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<br />DB~ARTM~NT 5335 ~~ STREBT ~EiHYRHILLa, FL 335'0
<br />~bon~1813-78o-qoao F~KIB13-?80-0Q~1
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<br />LEGAL DESCRTfTION: LOT(S)
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<br />BL,OCK
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<br />I?AHCliiL ID #
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<br />(OBTAIH r'ROM PRO);JER'J'V 'fAX tlllJ'ICW)
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<br />WORK l:lRO};.iSI1lIJ: lJHE\i1 CONS'PRI1CTIDN
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<br />[]AUflI1lRATION
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<br />I?ROPUSElIl lISEl: C1SGL FMHLY PWEl..LING
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<br />D RIilS'flAURAwr &. HEAi/l'1l flEPARTMENT API?ROVAL
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<br />llEseRH'TION OF I>JORK
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<br />BlJlr.rHNr~ SIZE
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<br />SQUARE Ii/OOTAGE
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<br />IIElWH'I'
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<br />RESIDEll1TIAIJ I
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<br />ATTACH (2) E'L,O'r I?I..AllS & (2) SETS OF' BUILDINl] JilI.ANS & (1) Slil'r ti)lH.lIftrJ\' J;i'(j}WIS I
<br />A'j"j'ACH (3) SE'rs OF BUILnING I?LANS & (1) SIilT ENEWJ~ FORtIJS,
<br />JilROl?lUtTY SURVEY REQUIRED It"OR ALL NEW CONSTRUCTIOn.
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<br />FiRM1T~ REQgE~TID
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<br />LJ l:HJILIlING
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<br />VALlJATIm~ OF TO'l'AL CONS'!'RlJC'j'ION
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<br />AM!? ~llJRVrCE
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<br />FI.ORHJA POWER
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<br />[J CYPHER
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<br />E'lNI~Hjjln F'I,nOR BJ!.ElVA'l'IONS
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<br />I S PRO,] Ee'!' IN B"Lom> ZONE! AREA [J VIllS
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<br />[1 110
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<br />COl'IJI?ANY_~_____.. ____._..__.~..... _____.__...
<br />STA'I'El CfliR'l' Ok. REH1HI'1' # _.__'____._~_..__._.__..___
<br />CITY I?ROCIi:SSING #
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<br />S HmATIJRE
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<br />lIlJ.lIlCl'l'iICIAU
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<br />S IGNATIJREJ _~.____..__~____~______._.____
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<br />COIYlI?AHY ____.__________~__"___.___...__.._....~...
<br />STAT~ CERT OR Ri~IST # '
<br />CITY I?ROCESSnm # .---------....-------.-.-.....-..".-
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<br />STATE CERT OR f{EGIS'l' if ~___~..___.._.,__.__.__.,___
<br />CITY I?ROCESSING #
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<br />SIGNATURE
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