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<br />APPLICATION I'OIl PBmaT <br />CITY or ZBPBYRRILLS <br />BUILDING DBPARDmNT <br /> <br />DAD RZCB:IVBD, <br />PLANS uvt_ I'D <br /> <br />OWNER'S NAME <br />JOB ADDRESS Jj~ gO - ~ 0 7.:t! ~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />/OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DIj: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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />" <br /> <br />~'LDING <br />~ECTRICAL <br />~ywtBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />vALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />OGAS <br /> <br />o ROOFING <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 0 NO <br /> <br />!1!lmlll!!!!!illliiilll!II!~i!i!llllllilllll!!!!II!I!!il!II!II!!!i!i~lilll!!!!llllllllml!!!!!II!!III: - ~- --.-- - -;!I!!I~llm!I!lllmm~i~III~!II!lm!ffil!II!lllllllmlll~I!1illll!IIIIIII!~~!IIIIIIIIIJIIIIIJ <br /> <br />BUILDBR , <br />SIGNATURE /' <br /> <br />COMPANy~l ~"'1 <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 11 C:. R <br /> <br />****************************************************************** <br /> <br />.~CZA8 ~ ~ <br />5r~T~RE v::; ~~ <br /> <br />COMPANy~.€:t1LE~ atC'T. Ci##7d., <br />STATE CERT OR REGIST # <br />CITY PROCESSING # t/""'.. ~57 0 <br /> <br />I <br />****************************************************************** <br /> <br />COMPANY ~cA-'k-(~s.+ M€d'tAtV ~'CA-I <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />Cu",4 <br />Z7~3 <br /> <br />V'iLUMBBR <br /> <br />SIGNATURE <br /> <br />AU :u~ ~ <br /> <br />(lQ8l. <br /> <br />**********~********************************* <br /> <br />V YBCIlAHICAL <br />SIGNATURE <br /> <br /> <br /> <br />***t****., (, <br />e~C-141U L c:.+ <br /> <br />o 1,,)-+ ' <br /> <br />************************ **************************************** <br /> <br />OTIIBR COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br />