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<br />.~'~ - l /~1J(r <br />9 ~ <br /> <br />APPLICATION roa PBRYIT <br />CITY or ZBPBYRBILLS <br />BUILDING DBPARftIBNT <br /> <br />DAD IUIlCBIVBD ' 1 Irlo , <br />PLARS IUIlVID I'BJI <br /> <br />OWNER'S NAME S I-J DIE <br />JOB ADDRESS ,} go ~ <br /> <br />{ :J; /I~ /!.s/I <br />gr#'/J"'i; Ztp/UjA:-A, //6, <br /> <br />PHONE p/j- ?6't'- /~//) <br />/f. 3'-q~j'4/ <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # II - :<t: -,2/ -CL'/t-' - /,~5/lLJ- /'/1'/ <br />WORK PROPSED: DNEW CONSTRUCTION ~ ADDITION <br />D SIGN D MOVE <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />D DJj:MOLISH <br /> <br />PROPOSED USE:~SGL 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 />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/efi X /r' tf/l5Sh/J/J1 <br /> <br />2. <br /> <br />W It LL S <br />~} /1tt7 +1/ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />o BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ 1/-5:!t '-I ~t CO <br /> <br />PLANS & (2) SETS OF BUILDING PLANS &n~~.) ,~T ENERsr FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY F~.~~. .' <br />REQUIRED FOR ALL NEW CONSTRUCTION .,,(/ . / ! <br /> <br /> <br />/1 r(6~-/. <br /> <br />~.,.....~..- <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~ <br /> <br />( <br />I <br />VALUATION OF TOTAL CONS~RUCTION <br /> <br />"'.." .~",./' <br /> <br />D FLORIDA POWER "-, ".[J ..,WiR. E'; C. <br /> <br />./ <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BJ.!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 />1111~iillii~illlll!!~jlli!ml~~lilill!II!lllii!illl!!lilIliiililiiii~lliilliilil~ill!lmlilililllili: -- - --~---- - .- ;1!!ilmlllilillm~millmmillllmlilillliillllillli~i~II!1lllliiiiiiiiiiiiillllllllllllllll <br /> <br />~ILDY i \ ..... . <br />SIGNATURE vA~b-)\ O~ <br /> <br /> <br />****************************************************************** <br /> <br /> <br />~I&C~~ <br />SIGNATURE (:?~#~,~.t1--?l <br /> <br />COMPANY (, A P. J.- J 'S L.. ~ E ~ <;'11\ I (. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1'&7~ <br /> <br />I <br />****************************************************************** <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />IilBCBANICAL <br /> <br />* * * * * * * ** * *,* ** * * * * ** * * ** *** * * * * * * ** * ** * * * * * * * * * * * ** *'** * * * ** * * * * * * * <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />