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<br />.~ <br /> <br />APPLICATION I'OR PBmaT <br />CITY 01' ZBPHYlUIILLS <br />BUILDING DBPARDamT <br /> <br />/0(1) /tJV <br />DAft RBCBIVm , f f <br />PLARS DVIn I'D <br /> <br />JOB ADDRESS <br /> <br />h c ~ f: ~S 1...( 0 /'vt L-- C Cr-J TelL S PHONE <br /> <br />7 OJ L (b-A GL. ~ c v 0 I Z- CP H y'l... {-I { L L S <br /> <br />~ t4 Y JLfi ( e-c..:::. <br />SUBDIVISION L II L- V N '--( C 01'(,PA?--J I <br />. <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: ,LOT (S) <br />;;; <f ~ 2- 5" - 2- f - C' c: I C J 0 ,:, l <br />PARCEL ID # <br /> <br />BLOCK <br /> <br /><':'0-00 <br /> <br />i':::::' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION o ALTERATION <br />~~:~ D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS <br />~~~RCI~ D INDUSTRIAL D SWIMMING POOL <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK (N ~ IA l..L rJ C-~ C. (:L~ G's. ~ ( G r-J .s, <br />BUILDING SIZE Sc.3 -4<1 ')<.. 3 (3' .+y SQUARE FOOTAGE <br /> <br />D REPAIR <br />.. <br /> <br />D INSTALL <br /> <br />D MOBILE HOME <br />'D OTHER <br /> <br />HEIGHT , <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />~?: <br />, I <br />I/Z,-:3\b. ~ <br /><3 r. ..> "'" 12-w~c.. <br /> <br />~LDING <br />l3-"'ELECTRI CAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br />J-t!)~/L--ur ~ <br /> <br />D FLORIDA POWER <br />C'l.<-' .), I~ G- <br /> <br />D W.R.E.C. <br />CLc:C rA-l L <br /> <br /> <br />;H1() <br /> <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />D ROOFING <br /> <br />~CIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />~ER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br /> <br />I-~ { 1\ IL LArJ LA t-.....J ..s C' (yLp <br />COMPANY 'I <br />STATE CERT OR REGIST # E- S. d 0 0 00 <f c Y. <br />CITY PROCESSING # <br /> <br /> <br />/-I A fL u;:....p-J LA CA.l S C' OA?" <br />COMPANY <br />STATE CERT OR REGI ST # C S - (1 c. J u <? U";/ <br />CIT~ PROCESSING # <br /> <br />******************************************************** <br /> <br />PLtJHBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********.********************************** 'K******** oJ. * ~-* ;...*.. ** ~!~,** <br /> <br />MBCHANI:CAL <br /> <br />-C'eMPJldfY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />