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<br />. ftyfY( ;a'hp.~ Po./}. <br />D ,r JA.)( /1 - <br />H-6f/LlI~c ;j),R. <br />11 <br />l'ARCEL ID . ~3 ~;;(p - '//- 0/00 - tJClOOO - O/tfo (OBTAIn FROM PROPERTY TAx NOTICE) <br />WORK PROPSED: ;{NEW CONSTRUCTION 0 ADDITION o ALTERAT I ot-l 0 REPAIR tl iNSTALL <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE:lSGL FAMILY DWELLING DMULTI-FAMILY 0, OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />oWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />APPLICATION rOil PJmMIT <br />CITY 01' ZBPRYIlRILLS <br />BUILDING DEPAIlTMZNT <br /> <br />DAD lUI:C2IVZD /-a ":<O--l){) <br />PLA11S RWIn ra L- <br /> <br />fa 'I <<lore! <br />69.6"3 <br /> <br />PHONE <br /> <br />f}JD - 367- CJ/3 :s. <br /> <br />BLOCK <br /> <br />5: Ive/ ~- V/& J/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />d MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />::;;;:r 6/~ - fi;Y';J-j <br />SQIARE FOOTAGE 1&68 <br /> <br />BUILDIHG SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S. <br />CoMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERG <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC <br /> <br />/ <br /> <br />ct'BUILDING <br />/ <br />t1 ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />DGAS <br /> <br /> <br /> <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />$ ~ ew. c.~ <br />900 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~LORIDA POWER 0 <br /> <br />W.R.E.C. ~1 <br />I).-'J <br />C{,'0 <br />'1~ ' <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />fFAAME <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZON MEAD YES 'jJ NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILD_ <br /> <br />SIGNATURE <br /> <br />.LaCDUCIAR <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING , <br /> <br />********************************************************~****~*/ <br /> <br />" _ / COMPANY [) I! () U ? /~ 6-fl,,: t <br />~,() ~lj/ttv STATE CERT OR REGIST /[){)IJO z::- <br />CITY PROCESSING # <br /> <br /> <br /> <br />***************************************************************** <br /> <br />._~ <br />SIGNATURE ~ <br />/ <br /> <br />ImCRAlUCAL <br /> <br />SIGNATURE <br /> <br />0'1'DIl <br /> <br />COMPANY)/J,h2~ 1) S;~/)I/Icl& t//{,/J,;J-p ~ , <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~dY~ <br /> <br />*******************~*****1*********** <br />COMPANY NY . r <br />STATE CERT OR REGIST I <br />CITY PROCESSING # C}... <br /> <br /> <br />................................................*............**** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*.....**.*....*...............*............................*.*... <br />