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<br />APPLICATIOlil roa PBRMIT <br />CITY or ZBPBYRBILLS <br />BUZLDING DBPARDmNT <br /> <br />~ <br />........- 0 .r-'J 2. <br />. '.)-:; <br /> <br />DATE RBCJlIVBD <br />PLARS RBVID I'BB <br /> <br />OWNER'S NAME Kl ~ rc.o D6 '&E:.LL..- PHONE <br />JOB ADDRESS 5--J.llo 8-1:b ~E.'- ZE"~R-~IU~, Fe. .33s-tO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />C!dALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o D~OLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />....0-...:::-0 'I,r i- I \"'/:..-O A - <br />~" """- '-' r ,~ I"c... r~_ <br /> <br />F~M (oOAw\p Tb \SO AMP <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 />~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />(jJ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />vALUATION .OF TOTAL CONSTRUCTION <br /> <br />1'50 <br /> <br />AMP SERVICE <br /> <br />!Sa FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 B~OCK <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 />11!lm!IIII!III!II!I!I!lllll!ll!!I!!!lllllll!I!!!!l!I!1il!1I11111111111111111111Iillllllll!llIlIIII!li!!I: - ---- - -- j!II!I~II!lII!m!lffi!llill!!I!lIIIII!lmlllll!IIII!l!!I!!!jllli!!mllll!IIIIIIIII!lllllll!lllllll <br /> <br />BOlLOBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTlUCZAR <br />SIGNATURE \~!:> ~ R..... - <br /> <br />COMPANY F~ 516C4~lC <br />STATE CERT OR REGIST # E e-oDCYl.,,1.tO <br />CITY PROCESSING # lO<.o <br /> <br />I <br />****************************************************************** <br /> <br />PLtJKBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />YBCBAHICAL <br /> <br />* * * * * **** **.* * * ** * * * * * * * ** ** * * * * **** * ** ** * * * * * * * * ** * *.** ** * * * * * * * * * * <br /> <br />COMPANY <br />STATE CERT OR REGIST f# <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTDR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />