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<br />APPLICATION 1'01l PBmaT <br />CITY 01' ZBPBYRBILLS <br />BOILJ:\ING DBPAll'J.'YBlilT <br /> <br />~-~-D I <br />DATE BBCBIVBD - - <br />PLANS RBVIB1f I'D <br /> <br />OWNER'S NAME EL II!; I( L ell, L':CS T <br />JOB ADDRESS r;/ c 2 /ij 0 51 ZEPIIYk ;-/( LL 5 <br />/ <br /> <br />PHONE <br /> <br />rL, 5 3 5-71 C <br /> <br />:z II 1('3' (:AKYt 0 E l17of/rL t <br />SUBDIVISION P4Rk I> 3;;5-3 cl cf?t> Sf 0" A~.& <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # (, '),- :2 b-- -:z. l- C' t' ".l (: -6 C'j dC'- LV:' /0 <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />~ ADDITION <br />o MOVE <br /> <br />o ALTE RAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMIN~ POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 5'/C'1 ~ f 5'h e ~ ,j, <br />-.J <br /> <br />BUILDING SIZE <br /> <br />/r-x/c- <br /> <br />SQUARE FOOTAGE <br /> <br />/?,C <br /> <br />HEIGHT <br /> <br />r <br />J <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 />o BUILDING <br /> <br />d' <br />O? $ 7/501 0-0 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />-N 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 />SIGNATURE <br /> <br />COMPANY L1 7 Ll ' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />'--/ ( J t~ t- ('-: -=::::-- <br />Ie G L/'1rCf2/5 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />BLBCTlUCIAN <br /> <br />COMP.l\NY , <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />YBCIlANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBll <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />