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<br />APPLICATION roa PBRMIT <br />CITY OF ZBPBYRBILLS <br />BUILDING DBPAR'DmNT <br /> <br />~C;TJ) <br />~IVBD <br /> <br />b II jfJ7J <br />I I <br />PLANS uv:rn I'D <br /> <br />JOB ADDRESS <br /> <br />~f\ <br />.3rNl <br /> <br />ft. ~p}... efi5l>l) <br />3d A-.tR. 2~Lr"i{{s I {{,r;}" <br />( <br />BLOCK d.. <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRI PTION: LOT (S) II ~ I J.. <br /> <br />33 s"q'1) <br />SUBDIVISION ~noLf~~f <br /> <br />PARCEL ID # <br /> <br />/...t -;lb ~:2.1 ~ Ill) '1) - O()i/f) - fj 110 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />& REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o D~OLISH <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-:z;:,./i;P MI ~f. Over / LAY#~ OF ~iMH- :'<k;':f&' <br />SQUARE FOOTAGE +"AtJ/) HEI~HT <br /> <br />DESCRIPTION OF WORK <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 />~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />DGAS <br /> <br />NROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 B~OCK <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 <br /> <br />o NO <br /> <br />illlm!!II!!111!lll!!II!!!!I~![!lll!IIIII!!I!!!!II!!I!!!!!!!II!!I!I!I~I!!!!I!!!I!I!!I!lm!I!~lm!!!![ ~ ~- - - - - ~I!!!m!!ll!!!~~~m~l!ll!ml!l!!!l!!~l!lll!lll!!!!ml!ml!!!!I!I!I!!IIII~III!I!I!I!llljlllll <br /> <br /> <br />COMPANY 1b,!.;'.tJlliIIl ~'~~~ ~ <br />STATE CERT OR REG! ST # t!J <br />CITY PROCESSING # <br /> <br />BUJ:LDO <br /> <br />********************************************* <br /> <br />IlLBCTlUCIAH <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />I <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MBCBAHJ:CAL <br /> <br />***************************************************************** <br /> <br />OTBllR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />