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<br />OWNER'S NAME (;(l/}AltJ /-Jon. ( Z at-! <br />JOB ADDRESS 37 '-fiG, NEU/Cofl/\. <br /> <br />tn-l-{. fJ . <br />A-Vi- ' <br /> <br />L-oT 3? <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />~._._---'_...._...~ <br /> <br /> <br />PHONE ~ID~) <br /> <br />~ ( (<{Iou <br /> <br />APPLICATION rOR PEIUfiT <br />CITY or ZJ:PHYlUIILLS <br />BUILDING DEPAR'l'JImNT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION GI2I1-JJ;? !lorN '20 (v <br /> <br />PARCEL ID # <br /> <br />) tf - z S- - 2- (- 0 0 I 0 - 0/3 00 - ()D '3 8" <br /> <br />(OBTATN FROM PROPERTY TAX NOTTCE) <br /> <br />o SIGN <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />oALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />l3"fN STALL <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~fW.M. IIV'/~ <br />OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />Il~TAUAANT & HEAL~PARTM~PPROVAL ~) <br />~ ~ tUJ ~ <br />tA-I ) ~ () 5" c.tzf~;J {lDtJ(IA I C:I+f(fJC(l f. tJ ~ c.c..; f-/f.EJ} w;,~c.f:.IM't'Y <br />I ( I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />qrft, <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 />~UILDING <br />~LECTRICAL <br /> <br />$ /0,711. qf <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C . W( (lL 5 HE/) <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 AREAo YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ 1+. 0a.kQ <br /> <br />.. i*Jltfj. ~!f~:~Ml <br />: . .:m:t.~..U*,:t~:~ltn: <br /> <br />COMPANY g~f+ CON~lfluc.r 10"'; 0=- a~)JnlIU- f={. I <br />STATE CERT OR REGI ST # cl3 co 5 '7'7 ?'z. <br />CITY PROCESSING # ~ <br /> <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~A. <br /> <br />~ <br /> <br />COMPANY Au: (31-&.cr/ltC <br />. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**************************************************************~** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />*********************************************************~******* <br />