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<br />""c"I':r"';,~':~~T (j,(b! II_j~=;;" <br /> <br />BUILDING DEPARTMENT \\II1I,lDATB lUI:ClI:IVED t,'" / I <br />PLANS lUI:VIEW I'BB <br /> <br />JOB ADDRESS <br /> <br />.4\ <br />5~\<1 <br /> <br />~\J...\"V\ \"v\..t<.. \ <br />l\~~ <br /> <br />PHONE <br /> <br />J,-g 3 r ~ \'0 \ <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I D # \ \ ~ ~ lD . dol . 001 0 - \ '1 OOD - 0 \ I D <br /> <br />, <br />(OBTAIN FROM PROPERTY TAX N~~ICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br /> <br />r1 ADDITION <br />[] MOVE <br /> <br />[] ALT ERAT I ON <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />" <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />9 MOBILE H9ME ' <br />[] OTHE'R <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />, to I Lj II Y J., 0 I 4- 'u...m~u Y\" I\..OC/Y'^.. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />\" ~ t . i <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOiU1S,:' <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />t:':1 <br /> <br />PERMITS REQUESTED <br /> <br />;< L 000. <br /> <br />,or <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />, ,!,~', ' i , <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />r <br /> <br />',!,- <br />, ' <br /> <br />.,: <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />;,,?'!Io r~ ~', ;;i~ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />.,1 <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />SIGNATURE <br /> <br />~~~ <br /> <br />COMPAN~cu.J ~~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # a- S 3 ' <br /> <br />'-\ ~::, : <br /> <br />BUILDER. <br /> <br />00 3Ql...5 ~q." , <br />;0',1 'f.. '. <br /> <br />****************************************************************** <br /> <br />!'t !i <br /> <br />ELECTlUCIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # I? 15 &1),3';;;;' 5~9' <br />CITY PROCESSING # :2 g ~ <br /> <br />; ! <br /> <br />,; v.';, <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * ~ * * * <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />MECHANJ:CAL <br /> <br />f '~ If! ':j ,.;_.: <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />i <;':f," "'" <br /> <br />; I <br />