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<br />AUG-28-2003 10:35 AM MILBAR CONSTRUCTION INC. 352 567 4454 P.03 <br /> U.X.XCA'tIOlf 1'01\ .....IT MeI 3183 <br /> ctU or lJ:nXIUIILLI <br /> BVIJ.DIRG DKPARiWRT DAB UC3IV8D <br /> 'LARI UY'ID fa <br />OWNER' 8 NAME LUZ WATSON PHONE 813/780-8989 <br />JOB ADDRESS 5115 5TH STREET , ZEPHYRlfILLS, FL 33542 <br /> <br />LEGAL DESCRIPTION: LOTlS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCF:I. 1.n .. <br /> <br />1126210010164000130 <br /> <br />rORTATN FnOM pnOP~RTV TA~ NOT1C~1 <br /> <br />WO~K PROPSED: DNEW. CONS'fRUCTION <br /> <br />o ADDITION <br /> <br />OALTEAATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DS1GN 0 MOVE 0 DEMOLISH CROOFI~ <br />PROPOSI!:D USI!:: OSGL l'AMILY DWELLING DMULU-JrAMILY 0# OF UNn'S 0 MOBILE HOME <br /> <br />o COMMI!:RCIAL <br /> <br />o INDUSTRIAl. <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />CJ RESTJ\UIU\NT & HI!l1\L'rH DEl"J\nTMENT AI'I:'nOVA.t. <br /> <br />DESCRIPTION OF WORK <br /> <br />SHINGLE AND PLAT RE-ROOF <br /> <br />SHINGLE: 16"00 <br />SQUARI!: FOOTAGE FLAT: .....IaOO <br /> <br />HEIGH1' <br /> <br />BUILDING SIZE <br /> <br />IU:SIDEHTIAL= ATTAcn (2) Pto')' PLANS & (2) SE'l'S Ol' BUILDING PlANS' (1) SET ENERGY FORMS. <br />COMMERCIAL I ATTACH (3) SI!:TS Ol' BUILDING PLANS & ( 1. ) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PE~T~ REgUESTED <br /> <br />o BUILDING <br /> <br />~ <br /> <br />3,297.00 <br /> <br />VALUATION O~ TOTAJJ CONSTRUCfION <br /> <br />o ELECTRICAL <br /> <br />AMI?' SERVICE <br /> <br />o FLORID1\ POWJ!:R <br /> <br />o W. R. E.C. <br /> <br />o PLUMBING <br />o H~CHANlCAL 0 <br />o GAS <3rRooFI~ 0 SPECIAL'fY <br />TYPE OF CONST.RUCTION: 0 BLOCK <br /> <br />VJ\LUATION OJ!' HECIIA.NCIAL INSTALLATION <br /> <br />o o'rHER <br /> <br />o fRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE J\RE1\O YES 0 NO <br /> <br /> <br />BVILDD. <br /> <br />SIGNATURE <br /> <br />COMP~Y: <br />STAT&: CD:RT OR R&:QIST ff. .,--_.." . <br />CITY PROCESSING " <br /> <br />*******.*.******************************************************** <br /> <br />J COMt'hNY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ZLBC'II\ZCIM' <br /> <br />SlGN1\TURI!: <br /> <br />.........*.....**.......***.***.**.~.*.********.**..**.*......*... <br /> <br />PLUMlmI\ <br /> <br />COMPANY <br />S'fA'l'E CER'l' on REGIS'l' # <br />CITY PROCESSING ff <br /> <br />.9 I GNATUf\E <br /> <br />SIGNATURE <br /> <br />* *~ I. * * ** ** *.****,** ***" * ** 1.*** * I. ***. * * ..* ** 'd, ** * * I. ** *.* * * * * *** ** ** * * I. <br />COMPANY <br />3TATE CERT OR REGIST ff <br />CtTY PROCESSING # <br /> <br />"'CRNUCAL <br /> <br />1It'** 1t' ****** 'llt ......1It.***.......... ..._.,.. *1"* ft1ll'.,.. .....,...,.. *11' ..,..1t1t1t*_.....,....,.. 11' .................. 'fit' ......,....,.......,.. <br /> <br />arRQ ~ <br />SIGNATURE' .. . <br /> <br />COMI?ANY MILBAR ~STRUCTIOO, INC. <br />STATE CI!:RT OR REGIST # OOC 051~62 <br />CITY PROCESSINq #. 218' <br /> <br />***************************************************************** <br />