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<br />~mY~JO)J,c:&E~" <br />BUILDING"bl'Ai~ . <br /> <br />PATE: RECEIVED <br />PLANS REVZEW FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />OWNER'S' NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # J] -d.-7-dl-6a"fft- -oOml\- .'&/0 <br /> <br /> <br />PHONE <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />oSIGN <br /> <br />(ORTATN FROM PROPF.RTY TAX NOTTCF.\ <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />[] REPAIR <br /> <br />o INSTALL <br /> <br />[] MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />q OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HE+GHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SET~ OF BUILDING P~S & (1) SEr ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEy REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[] BUILDING <br />[] ELECTRICAL <br />[] PLUMBING <br />[] MECHANICAL $ <br />[] GAS ~OFING [] SPECIALTy <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />q S- 7~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W,R,E,C,. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />1,. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRJ:C:IAN <br /> <br />SIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHAN:rCAL COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />~t:.-.,Q ~.. ........... ...........~................... ................ . , <br /> <br />OTHER ~ t{J~~~~:~~ER~,~/~;f~~~~ <br /> <br />SIGNATURE. CITY PROCESSING # ~ '7~ ... <br /> <br />***********.******************************************************* <br /> <br />***************************************************************** <br />