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<br />APIlLXCATIOR I"Ol\ 1?E1Ua'l <br />CITY: or DHIYlUI1:LLIJ <br />JlUXLDDIG D.PARDGDl'r <br /> <br />DA'.l'E UCKXVRD <br />PLAll8 RBVID I'D <br /> <br />OWNER'S NAME --r1I\ 'f l4:Jd i Q y\ 1- b-fOU. P PHONE . <br />JOB ADDRBBS c"SI ~ 6-CI U ?:>bid, I ::lorpk1yf_nilIS, If~h~J:i~; ~(Culi""- <br />LEGAL DESClUPT10N: LOT IS)..1- BLOCK SUBDIVISION ~ vIC... <br />PARCEL 1D # OJ,-:J-&,-J.,l-C()I/t-OOOOC>-OO/C) IOBTAIN FROM PROPF.RTY TAX NOTICEl <br />- <br /> <br />WORK t'ROPSED: CNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />"SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />, PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~LT1-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK -:rv'Y~~ \, ~~)V)e \ Ie ftev-s 0("\ sb(e{'rorSt. <br />f-' c:.' '7-.. il <br />BUILDING SIZE --J. rC -vr! SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAl.: <br /> <br />ATTACH (2) PLOT PLANS & 12} SETS OF BUILDING PLANS & II} SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) S~ ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />o ELECT'RICA!. <br />o PLUMBING <br />o MECHANICAL <br /> <br />o <br />/) 1.r) 0 0...-. <br />$ cJ.l~-' <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />J.\MP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />DGM <br /> <br />o ROOFtN& <br /> <br />o Sl'ECIALTY <br /> <br />VALUATION OF MECHJ\NCIAL INSTALLATION <br /> <br />Jl~~ <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION l a BLOCK <br /> <br />[J FlWfE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVArIONS <br /> <br />IS PROJECT IN FLOOO ZONE AREA.O YES 0 NO <br /> <br />~'---'-;;:---"';:';;li;:-",-.;;-_.-".;o;; :";7:";,~,,;;;"';;''''''~:-~';'= ~~:wt_~~ <br />t.,.~-...~~.#:"~~"",::,.E;j~ Ml..i\,~H ~rtf~~ ~ <br />~~I._~~_...........~~,;"__Jo.;_......itW";"',.,_",j_,u~... m::nm:.. .~m;,~.:.I~ 1 <br /> <br />COMPANY <br />STATE CERT OR REGIST . <br />CITY PROCESSING # <br /> <br />BUU.DJ:R <br /> <br />SIGNATURE <br /> <br />***********************************-****************************** <br /> <br />SIGNATURE <br /> <br />COMP~Y <br />STATE CERT OR REGIST I <br />CITY PROCESSING # <br /> <br />KLJr.Cm1C:uJiI <br /> <br />*.*...**************..*****.****...***.******...*.*........*..*.*. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING # <br /> <br />PLUMBD. <br /> <br />**.*.**.*.*~...**..*.*.*.**.*.***.***.**************************** <br /> <br />COMPANY <br />STATE CERT OR REGI3T # <br />CITY PROCESSING ft <br /> <br />IlECBAJaCAL <br /> <br />SIGNATURE <br /> <br />**.w...*.w**....w~....**..*....w*.***ww_.**.**..w.~.............. <br /> <br /><mID r"?~?A~~ -nr~ . <br /> <br />SIGNATURE <br /> <br />COHPANY=:f/i f"\C NP(JY)~c <br />STATE CERT OR REGIST # 65 , I g <br />CITY PROCESSING >> <br /> <br />.*.***......*******...**.*...*.*........*******...**********.**** <br />