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<br />APPLICATIOR I'OR PDlaT <br />CITY 01' DPIIDUIILLS <br />BUILDIRG DBP~ <br /> <br />..........,.,...., 1} 5~Y <br /> <br />PLaRS DVIn. I'D <br /> <br />OWNER'S NAME ~$GEJ'JS' <br />t/<j~9 C"-'I /;/"'t(;.~ .. ~. ~ <br />JOB AbDRESS <.e - 6: , Yn 0 7~ ~ <::'''''...- _ <br /> <br />PHONE <br /> <br />~~rr~ <br /> <br />- <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />10BTATN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />~ <br /> <br />D ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~RCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />-::r#S7~ <br /> <br /> <br />~'1 hA. <br /> <br />s" <br /> <br />hS <br /> <br />/8'x "'2,11 = 9.~J$~. <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />----. <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 FOil <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br />5 -5-2> <br />2. J~lJj6. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />D ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />/6()o ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W,R,E,C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />1;S PROJECT IN FLOOD ZONE. ARMO YES 0 NO <br />'I .., .." <br /> <br />1[~~imllm~illlmmlllmml~llII!!illllllmllllllmllmmmlmiiillll!~IlI!!!!lr '1!!lillll!lllllll!ilj!llmlimi!!lllmllllll!i!!lmi!lllj!jljjllll!mliill!lliij!l!!!mi!lru~ <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCDUCIAR <br /> <br />COMPANY. <br />STATECERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************************~**************************** <br /> <br />PLt.JMBBR <br /> <br />" ;\ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITYPROCESSING'# ..... <br />, ';...d, "~;"~'. '. '.::t~n:.., <br /> <br />., ~ <br /> <br />_... MBCBARICAL.,."'--.... ',.'".. <br /> <br />* * * * * * * * ** *.* * **'* * * ** * * ** ** * * * * * * * *** * * * * ** .... * ** * *'*** ****. ***.* ** <br /> <br />----~---~ <br /> <br /><<eMf MY -~~ <br />STATE CE~OltJREGrS'l''lf j '-'':1 i: <br />CITY'PROCESSING'# ! '. . <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />Mil, kJ4-t ?/~.h;' <br />~7 <br /> <br />COM <br /> <br /> <br />~J(.A,/4;7";b11 ~ / ~/5 V1 <br />OR REGIST # G: f:>Ot:J40c1..3 <br />PROCESSING # <br /> <br /> <br />***************************************************************** <br /> <br />0'1'RB1l <br /> <br />CITY <br /> <br />***************************************************************** <br />