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<br />~,J 1.1 UJ' "t.J.:I,..l.HldL..,J l::'.e.Klvl.J.J: JI.L'l'L.H;A'.l.'lUN <br /> <br />HUIl.IHNG U~VJUl'l'Mi:N'.r !d~!:l ll'" Slrft"l:, 7.cphyrhillJl, ~'I, ::l::l'.>4:.! <br />913-7"0-0020 ~AX:013-780-0021 <br /> <br />DA.TE Il.ECIilIVl:D- <br />PLANS REVIEW FEE <br /> <br />OWNER'S N1\}1E; T ~LJ ~JA-hi- <br />JOB ADDRESS 7,9 F: ;L .A::kJ) ~ <br />Ll!;GAL DIi:SCIUPTION: LOT(Sl11- 37 BLOCK SUBDIVISION~ ~ J::iJ. 5 B <br />PARCEL 10 jf 34 -::2.. 5 - 2/- OOOt'J ....0 003(ho~ff?l{{()M PROPF:RTY TAX NOTICEl <br /> <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE;: OSGL FAMILY DWELLING OMULTI -FAMILY Oft OF UNITS o t10BILE HOME <br /> o COMMERCIAL o INDUSTRIAL OSWn.fMrNG POOL ~THER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />s...:a, j~, ",;h <br /> <br />_ SQUARE DOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE; <br /> <br />RESIDE~TIAL: ATTACH (21 PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: .ATTACH (3) SETS OF BUILDING PLANS' (II SET ENERGY FORMS. <br />PROPERTY SURVEY REQUJRF.O FOR 1\1.1. NEW CONSTRUCT lOll. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE: <br /> <br />[) FLORIDA POWER <br /> <br />[) W.R,E.C. <br /> <br />o PLUMEllNG <br />[) MECHANICAL . <br /> <br />~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[) SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION. <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [) BLOCK <br /> <br />o FRAME <br /> <br />[) STEEL <br /> <br />o OTIIER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[) YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br />STATE CERT OR REGI <br />CITY PROCESSING * <br /> <br />Co . <br /> <br />***k**.......*.***.**.**********~__****.**.._*~*.~.*.***.*t*.~.... <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST . <br />CITY PROCESSING * <br /> <br />SIGIJATURE <br /> <br />**+***.*'~~..*..~.........~*.********...**~.++.++..+*..****......* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE: CERT OR REGIST * <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****.*..........*...~~*.**+**.**..**-**.<<**...**~******.*.~******~ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REG1ST . <br />CITY PROCESSING . <br /> <br />SIGNA-TURE <br /> <br />*~*...-...~****-.~~..***~~~~~.**...*.*.*~..w*~***~*~***.********** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING . <br /> <br />SIGNATURE <br /> <br />*..**.*..**...+....+~+~~*.***........**.~.~.***.~****~***.......* <br /> <br />I . d <br /> <br />869E'ON <br /> <br />SlllHHAHd3Z jO AllJ <br /> <br />~VGI:Ol EOOG '8Z'Ae~ <br />