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<br />x <br /> <br /> <br />API'L'1CAT'10ar FOR I'DK1.T <br />CI.TY OP IaPBYUI.LLS <br />BUILD1NG DBPAJlTttENT <br /> <br />.,.,n' <br /> <br />" <br /> <br />~" <br /> <br />~ <br /> <br />-'--' , <br />~. <br />fL <br /> <br />JOB LOCATION <br /> <br /> <br />...., <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />'.J <br />~. <br /> <br />AREA SQ. F'J: . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.4~ 1- <br /> <br />BLOCIC <br /> <br />4 <br />WORK PROPOSED:____New Construction ----Addition ----AlteratiQ~ ~epair <br /> <br /> <br />-"1 <br /> <br />____Sign/Temp. <br /> <br />_sian <br />.---Ji,p <br /> <br />-Hove <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_4~ of Up.ittt<< <br />~.._'. ....;... <br /> <br />-Restaurant <br /> <br />~lUuSt:.1 ----....Swim., fPo4:.. <br />:",~:.. !'-h -':.:\ <br />& Health 'Depa~ ..i\pproval <br />. . ~~' <br /> <br />. . <br /> <br />____Commercial <br /> <br />BUILDING SIZE: <br /> <br />Square Feet, <br /> <br />.~.. ., - , <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS' & (1) SET ENER <br />'COMMeRCIAL : __ ATTACH (3) SETS. OF_.BU1LDJ:NG.~UIIS-Jc- (\)....S8't .i'It."fqplS. *.! <br />**COpy OF CONTRACT REQUIRED. '.' <br /> <br />~ 'T" - ..".. <br /> <br />PRRMTTS REOUESTED <br />____BUILDING $ 8 SID. oj) V~+~tion ~~Tot,~l co~~!tction <br />. -,--ELECTRICAL AMP Service " .,' "Fi()~ida po~~r:~i~p. , w.; <br />--'ltCllANl~AL $ .'. . .V~~~i"'; ~~~~~n~.~H-~~'k., . <br />_PLUMBliw GAS ~ RQOFlliG . ,.&~ALTi. . <br />TYP~QF CONSTRUCTION: ~a+ock ____F~~e Steel Othe~ . <br />FINISHtD FLOOR ELEVATIONS: FT. . -". "":'1.':' <br />*********....~.:.~.~.*~~~***.~*~.*~.1> ,,'. <br />~': ~;~ I Qo~.ej()R \,. I .~i <br />"C~,,' <br />-. .stater'Cert: or"Re.{ <br />", C.tty ~ice~se. R~g;.~ <br />.****....*..*..*.~.-..*...~.....**.*. <br />~. l.: ." ."":...~';"!_~_~P:': .f,_L :"..._:~ "l:'.:~.1.-r'~:$'; <br /> <br />I,' ';':, ~ <br /> <br /> <br />. t . . ~ '. <br /> <br />ET.F.CTRTCTAN <br /> <br />Si~nl)t-\lre <br /> <br />PT.lIM~F.~ <br /> <br />. ,'. <br /> <br />Signat\1-~e <br /> <br />. MECHAN1CAT. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />. ' Company <br /> <br />;'~,i'i!t;:i~e,'pe~t. or' <br />. 'Ci'ty LieeMe R~ <br /> <br />, ............**.'t.....*..............', <br />., . '. ." .i: ,.. ;.' . i ~':~:' ... .", ',~ .', ''':i';-V <br /> <br />OTHER <br /> <br />Signature <br /> <br />. .,. <br /> <br />I'"~. j <br /> <br />',',' -... ...'. <br />