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<br />J' ';:, <br /> <br />'r <br />~" ~ <br />~ /?- <br /> <br />APPLICAtION rOR PERHlt <br />CITY OF ~EPItYlUI1LLS <br />bUlLDINU'bKPARTHENT <br /> <br />OWNER · S NAH8 <br /> <br />j3fJy <br /> <br />t//i-L.Itt:rJf /}IIILj)f,eS I ;VL <br />Sr[p!I;; AI .f" ffD;n:/J <br /> <br />PIlONE <br /> <br />OWNEtt · 8 ADDIUtSS A 01 ~ b' 0 6 9.] s;- <br />Job ADDIU~SS S /1/'1 t:. <br /> <br />LEGAL IJESCRlPTION: LOT(S) <br /> <br />BLUCR <br /> <br />SUBDIVISION <br /> <br />PARCEL t.b.' J-.26,-.';(! COBTAIN FROM PROPERTY TAX NOTICE) <br />WORk ~ROPOSED!~eW ton~tructiott ----^ddltiott ----^lteratiott ~epai~ ____Install <br /> <br />_S1811 <br /> <br />--,"ove <br /> <br />-.JJe.olish <br /> <br />I <br /> <br />PROPOSED USEt ~bigle tuily <br /> <br />---1'1' F <br /> <br />_' of Units <br /> <br />--1f/1l <br /> <br />__tUllllercbl <br /> <br />_lndust. <br /> <br />_Swill. 1'001 <br /> <br />_Olher <br /> <br />~estaurant & Ilealth Department Approval <br /> <br />DESCRIPTION OF WORk: <br /> <br />BUILDING SIZE: <br /> <br />Jl" X -2f'6; ~ c> tf SqUAre Feet. ?:n"?' Jleight <br /> <br />RESIDENTiAL: AttAtm (2) pwr PLANS & (2) SETS OF BUILDiNG PLANS & (1) SET ENERGY FORMS. <br />COtOO:RCtAL! ArtAtll (3) SETS or ButLDiNG pLANS' (1) SBT ENERGY FORMS. <br />'RUNattt SUlVa! RltQUlRED FOR' ALL NEW CONSTRUCTION. <br /> <br />pERKtrS.RBOUBStEIJ <br /> <br />~UltDING <br />_ELECTRIcAL <br />--,"BCIIAJIICAL <br />---1LtlHbltfU <br /> <br />,$ <br /> <br />?tJ'Ib, ~'1 <br />" <br /> <br />Valuatlott ol Total Construction <br /> <br />AH.P Service <br /> <br />Florida PoWer Corp. <br /> <br />W.R.E.C. <br /> <br />,$ <br /> <br />Valuatlott of Heclmnical Installation <br /> <br />GAs <br /> <br />ROOFINU <br /> <br />SPECIALTY <br /> <br />TYPE OF COl'fSTRUCTIOIU ,.....--Block. _Frue ",,--Steel <br /> <br />Other <br /> <br />FllUShlID 'WOK ~lJlVATI0NS:. ,.. ; FT . <br /> <br />1S 'PRUJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />...........,...."....,...,....,.......... <br /> <br />BUILDER <br /> <br />, ; <br />. , . CONTllActOit SECTION <br />'~. .~ 'I ~'. " 'COtWANy',,/7LE /jLJlfiYJ <br />..' .. . ,... state tel't. or Regist. . CA_cc'sL,I6.PO <br />tity tlcenge ltegistrat10n . ~~ <br />.......................................... <br /> <br />Signature <br /> <br />~ - <br />EI.BCTR.lCIAR. COHPANY /JJt?,erz;JpJ ~~eC. <br />::=:- ~. state Cut. or Regist.' ,6;eMo~';I93 <br />. City License Registration' ~a::l... <br />..................,....................... ~ <br /> <br />COMPANY <br />state Cett. or Regist. . <br />City Licenge Regi9tration t <br />.........,................................ <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COHPANY <br />stAte cert. or Regist. , <br />city License Regiatration . <br />................,.."..................... <br /> <br />MECHANIcAL <br /> <br />Signature <br /> <br />COHPANY <br />StAte Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />OIRRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />