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<br />~ <br />Ato <br /> <br />LEGAL DESCRIPTION: LOT (S) 9. {o BLOCK QOoOD <br />0; -L~' 2..\ .0200 0oUC()'D2JoO <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />JOB ADDRESS <br /> <br /> <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />Os I GN <br />USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />T & HEALTH DEPARTMENT APPROVAL <br />F~,\. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <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 />PERMITS REQUESTED <br />7 3 f ~ VALUATION OF/TAL CONSTRUCTION <br />LDO AMP SERVICE T FLORIDA POWER 0 W,R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />~OOo . <br /> <br />VALUATION OF MECHANCIAL <br /> <br />~THER ~~, ~ <br /> <br />~RAME <br /> <br />INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES)(rNO <br /> <br /> <br />BUILDER <br /> <br />****************************************************** <br /> <br />ELE~CIAN ~ <br />SIGNATURE a~5' <br /> <br />COMPANY ~+-- c....- ~\ YLk"(.; <br />STATE CERT OR REGIST # Erl.. t:x:) ( (~ <br />CITY PROCESSING # .--.~ ,Jo b-"'-- <br /> <br />PLUMBER <br /> <br /> <br />*** ******** **** ********** **** ******* **** ********** *,1<***** ** * *, ~ 6C <br /> <br /> <br />COMPANY L~ .~ <br />STATE CERT OR REGI ST ,. ~' <br />CITY PROCESSING # ~~~i~ <br /> <br />* * * **** * * *,* * * * * ** * ** * ** ** * ** * * * * * ** ** ** * * *4s...* * * * * * * * *;j* * * * * * ** * * * * <br />""'CHANI~ 2L--... COMPANY Oo;jhUJ /f1/2. S,?Jn. "'-" <br /> <br />STATE CERT OR REGIST # e.4-C- OS- 7 II tf' <br />SIGNATURE J) CITY PROCESSING # -~ 1'7 f? I ~ <br />- / (V <br />***************************************************************** <br />~ <br /> <br /> <br />v ~ C\~k()J..o,..) '39'2. <br />CERT OR REGIST # ' ~ (..0 $, I~ 'Z- <br />TY PROCESSING # <br /> <br />OTHER <br /> <br />****************w*************************************** <br />