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<br />APPLICATION FOR PElU5IT
<br />CITY 0' ZBP~ILLS
<br />BUILDING DBPARTH&:N'1'
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<br />DATi: RECBIVBD---.~ ~~
<br />PLANS REVZEW I'D
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<br />, LEGAL' DESCRiPTION: LOT (S) BLOCK S D~VISION
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<br />. :P~~~~:~D';';,':?:'4 ,.. as- - ? 1-()CX::JO-t;O?J.>O-'CCi'o (OBTATN FROM PROPERTY TAX NOTTCE)
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<br />WORK' PROPSED: ~ CONS'l'RUC'l'ION. 0 ADDI'rION o ALTERATI ON 0 REPAIR 0 INSTALL.
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<br />PHONE
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<br />~b 7- 799 .~
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<br />OSIGN
<br />PROPOSEDUSE:OSGL FAMILY DWELLING
<br />,,~,; " , ), '.--... OCOMMERCIAL
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<br />o MOVE 0 DEMOLISH
<br />~TI-FAMILY DIf OF UNITS.
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<br />o MOBILE HOME
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<br />o INDUS'l'RIAL
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<br />o SWIMMING POOL
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<br />o OTHER
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<br />.....'. ,. "~! , .
<br />it..,.t' , '.' . . 0 RESTAURANT & HEAL'fU DEPAR'fMEN'f APPROVAL
<br />DESCRIPTION ~F WO~K I_~CA " I J Un 1't1l:p1 rtWl M+ ~i \si,' ~
<br />BUf~IH~ SIZE iR - () 1:. .C;CO SQUARE FOOTAGE 9(2('JV HEIGHT 0) r
<br />RES~DENTIAL: ATTACH (2) PLO'l' PLANS & (2) SE'fS OF BUILDING PLANS & (1) SET ENER~Y FORMS.
<br />COMMERCIAL: ATTACU (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, .
<br />PROPERTY SURVEY REQUIRED FUR ALL NEW CONSTRUCTION.
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<br />~LUMBING . .
<br />~CHANI~" ,.. $ :'~J
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<br />o ~t.. .l ~FING.' 0 SPECIALTY'
<br />T~~t~"'~~~~;~~CT~ON: ~~~K '
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<br />PERMITS REQUESTED
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<br />$
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<br />VALUATION OF TOTAL CONSTRUCTION
<br />AMP SERVICE ~FLORIDA POWER O. W.R.E.C.
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<br />VALUA'l'ION OF MECIIANCIAL INSTALLATION
<br />o O'fHER
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<br />o FRAME
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<br />o STEEL
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<br />o O'fHER
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<br />FINISHED.iFLOOR ELEVATIONS
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<br />IS PROJECT IN FLOOD ZONE AREAO YES ~
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<br />COMPANY F~'/s+- ClctSS f: I~c:f~
<br />STATE CERT OR REGIST 1# ceo ~~? 0
<br />CITY PROCESSING 1# ''I~
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<br />BLBCTRIcZAH
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<br />SIGNATURE
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<br />PLUHBBR COMPANYj'YJcv1.~ 1 ~.J _ ~
<br />SIGNATURE ~o~ A_-l J ~. ~i~~EF~is~~:":IST I J~~ 7'i "
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<br />MBCJlAHICAL . COMPANY:" (. iftl II
<br />STATE CERT OR REGIST 1# tV ro I.~O .:J
<br />CITY PROCESSING. If . ~11 so e't:jd:1 ~
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<br />SIGNATURE
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<br />STATE CERT OR REGIST If
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<br />SIGNATURE
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