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<br />APPLICATION FOR PEmaT <br />CITY or ZBPBYRBILLS <br />BUILDING DEPAR'1'MJl:N'1' <br /> <br />DA'l'B RBCBZVED <br />PLANS RBVIE1f I'EB <br /> <br />1/~9-01 <br /> <br />DOrio 1 A '/ <br />S 7oJ-f '1 <br /> <br />50S /Yows ii,- <br />~ S-j-, <br /> <br />.........---....--.-.-.-....-...-... <br /> <br />OWNER'S NAME <br /> <br />PHONt~~2:!:~ <br /> <br />..--.-----..-..----.- .~-_.,-.~,.,.,... <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />- ottO <br />PARCEL ID #. 1/- ~{~.- ~ i - 0010 -- () c; 560 (OBTATN FROM PROPERTY TAX NOTTCE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION Pi' ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMEN~ APPROVAL ') <br /> <br />ROC) n1-llJQL T; (')' tv' (6" -L /1/3 E' >< I~ T/;..l;- . <br />~. 4..+ nOf/le <br />SQUARE FOOTAGE -.a 55 ~I-, HEIGHT /()wt:",d <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />" <br />'8"- 0 <br />7'-{;JI <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br /> PERMITS REQUESTED <br />13 BUILDING $ " ~OO, 00 VALUATION OF TOTAL CONSTRUCTION <br />:3 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <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 /> <br />BUILDER COMPANY (!'..u~ <br />m ~ .....t:l n < STATE CERT OR REGIST # <br />SIGNATURE -~ L... ~~ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBC'l'lUCIAH <br />SIGNATURE--1D~ ~~ <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />(?) .LlY"Y\. D./"\. ~ <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********.******************************************************* <br /> <br />MBCIlAHICAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />O'l'BER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />