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<br />OWNER'S NAME <br />JOB ADDRESS~ <br />LEGAL DESCRIPTION: LOT(S) J ~ BLOCK C)CXJG() SUBDIVISION <br />PARCEL ID # (Yl, - .1..\0 - L\ - O~OD- O()()cC4() ('Ocj (OBTAIN FROM PROPERTY <br /> <br /> <br />(; <br /> <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br /> <br />'S\ N~ lL <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />P~I~e~t\~~ <br />SQUARE FOOTAGE ) L/ 8, <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />'OLDOO <br />) <br />1/)0 <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP <br /> <br />VALUATION OF ~AL CONSTRUCTION <br />SERVICE ~ FLORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />Z:7J 00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~THER ~~ <br />!){ FRAME 0 STEEL 0 OTHER <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />* *********************************************************** <br /> <br />ELECnICIANC Q~ <br /> <br />SIGNATURE ~ . <br /> <br />COMPANY -c:. +- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />c ~\ \y1"kI-C <br />E" it. ()(x) ~ 3 <br />'S: "30 <br /> <br />********************************************* <br /> <br /> <br /> <br />PLUMBER~ ~ COMPANY <br />STATE CERT OR REGIST.Jt <br />SIGNATU '. M ^. CITY PROCESSING # err'- <br /> <br />* * * * * ** * * * *.* * * * ** * ** * * * * * * * ** * * * * * * * * * ** * <br /> <br />MECHANI~ c-21 r-J )/l <br />SIGNATURE~~, ~'-.QJlL-- <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />***************************************************************** <br />..... <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY V MJ r 11 f-lS~(" +10 yu <br /> <br />STATE CERT OR REGI ST # G::r - C c s 1 } 9Z- <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />******************************************************** <br />