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<br />APPLICATION FOil PEmaT <br />CITY OF ZBPRYllHILLS <br />BUILDING DEPARTMENT <br /> <br />'1-/ VI./;{} 3 <br />DATE RECEIVED L <br />PLANS RBVIBW I'EJl: <br /> <br /> <br />PHONE -1~ ~ -tff51 <br /> <br />SUBDIVISION <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />[]REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />)dSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~Mi~1 <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLAT. ION .. ~~ <br />o ... 03';; 1) <br />OTHER // /1 ~ :;2 - // <br /> <br />o FRAME 0 STEEL 0 OTHER~ // <br />..----/ <br />IS PROJECT IN FLOOD ZONE -YES 0 NO <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />d/ff <br /> <br />COMPANY :r TI3 p~ I <br />STATE CERT OR REGIST # <br />CITY PROCESSING <br /> <br />BUILDER <br /> <br />*************************************************************** <br /> <br />SIGNAT <br /> <br /> <br />COMPANY-=tGw\Lt n :> L \ec... 5 UG CD <br />STATE CERT OR REGIST # eCc:x:::o~\:).\ <br />CITY PROCESSING # <br /> <br />ELECTlUCI <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />dv~ <br /> <br />COMPANY ar 8,v&u ( ~Aq,.., ;p--c . <br />STATE CERT OR REGIST # cl'06 r~ 7) r <br />CITY PROCESSING # <br /> <br />PLUMBBll <br /> <br />***********~****************************************************** <br /> <br />Yl!:CHANlCAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />;f~+ 7<7'4' S ~ COMPANY ~EII1Itt/tJTCAJ'> ~" <br />d'r_ STATE CERT OR REGIST # fK.X (J()J) .3 <br />?/~ CITY PROCESSING # <br /> <br /> <br />***** *********************************************************** <br /> <br />OTBEll <br />