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<br />APPLICATION !'OR PEIOaT <br />CITY or ZBPHYlUIILLS <br />BUILDING DBPAR'l'HBNT <br /> <br />DATE RECEIVED ..6--- 3/-00 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />{;(lfHJtJ <br /> <br />!-kif. ( 2 () I-i <br /> <br />;YJ -If p. <br /> <br />PHONE ?fZ - I IX:, C( <br /> <br />JOB ADDRESS <br /> <br />t-...o, <br /> <br />61 <br /> <br />SUBDIVISION UI4-f'/t.J /-/of'Ll ZD/l/ ;r1-tI.I'A <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />3tf- u -"2-1- 00/0 - 01 ~oo- 0031 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <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 /> <br />SC;;HER <br />fi.-v-VJVllvJl'~ <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />u - (L{j Oil-A. <br /> <br />I <br /> <br />C A- ILl' ~{L r <br /> <br />BUILDING SIZE <br /> <br />I D X t-f{ <br /> <br />SQUARE FOOTAGE <br /> <br />q-fo <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 />PERMITS REQUESTED <br /> <br />~ILDING <br />~LECTRICAL <br /> <br />$ '7/1 f, I it, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. vJl(L{~ >1-!EJl <br /> <br />o PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <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 AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />I3wu 4 f11uQ <br /> <br />:~~~ . <br />....' .. <br /> <br />COMPANY,]<'-!+- C6I.J~rlLuii{o.-J or- cr..?JTlU1~ /={... <br />STATE CERT OR REGIST # C-&os'77 r I... <br />CITY PROCESSING # 7-G <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />L!l.~ <br /> <br />COMPANY {tGl=:'- ISL--{; G r/2 tC <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1;'7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHAHI:CAL <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />