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<br />APPLICATION J'OR PBltMIT <br />CITY or ZBPBYRBILLS <br />BUILDING DBPAR'DmNT <br /> <br />., <br /> <br />DATI: RBCB:IV'BD <br />PLARS RBVI_ I'BB <br /> <br />OWNER'S NAME 1)ISA6LED J\M.E1<-tCAJ \JElE~S cl.~5 PHONE ,8o'/o(~ <br />JOB ADDRESS 53;;{ ~ ~-tb S1lC~C'l ZE:P\+L1R.~L-LS,.J:L, 33~O <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />IOBTATN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />l]ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DIj:MOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />OMULTI-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 />DESCRIPTION OF WORK U-+A/'o.JC-sE. DOl E.X.IS.-n()(y -PANE.L. ~ ()01~ S,TbR-AC-n=- RUIl.J)d\~ <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 />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br />\00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIALINSTALLATION <br /> <br />OGAS <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!!!!!i!IIII!!I!!!!!!!!!!I!!!!!!!l!!!!!I!I!!!l!!!!!!!!!i!I!II!!III!I!ill!iilli!!I!i!!lli!~II~III!lii!i[ - - --.. -- - li!I!!llli~~il!m~mi!lilii~iliil~lmillllii!iili!m!!i!l!!lilli!!l!!!!!I!~!I!!i!11111111111 <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTlUCIAN <br /> <br />SIGNATURE~} ~ R <br /> <br /> <br />********~********************************************************* <br /> <br />COMPANY Fe::s E.LE-u~--K./ <br />STATE CERT OR REGIST # E (2... DOOYI.o'-tC'l <br />CITY PROCESSING # 10 ~ <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MBCllAHlCAL <br /> <br />***************************************************************** <br /> <br />OTIIBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />