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<br />V& ~~~n~~n~LL~ ~ERMIT APPLICATION <br />IHIPARTM!llN'r 5335 8t~' S'rRlllBl'r ZlllPHYRHILIJS, VL 3354.0 .; .. .0.. <br />Phon.. 813 ~780 - O,O::.lO fax 1813 -7 80 - 00:11 yja 1).3 <br />lJA'rB1 RIICBlIVJJlD ~_-? ._(. ._ .h <br />PIJANS RmVII!JW II'JUI 1:. <br /> <br />U\.INEJR' 8 IlA"1El_~!J_.W /2 ( 20 IV fV1 H f PHONEl CON'l'AC~'~_61!=1{s:____ /f}_~_J <br /> <br />,TOB 8I'!'El ADDRBl88 --_i7j;-~_.__!::-2J!ff!v~_.A lie _1~ ~J_ ~-___m___________._ <br /> <br />L8C31\L llBJSCRlP'I'IOI11 LOT (8) BWCK SlIBlJIVI8] ON ~~ji!!K:-'~N_I}1..:-'!J;; <br /> <br />-........... <br /> <br />BUILDING <br /> <br />P1\RUEJI, ILl H__2lf -2 ~ :..2/-='-fyO I 0 - . 0 uoo - 0 l2 .f:'_~~~TA~~.!.'_ROM PRoP~R'r~__'I'~~.._~~~:('m_lu__ <br />HIJRK PROPBElIJ I lB1fll:w CONS'rRl1CTWI-l ~f)[JrrICJN 0 ALTElRATION [] RBlPAIR ~STALI, <br /> <br />U8Hnl <br /> <br />o MOVE <br /> <br />o DElMOr,ISII <br /> <br />PROl?lJBEIl UBE, rJ'SW, FAMILY nWELI,INrJ <br /> <br />OMUUn.. FAMU,y <br /> <br />0# OF UNIT8 <br />OSWmMUIG POOL <br /> <br />U M08JI,BJ IlOt1BJ <br />,~ ,4 b--'M.. I ;V VI"^- <br />I~J OTIl ElR <br /> <br />[] Cm1MIlJRctAr, <br /> <br />o INDU81'RIAL <br /> <br />CJ ~~R"'T . ll'Al,TIl D"AR~ APPROVAL ~ <br />"" 8 eRr P'l' JON 0 F "OR K F K 2.. -_G3.)l.f~ 'r L 2 A I 'i S,/;{lfo"-fI!.l'V' t-l.J'.._-- .___5.i!:f..€-__._. <br />BUILDING SIZE -_______ SQUAREl FOOTAGE '5~ t.f HEJlrHl'r ------_______h_____ <br /> <br />RESIDENTIAL, A'1''1'1\CH (2) PI.OT pr.AllS .& (2) SElTS OF BtJU,[)ING PLANS & (1) sl!I'r E1NHlRrn' FORI..,S. <br />CO~1MI!lRt!Il\I.1 A'L''1'ACIl (3) sm'rs OF BU!LDING PLANS & (1) 881T ENERGY FORMS, <br />PRo~mRTY SURVEY REQUIRED tOR ALL NEW CONSTRUCTION. <br /> <br />RmRMITS REQUESTED <br /> <br />~tJrl,UIW3 <br />1y.1ELEll;TR 1 CA r. <br /> <br />tl.1J3 I . 2. 0 ._.....; VALUATION OF 'rOTAL COH8'rR(Jc'rION <br /> <br />----___---'- AMP ~E1RVICEJ <br /> <br />o Fl,oRInA POWElR <br /> <br />[J W. R, E1, (!. wi rl(! SPEI) <br /> <br />I] PJ,l1t~BING <br /> <br />lJ i'lEJC;Il1\N r c;AI, <br /> <br />, <br />$----_. <br /> <br />VALUATION OF t~BlC'IlANCIAI, INS'l'ALI.A'I'TON <br /> <br />rJ (11\8 <br /> <br />[]ROOFING <br /> <br />tJ S PEa LAUry <br /> <br />[J O'I'HElR <br /> <br />TYPE OP' C()1~8'I'RUCTIOH I [) BI.Oc;K <br /> <br />o FRAME! <br /> <br />lJ S'I'BlBlI, <br /> <br />C] OTHER <br /> <br />FIH rSIIEll FI,UOR I1l1,HlVA'rION8 <br /> <br />18 PROlTBlC'P IN noon ZONE] AREA [J YIllS <br /> <br />o NlJ <br /> <br /> <br />BUILnBlR <br />BlCmATlJRIll ______~ A ~ CbP~ <br /> <br />** ** * ****** *** ****** ******* * ************** .**** *.*** ***** * *.** ** * * <br /> <br />Cot~PANY 15.:t ~tY..~ T(C.VG cu..~-:d:;'._!;.t{rY!l!!_,=__r_:_L, <br />BTA'I'BJ CEJRT OR RElGIB'I' # C-B..c;-'Q_~Z'l.<f_~_____.______ <br />CI'rY PROCBJ88ING L..-~______________.___h_________ <br /> <br />B1r,mCTRICIAH <br />to IJ 17 /! f) <br />8 J <311A'I'[JRE ------~--1i.._'_.~_ . <br /> <br />COMPANyLcc. -1i.L-c~r@L<;__h._______________ <br />STATEI CERT OR REGIS'!' U <br />ern PROCI1lBSINCl # I j-"N-------------------- --- <br /> <br />----.-___.-L......__ _ ..__ '.. _ '_'_'_._. __.,__ __._ _.~ <br /> <br />* ** * ** * * * * * * * *** ******* **. * * * ** ** * *** * * *****. **** ** * *** ** * ** ** **** <br /> <br />PTJl1HBIlIR <br /> <br />-.------------- <br /> <br />(!OM PANY ---__.________________.._____.__..._____ __.__. <br /> <br />STATE CElR'l' OR RBJGIST /I ___________.___._____.. <br />CITY PROCESSING # <br /> <br />8 IelHATIJR@ <br /> <br />MECHANICAl, <br /> <br />**.*************************************************************** <br /> <br />_..~..._---_.__._--._._-._---_._----.... <br /> <br />~~---'-"--- <br /> <br />colvl P ANY -------________________ ---____h_. ____ <br />STATEl (!B1R'r OR RElGIS'r # <br />CITY PROCESSING # <br /> <br />._--_...~-._-_._. --..----. -.----. --. <br /> <br />8TGHATlJRE <br /> <br />***************************************************************** <br /> <br />._..._~-_._..._-_.- ---.-.---.-. <br /> <br />O'rllBlR <br /> <br />cm'IPAI'1Y <br />-------_._---_._~_.._----- - -----.-....... <br />STATE CIDRT OR RBlGrST # <br />CITY PROCIlISSING # <br /> <br />---.---.----.-.-.-----.-.--..-..- '---.- <br /> <br />8 [(U/J\TIJRE: <br /> <br />---------- <br /> <br />***********************************************************~***** <br /> <br />.-----,,-. .-'---..--_.____._.u._.___ <br />