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<br />/ \ <br />APPLICATION rOIl PElUlIIT C/~ 7') .. <br />ern or ZBPHYiUlILLS ( J )J ~ It) -/5-0 i) <br />BUILDING DKPAR'l'tIlIZN'l' rdIt"fi RECEIVED - - , <br />pLANS 1UtVIEW l'EE <br /> <br />PHONE <br /> <br />f'13 -'71"1 - /~C( <br /> <br />OWNER'S NAME '~I~/L-l{ ~1I-(ltJ/V&{L <br />JOB ADDRESS ;'75(Q /V(.,.v./ Hoaf 2tJfJ <br /> <br />B /...- II' () , <br /> <br />~T <br /> <br />t.f~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # $4--2 c)- z-f - 001 0 - O~(!)O - 0 ljt,o <br /> <br />woRK PROPSED: ~ CONSTRUCTION o ADDITION <br /> <br />SUBDIVISION {flf2Al/P 1/<J1l1 Zofo/ <br /> <br />(ORTAtN FROM PROP~RTY TAX NOTTCE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH R~rtJf-r.4-iA- <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o flU-d1/ANhl J <br />OTHER c;At~(: <br />I2&nj11/W~1? <br /> <br />D RESTAURANT II HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK CA/l.A-&e / /l.JI / {,;/l .5c./lfIfN ~()1Yl / <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~'72- <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT pLANS II (2) SETS OF BUILDING pLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING pLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ECTRICAL <br /> <br />$ 134-% ,00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W, R. E, C. wi(2.l3:. GIlf~e <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />****k************************************************************* <br /> <br />~ fl< ~ <br /> <br />COMPANY (31; If (o;../sr !lV(JION tlF UNTfl/l{,; pL. <br />STATE CERT OR REGIST # C{3co5'7'7 t"t-. <br />CITY PROCESSING # ~~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />~ fJ. fktd <br /> <br />COMPANY flc-~ I~I.A~C ,/lte. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />KLKCTR1CIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANI CAL <br /> <br />**************************************************************"*** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />********************~******************************************** <br />