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<br />APPLICATION rOR PBmlIT <br />CITY or ZBPRYlUIILLS <br />BUILDING D1!:PARTMaIT <br /> <br />, fit 6j;)y <br />DAD YC2IVBD <br />pLANS uvtd I'D <br /> <br />OWNER'S NAME /A();yI6-~ 11. ( ~CL /1. <br />JOB ADDRES~ b ~ J ..., AtJ!xJtr ~MzCYL DttJf. <br />05 <br />6~ -,l/; -.:;1- ():?!d:r [)Ow - ()OOO, <br /> <br />fUt,j <br /> <br />PHONE <br /> <br />nYf3 -1o~7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~-:;/rUW< r;!~(t~ <br /> <br />PARCEL ID , <br /> <br />(OBTAIN FROM PROPERTY TAX NOTtCE\ <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />'tlSIGN <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLI SH <br /> <br />o REPAIR <br /> <br />t1 iNSTALL <br /> <br />o ADDITION <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />d MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRI PTION OF WORK /ZlS/d.&'fft oj [lV've 1/ ~ 1, <br />BUILDING SIZE ?It J;t, 'I ~S SQUAR~ FOOTAGE II; 1'1 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S. <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 />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />f.r2.o I (!)(!)O . C/O VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />;)00 AMP SERVICE Jif FLORIDA POWER 0 W. R. E. C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALIJ1.TION <br /> <br />OGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 "NO <br /> <br /> <br />SJ..GNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING , 10'1 <br /> <br />BUXLDD <br /> <br />SIGNATURE <br /> <br />* **************************************************************** <br /> <br /> <br />~~1# <br /> <br />COMPANY /l1or1a1 elec17c t; t tf;:7 <br />STATE CERT OR REGIST # 0 ,[}(I!JP 't-r <br />CITY PROCESSING # ~/7~~- <br /> <br />aL&cmIcIAR <br /> <br /> <br />PLUMBBR <br /> <br />*.***............*...........**.*.*..*...**.***************** <br /> <br />COMPANY !frJ.-fl'(1 !:erl/.!u ( ~tJ r~ <br />STATE CERT OR REGIST # 'K r Df)" ers-~ <br />CITY PROCESSING # Jr~ <br /> <br />SIGNATURE <br /> <br />***************.*********.~***~**************** <br />COMPANY <.~/l15 <br />STATE CERT OR REGIST # <br />CITY PROCESSING # .)~ <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />0'1'IIID\ <br /> <br />SIGNATURE <br /> <br />*..*************.********************************.*.*.*.********* <br />