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<br />Ul'LrCA'nOR ~ nNa'l' <br />CUT 0'1 D>>HnQfILLs <br />BtJJ:IDlII9 ...~ <br /> <br />cfl-~-OP- <br />DAD llBc&l"YIm <br />PLAVS RaVYn .... <br /> <br />OWNER'S NAME t-v (,' ) I J /I..:>(l {/ jJ 12.. L tJ # ..2.1 PHONE J Y6 _ <br />JOB ADDRESS 3[1 t>3 6 IYJ/f/?-KET JOJJ1/..E fJ~/vC ~/$/J/TY/2/-.//aS <br /> <br />O/OY <br />f <br /> <br />LEGAL DESCRIPTION: LOT(SI BLOCK <br />PARCEL ID ,. 6c1'-J6'~ rJI'O::)/d- O.6peJo-Q::.).5c:J <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM P~P~RTY TAX NOTICE 1 <br /> <br />WORK PROPSED; _NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REI?AIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: tJSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br />I <br /> <br />DESCRIPTION' OF WORK <br /> <br />lXJ RESTAURANT 6& HEALTH DEPARTMENT APPROVAL <br />/P5TALL- L~fl]/y}/3t..el;;t- K I TellrJ /kn <br />. <br /> <br />8UILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />An:ACH (2) PLOT ~LANS " (2) SI!ITS OF BUILDING PLANS " (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANs" (1) SET ENERGY FO~S. <br />PROPERTY SURVEY REQUIRED fOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS Rl:QUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />"'-LUATION OF TOTJ\L CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUM8ING <br />lJ. MECIOOiICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.!!:.C. <br /> <br />.$ <br /> <br />o() <br />'141J() ~r <br /> <br />VALUATION OF MECHAN'CIAL INSTALLATION <br />o OTHER <br /> <br />CGAg <br /> <br />o MorINe; <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION I 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FtNlSHED FLOOR ELEVAT~ONS <br /> <br />IS t'ROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />I (0:;' ,r~1.iiP';r."'. ,. l,~:,:,;~ ';;:':;5:.1,.!I~fii.::;;ill.;:i'.'i'~~ "'i;:~H:~;;r. - - -, ~?':;E:;~1i1' jfitt-:;r;j':;1?~;;r]JFt~~'~;il'-Hr::~~l'! ~;;~'H~~illt~J['i: fr.f:f <br />~a!:'l~ir, '~~,C:Hf::;~f.~I~i::i~;;;:nl:li~jrl:l.j:'~;~~~0;f!:;:C;:i!!i:nw 3~.Jll~,1iW: ,dllii# ]~iig~';-1!1:~EEfli;i.m~qf;~::~i!ljt.i.l;I:hFi <br /> <br />JaUrIblal <br /> <br />COMP~;Y <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGNATUPoE <br /> <br />******.......*****....*******.*****..**....*******....*.****..**** <br /> <br />.LBCft.1:C:Iur <br /> <br />SIGNATUrtE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.******.*..*.********.***********.********...*********.**********. <br /> <br />PLOMIUDt <br /> <br />COMPANY <br />STATE CERT OR REGIST . <br />CITY PROCESSING # <br /> <br />SIGMATURE <br /> <br />SIGNATURE <br /> <br /> <br />******.**********.**********..**********.**.. <br />COMPAHy~LD() IVllA'J m Illj},.J])A /YJ;6- & 7' ,vC- <br />STATE CERT OR REGIST' (2.. S {)tJ 4 a , 3 J <br />CITY PROCESSING # c:29' ~ 7 <br /> <br />~*.***.****.**..******..*****+***...**.*.***...*...*.*~ <br /> <br />amcRARICAL <br /> <br />0'fIID <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CEM' OJl. REGIST # <br />CITY PROCESSING , <br /> <br />**........********.~*.*****~**.*.*******..******...*.*********.** <br /> <br />3 . d <br /> <br />9n l . ON <br /> <br />Sll!H~AHd3Z jO AllJ <br /> <br />~dO!: t Sno~ 'G~.a8J <br />