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<br />FaDM '" M I LBAR
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<br />FAX NO. :3525674454
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<br />Jun. 09 2005 08:51AM P2
<br />MCI~.
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<br />Al'PL.ICATlc$roa P~IT
<br />Cln 01' ZEPHY.RRJ:LLS
<br />'BtlILDIRG DEPAR'1'HII:NT
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<br />DAD iUlCZIVZD'
<br />PIJUfS DVIB".I'Zl
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<br />OWNER"S NAME_t=r-~.rYYl..n . Lw,oCU · . . . PIIONE' cS
<br />I , .
<br />JOB ADDRESS .5\ D~) .q1D. S-\-rt"f-*= "'2-r .pV'l~b \ HS ,FL 33~~
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<br />LEGAL DESCRIPTION: L01'(SI 3% L BLOCKaOlo' SUBDIVISION .() .
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<br />PARCEL 10 It \ \-(;)\0' Q}- Cx:>\O -C;OlrIT'r-Cf')..~_ (OBTAIN FROM PROPEtrJ:X Tax NOTICE)
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<br />WORK I?ROPSE[H DNEW: CONS1'RUC'rION
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<br />.. - . ,..
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<br />o 1iliDl'ftON DALi'ERATI0N 0 REPAIR 0 INSTALL
<br />o MOVE' 0 DEMOLISU. . C~~
<br />OMUL'fI';'FAMILY . Oft OF UNI'fS 0 MOBi~JS HOME .
<br />OINDtTSTRIAL . o SWIMMING POOL 0 OTHER
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<br />OSIGN .
<br />PROPOSED USE~ ~ F~Ly'bWELLING
<br />DCOMMI!:RCIAL
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<br />DESCRIPTION OF WORK
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<br />c:J RESTAURANT&' HEALTH DEPARTMENT APPROVAL
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<br />Sh'Y\5".1..d:{=*
<br />SQUARE FOOTAGE a300
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<br />BUILDING SIZE
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<br />HEIGIIT
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<br />RESIDENTIAL:
<br />COMMERCIAL:
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<br />ATTACH (21 PLO'f PLANS'. (21 SETS OF BUILDING PLANS, (1) .SE't ENERGY FORMS.
<br />ATTACH ( 31 SETS OF BUILDING PLANS , (11 sE'ril:NERGY . FORMS.
<br />PROPE:R'ty SURVElY REQU~REDroR ALL NEW CONSTRUCTION,
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<br />PERMITS REQUESTED .
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<br />. . ) {.,
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<br />~.;,~ ...
<br />
<br />J .BUILDING
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<br />$~q~,_rn',
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<br />. .
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<br />VALUATION OF TOTAL. CONSTRUCTION
<br />
<br />. ~
<br />
<br />] ELECTRICAL.
<br />J E'LUMBING
<br />J MECHANICAL $ VALUA'rION OF MECIIANCIAL INSTALLATION
<br />] GAS~oorJ:NG 0 SPECIALTY. P OTnER .'
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<br />
<br />AMLJ SERVICE
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<br />o FLORIDA POWER
<br />
<br />o W. R. E. C,.
<br />
<br />.:1.
<br />..
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<br />TYPE OF CONSTRUCTION: 0 BLOCK
<br />FINISHED FLOOR ELEVATIONS .
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<br />. 0 FRAME
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<br />o s'r.&EL
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<br />o OTHER.
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<br />IS PROJECT IN FLOO1) ZONE AREAD YES 0 NO .
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<br />SIGNATURE
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<br />COMPANY
<br />STATE CER'l' OR REGIS'r II
<br />CITY PROCESSINGff
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<br />STA'l'E CERT OR REGIST. H -.
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<br />SIGNATURE
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<br />PLUMBER
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<br />SIGNATURE
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<br />COMl?AN~
<br />STA.TE CERT OR REGIS'r 11
<br />CITY PROCESSING II
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<br />SIGNATURE
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<br />STATE CERT OR REGIST ft
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<br />SIGNATURE
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<br />COMPANY MILBAR ~crrw, INC.
<br />STA'l'E CERT OR REGISTI CCC 051'562
<br />CIT'iPROCESSING ff .218.
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