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<br />Bob Youmans <br /> <br />788-5262 <br /> <br />o 7 / 0 9 / 1 9 9 9 1 rJ : 5 b : 3 6 Al'1 <br /> <br />P..1 <br /> <br />APPLICATION I'OR PEJUaT <br />CITY OF t&PRtRRXLLS <br />JlUILDIW DUAa'DdDfT <br /> <br />I1A'n UaIVED <br />PI.NIS RZV:ID I'D <br /> <br />OWNER'S NAME-1:)1llJCl5 NOf/ <br />JOB ADDRESS 3q 05 \ 3td. fW~J: <br />LEGAL DESCRIPTION: LOT(S):see t\Q4f\ BLOCK <br />12 2& 2 \ OODO CJ3S9JO 0000 <br /> <br />7~\1'\I\S <br /> <br />PHONE -.[lJ.:.1i2:A~ <br />Al2cLcl q ~:S'54-0 <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 II <br /> <br />CQRTATN FROM PROPF.R'ry TAX NOTTCEl <br /> <br />WOR!( PROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />t;(..ADDITION <br />o MOVE <br /> <br />OALTERA'TION <br />o DEMOLISH <br /> <br />o REPAlR <br /> <br />o INSTALL <br /> <br />OMULTI-FAHILY <br />o INDUSTRIAL <br /> <br />Oil OF UNITS <br />o SWIMMING POOL <br /> <br />D MOaUE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT , HEALTH DEPARTMENT APPROVAL <br /> <br />Mtt~\ R-e- ~,D{)f <br /> <br />BUILDING SIZE <br /> <br />SQUARE f'OOTAGE <br /> <br />Z?{)d <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS, (2) SETS OF BUILDING PLANS, (1) SET ~ERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS, (11 SET ENERGY FORMS. <br />PROPERTY SURVEy REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDING <br />o ELECTRICAL <br /> <br />$ 14QO ,!XL <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />~~~ <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING ~ <br /> <br />BUILDJUI. <br /> <br />*..*+*+*+*.++...*+.*.*.***..*.~.....*+++.*.*.*.....***~.*.+*+*++.. <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST << <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.........+*..***+*+++*..***.+.*+**..****..*~...*****.....**...+.~. <br /> <br />PLUXBII1\ <br /> <br />COMPANY- <br />STATE CERT OR REGIST # <br />CITy PROCESSING H <br /> <br />SIGNATURE <br /> <br />NBCBANICAL <br /> <br />.......*...,+**...............**......**.+++....**....**.*********+ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.**..........***.**.......***..**....***.**...*.......****.****** <br /> <br />0'1'JUUI. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITy PROCESSING * <br /> <br />..*~*.....*...*...+*~+~~..*.~~saJ*~'*****.**.*.***.*~~~_~~.~~~~.~ <br /> <br />.. <br />