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<br />.I')t:~2n.~ <br /> <br />738-~262 <br /> <br />1 :I/' "' ,..., <br /> <br />1 a c a <br />1, > ~ <br /> <br />J4 <br /> <br />~ I : 3~ ~~ f/'3-o! b(- <br /> <br />APPLICATION FOR PERMcrT <br />CITY or ~&PRTRBrLLS <br />BUI I.D IRG DII.PAR'Ddll:1(T <br /> <br />DAn: rurCXIVED 1:2. - 7 - () ( <br />P1.Al'IS UVIE1l' I'D <br /> <br />. <br />~ <br /> <br />OWNER' 5 NN-'.E UQ..o\ & <br /> <br />JOB ADDRESS <br /> <br />~5DD <br /> <br />,)O~ C. ~ ~ve.. 0 FHONE <br />(O~ ~ 2.a-fi'{'~ <br /> <br />BLOCK SUBDIVISION <br /> <br />2> ~ 54 J <br /> <br />LEGAL D~SCRIPTION: LOT(S) <br /> <br />PARCEL 10 n <br /> <br />II-:l {~F ;)../- nC)1 () - 0 Cf boO - (') rb~~ <br /> <br />FROM PROP~RTY TAX NOTTCFl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DADUITION <br /> <br />D ALl'E RAT I ON <br /> <br />o REPAlR <br /> <br />o INSTALL <br /> <br />D SIGlI <br /> <br />D MOVE <br /> <br />D DEMOL:;:SH <br /> <br />PROPOSED US E: DSGL E"AHILY DWELLING <br />D COMMERCIAL <br /> <br />OMULTI-FAMILY <br />D !NDUSTRIJ\L <br /> <br />D. OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~-S-+ a..U ,~D~... 'D'e.J-t7c.-h t\V\ S\{~~ <br />SQUARE roOTAGE 11 , q ~(P <br />PLANS, (2) SETS OF BUILDING PLANS, III SET !NERGY FORMS. <br />Of' BUILDING PLANS & (II SET ENERGY E"ORMS. <br />REQlJIRI!:D FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />PERMITS REQUESTED <br />D BUILDING S ~ 7 (p 0 ,0-0 VALUP.TION OF' TOTAL CONSTRUCTION <br />...0 r.LECTRI~.+:t,e A4a.Q..rn. AMP SERVICE 0 FLORIDA POWER 0 <br />o PLUMBING <br /> <br />W,R.E.C, <br /> <br />S #- \ <br />0-4 <br />0-~3 .\ <br />(j q 1 . ~fV' <br />-t\ V' . <br />~~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />J\TT7\CH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />D Ml!:CHANI CAL <br /> <br />$ <br /> <br />VALUP.TION OF MECHANCIAL INSTALLATION <br /> <br />o GA$ <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />,YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FR1'.ME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAC YES D ~IO <br /> <br />.~~.; -::..., '~';:~~:::;!:,'j;;:;:t;':'~! ,;;::~H~ri~ <br /> <br />BU:ILD~ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING ~ <br /> <br />~.....+.++......*.......~....~..........+.w+.......+*............. <br /> <br />J:LEC'I'RLCIAfi <br /> <br />COMPANY <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />.............+.........................................-.......... <br /> <br />P LtJMBEJ1. <br /> <br />SIGNATURE <br /> <br />COMPP.NY <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING ~ <br /> <br />..............................................................9... <br /> <br />KBCBAKI~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />................................................................. <br /> <br />0'l'JIZJt <br /> <br /> <br />COMPANYCb(\-\.~~ --hre.....f- C'CNlA6\\.~n\ Co-h~ <br />S1' ~ CERT OR REGIST # G-F t>OO~JS S- <br />TY PROCESSING II <br /> <br />*..w..........~...~~A1J1~*A_................4....._.__+_ <br /> <br />S;gnatutL-t{~ <br />Printed Name To. . 'fT/.J..N J~~iL. "J,~. <br />AC'C'~ptance Dltle J z,.q,~O I.. PO Numht'r <br /> <br />1.' ;I) <br />..~ . <br />m}" Sullivan <br /> <br />~ <br />