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<br />OWNER' S <br /> <br /> <br />APPLICATION FO <br />CITY OFZ <br />BUILDING DEP <br /> <br />/i 1 P/I ....I"...,) r""'" <br />/ .~ /,~- '):'://'11 <br />IX V/JJ.I).~j L 7 <br /> <br />~!:-w:;: ~ b. r.rV <br />,/ r f)" -3 ',",\ c,91/ <br />, / -~ V / / <br />l:1 <br /> <br /> <br />HONE{~g) Cj9/- ?3t6 <br /> <br />S <br />JOB ADDRESS b'135 ~. <br />LEGAL DESCRIPrION: LOT(S)~ <br /> <br />,-~ . <br /> <br />PARCEL 1.D.I q-~ -d/ - 6jh(j -~ 6sat) (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PRoPOSED:~ew Construction ----..Addition ----Alteration ~epair Tn_tall <br /> <br />OWNER' S ADDRESS <br /> <br />&1L <br />I Pltit6 t! 0 # <br />BLOCK;l SUBDIVISION~ <br /> <br />&Atf <br /> <br />_Sign <br /> <br />--1love <br /> <br />--I)eaolish <br /> <br />PROPOSED USE: -2(siDgle Fa.ily <br /> <br />---1l/F _, of. Units ----If./B <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool ,_Other <br /> <br />~esta1;ians & Health De~rtaent Approval <br /> <br />DESCRIPTIO. OF 1lO1lK: _ ~ .ttA. <br />" . <br />BUILDING SIZE: X, S e Feet, .J;;l- Height <br /> <br />RESIDENTIAL: A'l'TACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SBT ENERGY FOllHS. <br />COMMERCIAL: A'l'TACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />---1fECIIABlCAL <br /> <br />$ 1aoOQ <br />. .. <br /> <br />ISO AIIP Service <br />$ 3/00 Valuation of Mechanical Installation <br />GAS ~OOFIJjG SPECIALTY <br />TYPB OF CORSTRUcnOH: .x.slock _Fraae _Steel Other <br /> <br />, 'd <br /> <br />--.BUILDING <br /> <br />Rl.RCl1UCAL <br /> <br />Valuation of Total Construction <br />~l.Orida Power Corp. <br /> <br />-. . <br /> <br />W.R.B.C. <br /> <br />-PLUHBIRG <br /> <br />FIRISBBD' FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZOHB AREA! <br /> <br />YES 'NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BmlJlllR CllllPAIIr ~ ~ ~. <br />A /1 ~ ' State Ger or Regis. 1 9f'11 "', ' <br />Signature ~ ~ City License Registration' 11 ~ <br />~ ~......................................... <br /> <br />Rl.RCTRICIAR COHPANY .'5" of s ~ Lec-rt>J C <br />~ -/J/J 7 _,..... State Cert. or Regist. 1 <br />SirnlAture,0~U.~ ' City License Registration', 3~ <br />.......................................... <br /> <br />PLUKBER COMPANY ~ ~ <br />M J A7 ---:/ / / State Cert. or Regist. 1 <br />Sigoaturerv0_/~ 11 City License Registration' J':?, <br />..~...................................... <br /> <br />KECHABICAL ~A'.c2 COHPANY ,L11!-. C_ -4/ C- <br />" , ,State Cert. or Regist. 1 Ct:~cc> 3. <-1.1-47 ' <br />Signature , - -_ City License Registration f ~<r_~ <br />.......................................*.. <br /> <br />OTRRR <br /> <br />COMPANY <br />State Gert. or Regist. 1 <br />City License Registration I <br />...*...*...........................*...... <br /> <br />Signature <br /> <br />~,r;H.~:-, i ' <br />.,-<"+ l~::;.:..~;"-~ ',:i:' :~..:.~-.,., ..,(t l f.. <br /> <br />..,.._,..~,._....,..~~1l_"""".'__'""~'~ <br /> <br />t-:""? (':-.:',,' I'A....... <br />.. ~T'~PD''''.',&a' <br /> <br />~-'tJi:. ~....,..........;;'_':':';.J4.'~',j <br /> <br />APPLlCAnON APPROVEbBi-"- , <br /> <br />....-4 T' ;l.lV- <br />