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<br />Al?PL.l. <br />CITY L._ <br />BUILDINt:> <br /> <br />OWNER'S NAME <br /> <br />00 L 1} <br /> <br />tf!JIJe-/OiV <br />!t;:3 J/ >? <br /> <br />'fQ /7 <br />LEGAL DESCRIPTION: LOT(S) 7foPl1 <br />PARCEL ID # 0 ~ - 2 (, - J.. ( - b 2 t//)- <br /> <br />JOB ADDRESS <br /> <br />J-() T <br /> <br />BLOCK <br /> <br />. /j ,A I-";~ /~ <br />~) 17"",,1' <br /> <br />,t PEBMIT <br />YRHILLS <br />'ARTMENT <br /> <br />-:i-.'/~ "~ <br />DATE RECEIVED . - / <J <br />PLANS REVIEW FEE <br /> <br />PHONE R f 3 - 7 cf?J?- C2 .2)7 <br /> <br /> <br />IVISIONs/,;v€iC oA 1<) tJi<..<J}orl. f?IIll1f () ~ <br /> <br />o .:> 0 6 4 -- D <-t f OtOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~ CONSTRUCTION o ADDI'nON o ALTERATI ON o REPAIR o INS'fALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~ FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK IJ f kI _, I ~ It- L f <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />r- A M II... I:; <br /> <br />SQUARE FOOTAGE <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />( /7AA ~tI /Ide!- <br />PERMITS REQUESTED ~ I~ <br />VALUATION OF TOTAL CONSTRUCTION cn~ C. (l. <br />AMP SERVICE ~ FLORIDA POWER 0 W.R.E.C/---------.- <br />/- 110 <br /> <br />MECHANCIAL INSTALLATION (+ ~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />AT'fACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />Gr'BUILDING <br />I3'ELECT RI CAL <br />~LUMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />.:.Lv'D <br /> <br />$ <br /> <br />HEIGHT <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />VALUATION OF <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [!( BLOCK <br /> <br />D FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />********************************************* r <br /> <br />COMPANY i7~d d"p-"5 g~C";;"c. <:. <br />STATE CERT OR REGIST 1t E C- OOO~-'?D <br />CITY PROCESSING # ;bJ/I <br /> <br />............... .::::::... Z;' j~~']i::~' '~Aof~' qj <br /> <br />STATE CERT OR 'R GIST. tf 1= till t(, 'If; J <br />CITY PROCESSING # / ft t <br /> <br />* **** * ***.**'****...*************."**** *********l'h~*t'*t **~***C****** ., <br />12 COMPANY G r" '" - .. "'^f"''''. <br />{7 L . _ STATE CERT OR REGIS1' # C-I/C',t? -5J'.~.l7.'" <br />. 'ALJ ~ CITY PROCESSING # <br />[ . . <br />***************************************************************** <br /> <br />BUILDER <br /> <br /> <br />SIGNATURE <br /> <br />ELECTRICI <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY &<> L /J {f"'t,t::}'1J ~ I (D Y It a i-< LJ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / {} q <br /> <br />COMPANY <br />STATE CERT OR HEGIST # <br />CITY PHOCESSING # <br />