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<br />bOO Youman.s <br /> <br />/00-:'U.OL. <br /> <br />U l I L. U, J..;.i.,/..J J.. J.. . J. ...J ....,Jl "u.... <br /> <br />~ . ... <br /> <br />AWLICUI,* I'CIR 1UIII'1' <br />CIn 1# IUlCDBlLU <br />MJILDx.I o.>>UIIalIl'l' <br /> <br />DAD DC:I:IWD <br />PUUU UVUII n:a <br /> <br />OlQ/ER'll NNO: S, f?-I .J f+ AJ" Pit 6 i I) I PitT I <br />JOB ADDRESS ~ ~ I fR 0 rn E 0 I <! fI L.. f! [;;; v7 E (2. <br /> <br />~EGAL DESCRIPTION I LOT (B) <br /> <br />BLOCI( <br /> <br />PHONE ~;I 3 . .., gO- (p &' tv 8' <br />/1 Vi:? J.. H <br />SU8DIVISION fit '5 t! 0 rn (i- D , t h L ljR.rs <br /> <br />( c j.//et- <br /> <br />PARCEL 10 . 3!)-' ~5-,).1 -CO 70.-() ()OOO- ()O#f-f IORUTN rAnM PRllPRR'I'Y TllX lfO"J'I CP. I <br />lfORX PROPSED: DHEW CONSTRUCTION 0 ADDITIO)I ~TEI\A'1'ION D REPAIR D INSTALL <br />DSIGtf 0 HaV!: 0 DD(OLISH <br />PROrOSED U9E:)I6SCL rNULY DWBLLING DMVLTl-rNULY 01 or UIlITS 0 K08ILE KOMS <br />o COMMERCIAL 0 INDUSTRIAL 09WIl+IING POOL 0 OTHIl <br /> <br />DESCRIPTION or WORK <br /> <br />Cl RI!:STA1JIWlT , H~TH llErAJITf10rr Al'PROVJU. <br />It / @.., ~.J./ If /1/ 6-- c..":'- () aT <br />, <br /> <br />BUILDING SIZZ <br /> <br />SQ1J.MI: rooTAGE <br /> <br />HIIIGHT <br /> <br />RESIDENTIAL: ATTACH 12) PLOT PLANS , 12) nTS OF B1JILDING PLANS , (11 SaT BNBRGV FOflHl. <br />COMMERCIAL: ATTACH (3) SETS or BUILDING PLANS , (1) SET INIRGY FORKS. . <br />?ROPER'l'Y llURVBY RIQUIIU!:D FOR ALL NIW CONSTRUCTION. <br /> <br />PJ:~I~S R&QUES'lED <br /> <br />o IIUI1.DING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMI' SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o 1I.ft.B.C. <br /> <br />o I'LUH8ING <br />~CIWlI CAL $ 3--./ (( S- <br /> <br />O c;.a.s 0 ROOrING 0 SnCIl\.LTY <br /> <br />VALUATION OJ' HECfIA)/CIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE or CONSTRUCTION: 0 stoCK <br /> <br />o J'AAKE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />rlHISHBD FLOOR ELEVA710NS <br /> <br />IS PROJECT IN FLOOD ZONE ARl"AD YES 0 NO <br /> <br />I;.....:::.. . :\.>.. <br />. .,' .'1. .", d ".,.., <br /> <br />.;;:"-. <br /> <br />":.'1. . ,"i', <br /> <br />'..j., <br />. . . .1...., .'1 U'" '.'. <br />L I ~ . 'l!:' ". ~ ~. ,I, <br /> <br />~ <br /> <br />SIGNATVRE <br /> <br />COMPo'\N'( <br />STATE CERT OR REGIST , <br />CITY PROC&SSING I <br /> <br />....~....6.........+~.........~................................*** <br /> <br />Il~C1M <br /> <br />COHl'ANY <br />STATE CIRT 011 IUlGIST II <br />CITY PROCESSING , <br /> <br />SI<iHATURB <br /> <br />.................................................................. <br /> <br />COHPAN"" <br />STATI C&RT OR RBGIST . <br />CITY PROCESSING . <br /> <br />~ <br />SIGNArURS <br /> <br /> <br />.,.."......................IJ-....................~if.............~.~.~ a 0 - - - ,,0 <br />COMI'ANY (I K.' 5 .s rlO p p W-.t:t=' ze (.to. "- <br /> <br />STAT! CER'l OR UGIIT . ," fl<!... () .). '? 3 {() / <br /> <br />CITY I'AOCE3.ING f <br /> <br />O'IDK <br /> <br />COMPANY <br />STATE CERT OR RE<iIST I <br />CITY pROCESSING , <br /> <br />SIGNATURE <br /> <br />.......................Al'...&&&A..*t*t*.ttt..........~*.....**.* <br /> <br />or <br />