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<br />APPLICATION FOR PEmaT <br />CITY OF ZBPRYRRILLS <br />BUILDING DEPARTHImT <br /> <br />DATE RI!lCBIVBD <br />PLANS RBVIBW nil: <br /> <br />OWNER'S NAME ~ ~ ck ~ L.E Y\ "t'='\ <br /> <br />0lH.Y <br /> <br />PHONE (~13) Il3-CJ/L/i <br /> <br />JOB ADDREss4tl!S,A R\d.1~w A~, Dl2-\ \:)G.. <br />LEGAL DESCRIPTION: LOT(S) (l)05d.- BLOCK ()c"CXX) SUBDIVISION OJ3D <br />PARCEL ID # ()~- -:2& - -;;1.[-0130 - DOOCO -~ (OBTAIN FROM PROPERTY TAX NOTICEl <br />0<<1\.0 <br />WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />VMOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK l-..h...10 \--nab, l \.-""'1'''"'('. ~t.-t-~ \0;-\~ C'.y'\-c.'Pc,{~.J' '5h~O <br /> <br />BUILDING SIZE 'd ~ ><... ts. '2> <br /> <br />~ ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />SQUARE FOOTAGE <br /> <br />),~rL/ <br />, <br /> <br />HEIGHT <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />E1 BUILDING <br />1s1 ELECTRICAL <br />M PLUMBING <br />ea MECHANICAL <br /> <br />PERMITS REQUESTED <br />00 <br />50) 000, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />;;({~O <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o W,R.E,C, <br /> <br />~ CAO C/D <br />$ ,,JJ , <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />)( FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br /> <br />BUILDBR <br />SIGNATURE ~~ ct 'Y"Y\/\./X...K <br />I <br /> <br />COMPANY 'B ld+'u, \=f ~ 1 J.. s . <br />STATE CERT OR REGIST 1# J: ~ <:x:x) 00'6 () <br />CITY PROCESSING 1# 98(.,'-( <br /> <br />****************************************************************** <br /> <br />ELECT1UCI~ <br />SIGNATURE . ,.' {t/L-M cf<. ~k. <br /> <br />COMPANY --...1DRDOy/ z:;;: l5..cJfLl C. <br />STATE CERT OR REGIST # COO '3/ <br />CITY PROCESSING # <f ;;l3 <br /> <br />PLUMBBR. <br />SIGNATURE~~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANYm.JSOY\. 1\ Ll vY\O-^- <br />STATE CERT OR REGIST # "Rt=' C:fy3<nS <br />CITY PROCESSING # I Cc 11 <br /> <br />rR. ~IP--~ <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * */f2* * * * * * * * * * * * * * * * * * * * * * <br />ImCIIAlUCAL COMPANY J:2~ 15 <br /> <br />SIGNATURE ~UU!- cA f}1~f ~~*~E P~~~~S~~N~E:IST 1# CJ~~O 1-/80;4'0 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />~ <br />