> <br />. -----. ..- .....-.~--. ~-~.._-...........--_----- -.........--.........-- <br /> <br />i'LUMI:lilR <br /> <br />A'."""*'.""".'*""'*"***".""*****"'**A..*..********~*' <br /> <br />--~_.-.._---..,......- -..-.---...-.-..-.----.--..---.-., <br /> <br />--~----------_.- <br /> <br />COMPANY-___.__,__-,-__..___._______ --.------ <br /> <br />STATE CER1' OR ~E:GlIST II ~____.____~_______. <br />CITY PROCESSING # <br /> <br />S Wl1A'l'lJREJ <br /> <br />MlllCHAli/1CAI, <br /> <br />.***....,'**.*******.***.***..***.***.*********.**********'*'*..., <br /> <br />---.__._---..-.-...._~--- <br /> <br />COIYJ PAN Y______ <br />S'I'A'l'E: ClilR'!, OR RH:GIS'l' # <br />CITY PROCEiSSING # <br /> <br />--,.-. ,.._----~.__._-----~--._..-.--...-..,..-.~-" <br /> <br />SIGNATURE <br /> <br />----------.-------.--.-----.-.---- <br /> <br />*.***.*****.*.******.**'**.,*.******.*~****.**.***.****'**A**,*** <br /> <br />~--'-----""'------...--- <br /> <br />O'I'Hli!R <br /> <br />----'~---- <br /> <br />CO~1PANY <br />S'l'ATE CERT OR REGIST # <br />CITY PROCES~ING # <br /> <br />----,-......~.....--....~....,._-- <br /> <br />s :rcmA'J'URE: <br /> <br />---"'-'~-""-'.'._'~."""-"T_''''''~~:-'~ ,~," _..._~.. <br /> <br />***********.***********tt********************.*.******tt'*tit*.*. <br /> <br />---"'-~-'-.........-..---_-~.,"~..,.~,._-.,.............,.....~._--_.. <br />