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<br />u__ .u_____ tD.I--20--' Q:3 FP I 14: 4';:l I [i: <br /> <br />TEL. r 10: <br /> <br />tfOL~' F'OJ <br /> <br />AgPLICATION 1'01\ FBPHlT <br />CITY or ZBPHYRHILL8 <br />BUILDING DBP~~ <br /> <br />~. <br /> <br />DAn NCl:IVZI) <br />PLAlII'S IlWIInf I'BB <br /> <br />OmlER'S NAME Geraldine Barton <br />-..- ... <br /> <br />PHONF. 715-6018 <br /> <br />5230 2nd street <br /> <br />_~~hY!:&!J.J.~.____p_, _u.___......m ____.~m_. <br /> <br />J08 ADOMsS <br /> <br />L~GAL P~SCRIPTION! LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # __JL~26-21-0n10-12hoO-0150 <br /> <br />(OeTAIN FROM PROPERTY AAX_Hur~C~) <br /> <br />WORK PROFSED: (JNEW CONSTRUCTION <br /> <br />Os 1 GN <br />PROPOSED USE: CJSGL FAMILY DWELLING <br />o COMM!:RC IAL <br /> <br />o ADDITION <br />o MOV!: <br /> <br />DALTERATIOU <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />* <br />Re-roof <br /> <br />DMULTI-FAMUY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH O~PARTM~NT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />re-roof flat deck <br /> <br />BUILOING SIZE <br /> <br />SQUARE FOOTAGF. ____~ <br /> <br />H!:IGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING p~~s & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATT~CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQuEsTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />1000 00 <br /> <br />VALUATION OF TOTAl, CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />DGi\S <br /> <br />UROOFING <br /> <br />CJ SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION! 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEF,L <br /> <br />o OTHER <br /> <br />FINISHED ~LOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE MEAD YES <br /> <br />CI NO <br /> <br /> <br />., ..--;"....' '1. ~'~ .....,..-- <br />~ . . ,I I ,'" i <br />J.,,,,l,,",,,,,".\l;;..wJ.~l'IA!l;~(~~~,...).Ji;'l' l.r..('...._.~ '.'-~ <br /> <br />f;:!,:,;: :i:i:!i:!:: :1:):'::;1, :::: ~,:l:;;jiiilii!';! i!:i~i ~ii~iti!ii,[l~lii,!;i;:::::'j '[1E:::::::: :, <br /> <br />BUILD" <br /> <br />SIGNATURE <br /> <br />COMPANY_ <br />STATE CERt' OR REGIS'f #- <br />CITY PROCE~SING # <br /> <br />..........***.*.*******.*************.***.*.....*...****..**.....* <br /> <br />ax..C'DUCIAM <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />..***..***..**...*.***.***.**......*...****.**~....*.*...,**.....* <br /> <br />FLu.D <br /> <br />SIGNATURE <br /> <br />COMPl\NY---- <br />STATE CERT OR REGIST *__ <br />CITy PROCESSING # <br /> <br />...****.,.~.*.....**.*********..***.**...**.***....**.*........... <br /> <br />IlI8CIWIICAL <br /> <br />COMPJ\NY---~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.**,~.~*..***......***..*.**,.*..**..****.*~*...~**.......**.**.** <br /> <br />omu ~~ <br />SIGNATURE\'/ ~ <br /> <br />COMPANY T1rlryl ~l"hr;:lm 'Rmti~ IJ:lC <br />STATE CERT OR REGIST # CCC-O 5921 <br />CITY PROCESSING n <br /> <br />,..**********.......****.......*..............*.....**........... <br />