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<br />MAY-22-03 04:42PM <br /> <br />FROtA-DEMPSEY ROOFING 1-863-687-4274 T-757 <br />BOI:WDIC ~E'.Aa'.ttlBN'l' S:33S 8- S~.t, 1~~;$..11.., ~ <br />.~$-~80-DO~O ~~B~~-?80-Q021 <br /> <br />P,02l03 F-403 <br />33'42 <br />I <br />ta.~ NiCII::ryEJ:l <br />l":t.ANS :EW ~E <br /> <br />oWNl\~' S NADil2 <br />JOB ADDR2SS ~ <br />~~~ P~SC~XP~:ON: LO~ISl BLOC~ <br />P:AACEI. ID 4f 10- "2~- 2. \ =00 Ur-Q?ooo--~)C) <br /> <br /> <br />SiUlitlXVJ:S:tON <br /> <br />( nfl.'l'JI.. T fit <br /> <br />I <br />~nM P~Ofl;"i;'''''V <br /> <br />CJREPAfa <br /> <br />1 <br /> <br />TAX NQATr-1r , <br />9(l:NS'l'AL!. <br /> <br />WOP~ E'lil.OPSED: ClI'olEW CONSTRUCTION <br />CI S:tGN <br /> <br />Cl ADC:rTION <br />o tGOVJ:; <br /> <br />t:JA!.'l't.~'rION <br />I:J DEMO:t.:UIl <br /> <br />1?lt.Oi'OS~D <br /> <br /> <br />OWEl.L:tNQ <br /> <br />DMUI."J:I-FIW%LY <br />Ll nIPuST~IAt. <br /> <br />o. 05' CN:ITS <br />o SW:MMING POOt. <br /> <br />o MOJilI:t.E HOME: <br />DOTHItSl. <br /> <br />I:)ESc:~:rP'rXOtl OF <br /> <br />SOZ~D~N~ ~:tZ~ sQa~ roO~AGE RfIGHT <br /> <br />I <br />RE8IDENT%~L: ATTACH \2) PLOT PLANS & (2) SE~s o~ BUI~D%NG ~~s & l~) SET ENERGY FO~S. <br />COMM&~CI~: ~TTACH (~) S~T5 or BUILDING p~s & (1) SET eN~~GY FORMS. <br />P~P~~TY sc~VE~ ~QUIRED FOR ALL N~W CONSTRUCTION. <br /> <br />Q S'L~:IblG <br />o M~CHANIC:AL ~ <br />o GAs ~I\OOFING C S!?Jl:':::J:ALTY <br />TYPlt Oil' C::ON$'rr>.OC'I':tO~ ~ QC BLOCK <br />F~NISH~D FLOOR EL~VAT~O~5 <br /> <br />I <br />I <br />VALUATION OF ~~CHANCIAL INSTALLATlor <br /> <br />o OT~~P. I <br /> <br /> <br />CJ aUJ:1.p:tNG <br />o E'LIi:CTRI:C::~ <br /> <br />3'lJ.-C ..JtKX'rS RBQUBS~JiU) <br />s I{ vO 10 00 VAt.OATION OF '1'OTAL CONST~\.lC't1:0N <br />AWi" SEltV:rCE: I:J FLORIDA i'C~1t CJ <br /> <br />CJ li'"l\AME <br /> <br />I:] STEEL <br /> <br />. I:l OTHER. <br /> <br />IS ~Ro~CT IN ~~OOD ~ONE <br /> <br />AD l'ES <br /> <br />CI NO <br /> <br />. . ,~~__IIf- ~-..... ...1-.... <br />\-.:~. . '--'~. '.~ - ~':~~-' <br /> <br />SICNA'.L'URl': <br /> <br />CONPAliIY <br />~~ATE C~R'.L' Qa ~eGXS'I' ~ <br />CI~Y P~CESSXNG . <br /> <br />at1%%DEB. <br /> <br />~~~~~***_._..~*~~~_~--~~*~~~~w~w~....~,_.+.~~~~"~....~~***~ .~.ww~ <br /> <br />CONJi>AN'r <br />sTAT~ CERT OR ReGiST * <br />CI~~ ~ROCkSS%NG * <br /> <br />E:tZca.:z:e::tAb'l' <br /> <br />S:l:GNATURS:: <br /> <br />W~~___.~*~~...~_~_~...T.k~*...~~~~._----~~~_.._-P*w*.*~w~.~ .~~~-~ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STA'.L'E eZRT OR R2G%ST . <br />CITY FROC~55~NG t <br /> <br />In,tJIllIIid:l1. <br /> <br />S%Gm.\.'l"OPo.l!: <br /> <br />_...--_~"It'-...,..,.... _~_"'fIr*'1t '*W '" ~_ It'.. 1Il'...1t'*.........._. ..--........ k.". ".~.............. ?l"WZ zoOX' ~ ~'llf"'" .......1..........--- <br />COHl'AN'i I <br />STATE CEa'I' OR ~~G%ST . <br />CITY PROCEssrN~ * <br /> <br />JlGECHAM%CAL <br /> <br /> <br />,-r.,.."."'''''' <br /> <br />-tv {/J <br />P7~' <br />