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<br />APPLICATION I'OR PERMIT <br />CITY or ZBPBYRBILLS <br />BUXLDXNG DEPARTMENT <br /> <br />.. ~ <br /> <br />DAD RBCBIVBD <br />PLANS RBVIBW I'D <br /> <br />OWNER'S NAME 7- G{~ve r-J <br /> <br />PHONE <br /> <br />JOB ADDRESS S <6~'tL{ <br /> <br />,,--r H ^ <br />:::> r-ve. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />------ <br />o ALTERATI ON l31U:PAIR 0 INSTALL <br /> <br />PARCEL ID # <br /> <br />o MOVE <br /> <br />o DIj:MOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <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 />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK &"c,L>eAt- C HM1t' ~ <br /> <br />2- VNtC'> ~; ~~ <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 />~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />7',).L)O -~ <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 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 />..........."............................."..n.......................unu.............un......n.."'.,."............... - -~---- - - - unn..n......"......................umn...........'...n.................................n.n....n."."................... <br />m~mmm~m~mmmm~mmmmm~mmmmmmmmmm~~mmmmmmmmm: immmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm1mm <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />80ILDB <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTlUCXAN <br /> <br />I <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />pLUMBJDl <br /> <br />SIGNATURE <br /> <br /> <br />**********~******************************************************* <br />COMPANY W{ZIC,t+t Sud:.j(,o~ <br />STATE CERT OR REGIST # CI4-G - (')~\\ foe; . <br />CITY PROCESSING # <br /> <br />YBCIlANICAL <br /> <br />*************************************************************** <br /> <br />O'rBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />