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<br />.. <br /> <br />APPL:ICAT:ION ro1\ PJUQlIT <br />C:ITY or ZBPBYRB:ILLS <br />BU:ILD:I1l1G DBPA1\'1'lOD1T <br /> <br />.6 <br /> <br />DAD RBCB:IV1ID <br />PLANS 1UW:I_ I'D <br /> <br />OWNER'S NAME ~\L 1"1:n... <br />JOB ADDRESS '6~L\4~ i-tb. A\H.... <br /> <br />~~,n~'\\s, <br /> <br />PHONE (<2\::> J C1l ~ \c ~a <br />FL ~~L{a <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o Dl!:MOLISH <br /> <br />PROPOSED USE: OSGL 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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK LJp~D& SEJ2..lJ,CC:; TO <br /> <br />I~ <br /> <br />Am&'5 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />1& ELECTRICAL lSD AMP SERVICE rJ FLORIDA POWER 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIALINSTALLATION <br />DGAS o ROOFING o SPECIALTY 0 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 0 NO <br /> <br />!lllillllll!IIIII~~I!llllll~ll~llllllllllmlll!!!llil!~111!1111!II!iillillllllliliill~lllllllllllll: - -- - - --- ---- -- - ;1~llmllmll~~llmmllll~~I~~~mllll!llllllllillll~II!11111!1!1111~!IIIIIII!II!lllllllli <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUZLDD <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTlU:C:IA1l1 <br />SIGNATURE \~l-\.~J)::- Q.. <br /> <br />COMPANY Fts E.L-E:~ L <br />STATE CERT OR REGIST # E e.. 000 \-Ho~O <br />CITY PROCESSING # 10(" <br /> <br />I <br />****************************************************************** <br /> <br />PLUYBB1\ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~****************************************i************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />YBCIIA1l1ICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />0TBB1\ <br /> <br />***************************************************************** <br />