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<br />APPLICATION FOR PBmaT <br />CITY 01' ZEPRYRBILLS <br />BUJ:LDJ:RG DEPARTMENT <br /> <br />/"L( / <br />'~- <br />~TE RECEJ:VJl:D <br />PLANS REVIEW I'BE <br /> <br />tt OWNER'S NAME -( ^ M JY\ \-f? e () ~p1D ^' PHONE 1 ~ 0 ~ 8 ~ (g D <br />"'JOB ADDRESS 57~~~1 ~t. zc..,k1rb.ill5 .8 1?;SL{D <br />r-LEGAL DESCRIPTION: LOT(S) ~ + 10 BLOCK 71.. SUBDIVISION <br />"PARCEL ID # "-i).c.s, -d,' - 00 to - 0 7 ~ 00 -00'/0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />)CALTERATION <br />[] DEMOLI SH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />PROPOSED <br /> <br />[] SIGN <br />USE:~SGL FAMILY <br />[] COMMERCIAL <br /> <br />[] MOVE <br /> <br />DWELLING <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br />I <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />..... DESCRIPTION OF WORK- ~~ 1'~llJLp~ I 0 ,.~ I 0 S' i..e cI lNl'~~ J~b <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />.Pt:: BUILDING <br />~ ELECTRICAL <br />[] PLUMBING <br />~ECHANICAL <br />[] GAS [] ROOFING <br /> <br />...'1 .'5'58 IlQ <br /> <br />'{1\1:.TT~:rION OF TOTAL CONSTRUCTION <br /> <br />~~ <br />r, <br /> <br />.dll? C!J;'~ <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R,E,C. <br /> <br />"l <br /> <br />,. () a <br /> <br />qO <br /> <br />vHDUATION OF MECHANCIAL INSTALLATION <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: . BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDER COMPANY U W '" (C,( <br /> <br />. ~ AN AAh.J IJ1 /J.fJ-. STATE CERT OR REGI ST # <br />\.) SIGNATURECVn.,VTn./,(j" f /" {~/"; CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />~-:;:: ~ir ['7' (~~ <br /> <br />~~~~~~~"." II <br /> <br />--... <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />SIGNATURE <br /> <br /> <br />CIT <br /> <br />********** <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />