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<br />1... Eri <br />JOB ADDRESS ftJ3 '16 I)shfltlk-::Or , 2e.ph}/rlllhS, <br />LEGAL DESCRIPTION: LOT(S~;'~ BLOCK <br />PARCEL ID # tJ~.1". 2..1 -(9;;;...~C>t;O 1-1./1)/ /9 <br />, r <br /> <br /> <br /> <br /> <br />DATB RBCBZVBD ' I. ~- I,--[)() <br />LARS UYI_ nB --' <br /> <br />OWNER'S NAME <br /> <br />SUBDIVISION S; Iller ~ !::..."!:.._ <br /> <br />(OBTAIN FROM PROPER--_______:CEI <br /> <br />WORK PROPSED: IaNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DIj: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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 51~.5IL s-hr,,.V F/'QA1~ J,ot.lse <br />/ <br />BUILDING SIZE 35tr7Sf <br /> <br />SQUARE FOOTAGE <br /> <br />/350 <br /> <br />19' <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 />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />C!( FLORIDA POWER <br /> <br />o <br /> <br />k <br />~;J1' <br /> <br />W.R.E.C./</ ~( <br />I)'" /0 tJ <br />'1(1 <br /> <br />Oi BUILDING <br />!XI ELECTRICAL <br />DiI PLUMBING <br />!XI MECHANI CAL <br /> <br />$ 7tJ. Dnn. D'D <br />, <br />}50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~GAS <br /> <br /> <br />$ ;{ . ~(.2 ~1> <br />" <br /> <br />~ ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MEGHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 B~OCK <br /> <br />tiit FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />~NO <br /> <br />SIGNATURE <br /> <br />~/p~ <br /> <br />COMPANyLUI L / F ~...w~'f kc. <br />STATE CERT OR REGIST # C.8 C~;L ?~'St~ <br />CITY PROCESSING #:15// -CR (O.2.)D<St'1' <br /> <br />BUI:LDBR <br /> <br />****************************************************************** <br /> <br />BLBCTlU:C:U.B <br /> <br />SIGNATURE ~~~ ~ K~ <br /> <br />COMPANY. f'E~ ElEC.:.fk': \ (~ <br />STATE CERT OR REGIST # -ER-OOD ql,.,.YCI <br />CITY PROCESSING # IOl.o ' <br /> <br />PLUYBBR <br /> <br /> <br />. <br />********************************************************** <br /> <br />COMPANY tI~ 1 r r l!itl/ Iv€" tI~/", $'AK. <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 88& <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />,********:!!* ./ <br />COMPANY ./to ,J G '-::Jfl5 ~ <br />Z;.-/x/ //' STATE CERT OR REGIST # C A (d y<.s'J Y t <br />_=---~ :e;~ CITY PROCESSING # 1-'7 <br />, <br /> <br />***************************************************************** <br /> <br />c <br /> <br />YBCIlAHI:CAI, <br /> <br />OTBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />