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<br />PARCEL ID , <br />WORK l"ROPSED: Dwn CONSTRUCTION <br /> <br />o SIGN <br /> <br />o ADDITION <br />[J MOVE <br /> <br />(OMAIN <br />~TEAATION <br />D DEMOLISH <br /> <br />PROM PR.O~E.~TY TAX H{Y)'TCEI <br /> <br />o REPA1R <br /> <br />o INSTALL <br /> <br />PROPOSED USEI DSGL FAMILY DWELLIHG Dt.ror.TI-FAMILY' 0# 01' UNITS <br />}\cOMMERCIAL 0 INDUSTRIAL [j SWIMMING POOL <br />o ~E5TAIJRANT ~ HEALTH Dli:l'ARTMENT APPRO~ <br />DESCR;rt"TION OF WORK ~ rzmr:1 ND <br /> <br />o MOBILE <br />o OTHER' <br />I <br /> <br />HOME <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />4/00 SF _ <br /> <br />HEIGHT <br /> <br />2-71 <br /> <br />RESIDENTIAL: <br />COMK!:}i\CIAL: <br /> <br />ATTACH (2) PLOT PLANS 5 (2) SETS OF BUILDING FLANS , 11) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PloANS , (1) SE'l' ENERGY FOIUiS. <br />PROPERTY SURVEY REQUIRED i'OR ALL NEW CONST~UCTION. <br /> <br />o BUILDING <br /> <br />j <br />$ I ~ 000 <br /> <br />PERMITS RJ:QtJI:SDD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHAN~ $ <br />o GAS AOOFING D SPECIALTY <br />TYP~ OF CON3TRUCTION:~CK <br />FINISHED F~R ELEVATIONS <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o \Il.R.E,C. <br /> <br />'VALUATION OF MECHANCIAL nrSTALI.A!l'ION <br />o OTHER <br /> <br />D FIWm <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAC] YES <br /> <br />D }'O <br /> <br />~~~~~~ii!IJ~ri~1:~~~li~};0.1!~rrJ~~j::~~~~~~~;~- ;tt~l:'~~~~~~~tj:Ji;i~:~:It~~g~:;!1:t~~~1;~~l~;~:;~:;1~ <br /> <br />BUILDD <br /> <br />COIfPAJr{. <br />STATE CE~ OR REGIST # <br />CITY PROCESSING fL <br /> <br />SIGNATU~E <br /> <br />.**********************************.*******************.********** <br /> <br />m.:&C'l'IU:CIAIJ <br /> <br />SIGNATURE <br /> <br />CQMP,ANY. , <br />STAT~ CERT OR REGIST # <br />CITY PROCESSING . <br /> <br />*~******************************************..****~*************** <br /> <br />~.... <br /> <br />COMRANY <br />STATE C~~T OR REGIST # <br />CITY ~ROCEB5ING * <br /> <br />SIGNATURE <br /> <br />NBCIWJI~ <br /> <br />**********~****.***~**+***********.******************************* <br /> <br />COMPANY. <br />STATE Cl!;RT OR REGIST It ~ <br />CITY fROCESSING * <br /> <br />SIGNATURE <br /> <br />**********************.********.*********** <br /> <br />0THB1\ COMPANY <br />~ ~ ^ STATE CER'l' OR REGIST <br />SIGNATURE? ..J.:!!:.I^-- nC;> Cln PROCESSING ~ . <br /> <br />.... ..._...***.**.~<<*************.**..**~*.********.*.***.****** <br /> <br /> <br />&J.. <br />