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<br />bQ).) lQUlIIdllb <br /> <br />I \.H)-';"V" <br /> <br />VI'I ~VI J....,I..I"'; ..L.:....i.>wI.-..;'" 44.1, <br /> <br />awLIcel~ rea lUlU'!' <br />cn'l l# 1DtIDBJu.a <br />MJILDX. ~u.tIGIIl'r <br /> <br />DAD UCEIVKD <br />PLAlII. ldV1ft na <br /> <br />OlfHl:R':S NNU --A . w , <br />JOB ADDRESS~'1D~\ <br /> <br />I( ~~'C-rU <br />C.Wc\.. (\0..-\ a u~ <br /> <br />PIIONE (<6 \~Yi ~ ~- ,\ole." <br />L<=t phld'hl \\~ <br />1 <br /> <br />L~GAL DESCRIPTION I LOT(S) <br />\~ <br /> <br />BLOCK <br /> <br />:SUBDIVISION <br />0\00 ,", 6060 <.:> \ \ r-. <br />'-(OR'PATN ranM PRnPRRTY ,.'):X 'fIO'I'l Cp. , <br /> <br />~TERA'1'ION f'O..dPAlR 0 INSTALL <br /> <br />PARCEL 10 II <br /> <br />2~ <br /> <br />2-\ <br /> <br />WORK PROE'SI!:DI DWEll CONSTRUCTION <br /> <br />o lWOITI<>>l <br /> <br />OUGIl <br />PRorOS!O U9EI~ P~LY DWELLING <br />o COMMERCIAL <br /> <br />o HOVI!: <br /> <br />o DtJ(OLISH <br /> <br />OM\lLTI-I'~LY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SKIM-lING POOL <br /> <br />o KOBlL! HOM& <br />o OTHEIl <br /> <br />DESCRIPTION or WORK <br /> <br />D RBST....IJIWIT , HE1ILTK DEPMTMENT APPROVAl. <br />c..,~~~ "'-* ~ -h::>'(' Q\.( hv..rd\crI <br />, <br /> <br />aUILDING SIZB <br /> <br />SQUMJ: FOOTAGE <br /> <br />HSIGHT <br /> <br />RESI DEN'l"u.L I ....TT....CH (2) PLOT PL1IHS , (2) SETS or BUILDING PLAHS , (11 SBT BNe:~'{ FOP,HS. <br />CC>>lHERClALl ....TTACH (3) SETS or aUUDING l'LII!lS , (11 81:'1' ENERGY FORKS. <br />?ROPERTY SIJRI/B'I' REQUIRED FOR I'.LL NEW CONSTRUCTION. <br /> <br />PElQUTS R&QUES'lED <br /> <br />AMP SERVIC! <br /> <br />o FLORID.... POWER <br /> <br />o <br /> <br />1f.R.I!.C. <br /> <br />,.(:::/-. '" '\ <br />/' ) <br />!JJ!J -;qL/ . <br />I l' / <br />\,---..- --/ ,/ <br />o NO <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />~Z:CIIJ\.NI CI\L <br /> <br />~ <br /> <br />VI'.LUA'1'IOH or TOTAL COKllTRUC'l'ION <br /> <br />-1) <br /> <br />. <br /> <br />\~\ <br /> <br />VALU~t'IotI OJ' HECIlA)/CIAL INSTALlATION <br /> <br />Oc;.o.s <br /> <br />o ROOrING <br /> <br />o U!:CIl'.LTY <br /> <br />o cmf&R <br />o I'IWU!l <br /> <br />o STEeL <br /> <br />o OTHER <br /> <br />TYPE or CONSTRVCTION I 0 ax.oCK <br /> <br />rIHISHBD FLOOR ELEVA710NS <br /> <br />III l'fIOJECT IN FLOOD ZONE AJU!'AO ns <br /> <br />I........... ; ',... <br />: >.-.;j:' _ :.. .x,. :',.~: . <br /> <br />:.". <br /> <br />":.':. : .'i <br /> <br />.'.j . 'I 1 <br />.. , . ,...., .,. ..... . <br />'j, . " :t;....: :I}': "....:" I .:1: .:. <br /> <br />CClMPM't <br />STATE CERT OR REGIST I <br />CITY PROCBSllING . <br /> <br />~ <br /> <br />SIGNATURE <br /> <br />....~..............+........~~.................................... <br /> <br />SIGNATURE <br /> <br />COMfMY <br />llT"TJ: CIRT OR REGIST II <br />CITY rROCESllIKG . <br /> <br />IlLaCTJUCIJIIII <br /> <br />.*.~*............................................................. <br /> <br />COHl'M.." <br />ll"A'!'1 CERT OR REGIST II <br />CITY rROCES:SIHG II <br /> <br />.,,--- <br /> <br />SIGNATURE <br /> <br /> <br />............It................~.....l'.*..~.....~... ~ _ ~ <br />COMPANY a..c~. ~ h~ C; <~CCZ-'l: <br />llTAT! CPT OR REGlIT' C' f\-CA.~ c;:,."& ~ \ C) <br />CITY PACCES'ING I <br /> <br />............................. <br /> <br />SIGNATURE <br /> <br />COMPJt.NY <br />STATZ CERr OR REGIST . <br />CI'lY l'ACCESSING I <br /> <br /><mmJl <br /> <br />...............4.j~*lt*&A"...&I'A***t*.*..*...*...............*.. <br /> <br />- <br />