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<br />APPLICATION I'OR PERMIT <br />CITY 01' UPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE :RECEIVED $'-.$ /- 0 U <br />PLANS REVIEW I'EE <br /> <br />OWNER'S NAME 0/44Pf} <br />JOB ADDRESS 3'7 Lfls <br /> <br />~f0( 2o,v fr/{-I.f. <br />fV8Jkof'/l.. 4v~ /.-or I Dh <br /> <br />PHONE <br /> <br />712 - I[)~ c( <br /> <br />SUBDIVISION GI.AN~ /.IoILf 2o;V <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # '~lf-2~ --11-0010- 0(300 - O/c0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />D ADDITION <br /> <br />DALTERATION <br />D DEMOLI SH <br /> <br />DREPAIR <br /> <br />~TALL <br /> <br />D SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D MOVE <br /> <br />DMULTI-FAMILY <br />DINDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br /> <br />~R <br />,41-1/,#1I,vUJY'l <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK {/.-(l{JOM <br />( <br />BUILDING SIZE /2 (< !;f <br /> <br />cA!Z.PtJ/,- II <br />, <br /> <br />SC-It4.!tff 12 O'lJrv'l <br />SQUARE FOOTAGE Iv~r~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ f9tl.({)O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W. R. E . C. WI/lI3 t II-~ f) <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br /> <br />SIGNATURE <br /> <br />ILu A- ~ <br /> <br />COMPANY 3tH- CON~Tllu(..n ON or;. a5f/f1liI-<- pc. <br />STATE CERT OR REGIST #('~Co51]7 <Pz. <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />/;t M/ il, fYfti/2 <br /> <br />COMPANY fleE &uGt()...lC <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / 1"7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />***********~****************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />