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<br />~~...... u.. ......'O;.U....l-U....u.u::;; .r;-oCI.n~v.L.L.I.. .t\.t'J::'L~l.l;A.J.'lUW <br />BUILDI:NG DIIPARTMlilN'L' 5335 ~tl, S'l'Rlillil'I' ZEi'HYRHI~I,S, FL 33540 <br />~honwI813-780-q020 F&xI81J-?60-D021 <br />flA'.L'lil ftllClilIVIlID LI- (P -0 ~ <br />i'i.JU'lS RlIlVIIllW Ji'IilS-----'" ,..-- ....,--- <br /> <br />j Jim..'. Il.,,'".__ti~__.3 c1Q,M.LA.L _____.________~_ PHON. OON'J,.c,(;ij:;;liW. -1::J..) q <br /> <br />,JUB B PI'. 'DnH.Bs~l,:tQO_'fi:Li\:\J'\~gl~e___2epbYll'\LlK1Tb-335L10 <br /> <br />L~GAL D~SCkl~TION; LOT(S) BLOCK SlrnorVISION <br /> <br />---......------ <br /> <br />PAIWbJL ID # <br /> <br />(DETAIN l"ROM PROl'ElR'l'Y 'I'M{ Im'J'+PJil) <br /> <br />...._.._-..._.....--....'.._---~_..._- <br /> <br />HCJkK l-lRCJl<SElIJ: Ol~EW COl~S'l'RlJC~TWN <br /> <br />[] AODl'l'IDN <br /> <br />~DrE:RATrON <br /> <br />o R&:PJUk <br /> <br />IJ 1 HS'I'MJI/ <br /> <br />OSHnl <br /> <br />IJ 1110VE <br /> <br />o DEI'1OI,ISH <br /> <br />l?ROli'U8E:/l IlSE: I 0IW3L FAMILY PWEI,LIHG! <br /> <br />CJt1UW'I' FAMUN <br /> <br />I]CONIMlilRCIAI, <br /> <br />o INPU~'l'RJAL <br /> <br />[] # [jB' WU'l'S <br />OSWH1MINC3 ImCJl. <br /> <br />f] MClIn !JE 1I0ME <br />[1 n'flHliR <br /> <br />D RtiJS'rAURAl~T & HEAW'H DEI?ARTMEN'l' APPROVAL <br />mi:SCRI"'l'ION OF WORK _ ~CTYl~-tL.~ _ <br /> <br />...._--.._--,..,-,-........~"~ ~ <br /> <br />BUn,DINC~ SIZE <br /> <br />SQUARE B'ODTAGE 61 060 <br />_L::.... <br /> <br />WillWI'I' <br /> <br />RElfHDElHTIhf. : <br />COI>1MlilRCIAl~ : <br /> <br />n,,__~,.._....... ....__-..________ <br /> <br />AT'l'ACH (2) l-'LO'I' I?LAllS Ii< (:2) SE'I'S OF' BUn ,lHHlj PLANS & (1) SI:il'l' ElNlilftCW F'ORII\1S, <br />A'l"!'ACH (3) slIl'rs OF BUILDWG! j,JLANS & (1) Sli)'1' ENliJltc3Y FORMS, <br />PROj?lilRTY SLJRVBJY REQUIRED FOR ALL NEW CONS'l'RUC'!'WN. <br /> <br />~i~IT~ REQUESTED <br /> <br />~1.11J!'h# <br />~1il(~'I'RH~AL <br />~\1bIIK:I <br /> <br />~------__ VALUATW1~ OF 'J'O'l'AL CONS'l'RlJrJ'rION <br /> <br />AlVJI? ~EJRVICHl <br /> <br />o FI.ORIDA POWER <br /> <br />[) <br /> <br />W,R,E.C, <br /> <br />[] HIilClIhlHCAI. <br /> <br />9 -___. <br /> <br />VALUATION (If' MECHJl.NCIAI. INS'I'Al,lJA'l'HJN <br /> <br />[J (:lAS <br /> <br />fJ HOOF'I1W <br /> <br />[J S I? li!Cl nil/I' ~ <br /> <br />o O'l'HER <br /> <br />'J''tPI:il ("J1" CONS'I'RUC'f'H.m: [) ~l.OCK <br /> <br />o Ii'HAllIE; <br /> <br />II STElE!, <br /> <br />o OTHER <br /> <br />F'INISHl:illJ F'I.OO}( E!.BlVATIOHS <br /> <br />J S 1?RO.J EC'r' IN FLDOD ZONlil AREA f] YES <br /> <br />[] l-ll) <br /> <br /> <br />~I.IllC'!'lUCrAl-l <br /> <br />D(HLiHiJ~ -'--6-- l~m1I?ANy___(JWIlL1" ---..'.--...-.--______._ <br />QI . 1/ / S'l'A'I'B: C11ik'l' OR RElG!IS'l' # ~....._'_..____._~____. <br />.lGIl".ur.-___. '.\ · fJl,VI_ _L_ ern PROu...nw #___~____~____ <br /> <br />................ ......'*....'***.*.**.'****.".....'***.....'.k** <br /> <br />COJ1I?Al-lY ~Itty___._____.__,__._____.~ <br />STATE CER'l' OR REG IS'l' # <br />CITY PROClilSSING # <br /> <br />c'" <br /> <br /> <br />"--.. ~"'--"~'"~""-----........-, -,-,....--~-...- <br /> <br />....**..........*",....,...,.,.*.*.****,."..,....,..****."'..., <br /> <br />-----.-....-..----__..__ -_..~.. _._ o..~ _.--...._.__..___. <br /> <br />fLUMI:IIIlR <br /> <br />(~OME'ANY-----____.,...__.~____..~_.__.__.__._ <br /> <br />STATE CER'l' OR ~EGlIST II ~_ <br />CITY PROCESSING # <br /> <br />"'-.---...-.-.------ <br /> <br />SIGHA'l'URE <br /> <br />WlIlCHAIU CAr. <br /> <br />......**.....*..****...***...********...**,****..........*.***.... <br /> <br />_._-_._---~,..._.._.------ <br /> <br />COlvjj? ANY _._____._____._,___._....__._____._____. '''_'_ '_'_. <br />STA'I'El CIllR'I' OR RlllGIS'l' # _.__~.______.._____~ <br />CITY PROCESSING! # <br /> <br />SIGNATURE <br /> <br />--...--,............~--~-~~ <br /> <br />***********.*...,......**************..,******.***,.***.,..t...** <br /> <br />o'rHIiIR <br /> <br />.----- <br /> <br />cm,1PANY <br />STATE CElRT OR REC3IST # <br />CITY PROCEs~rNC3 # <br /> <br />---...-...-.-....-.........--., --.- <br /> <br />_.._._~-_._- <br /> <br />SIl.mA'l'URE <br /> <br />-...~-------.......~, <br /> <br />---...-..-.---.----.-..--.,..,....-.--...,.......,...:'"7".,,.-..--~. <br /> <br />**...**.......****.***.**........_*....*..,..*..,,*****,.......** <br /> <br />----....---,-~----___........~ .r..........'......-~_-..........___.., <br />