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<br />f";<; <br />. . /" <br /> <br />-, -7/' /1,- <br />(.>t'?r/-' ,..- <br /> <br />, ~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZJ~l?HYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATB RECEIVED d It I 05 <br /> <br />PLANS REVIEW FEE <br /> <br />/' <br />m'INER'S NAJl.JE "..-, { r ("t.- r a <br />JOB ADDRESS-3't75 ""-ItA <br /> <br />,1 <br /> <br />1) . <br />/ .p 'r' r ..p <br />; J I.. '- <br />l_(l(~~l Ct; (' <br /> <br />\ <br />~- \ -€.. <br /> <br />" <br />PHONEj 1513,' ') / ~/ - ]' l/;' C <br />~-:',,! r ','( <br />i...~) ~ 1..1 r- h .' f' ') <br />~UBDIVISION Vtlla..s~ (Drove r/ii:J-d. <br /> <br />LEGAL DESCRIPTION: LOT(S) f(;/ BLOCK 6 <br />PARCEL 10 ff O;)-di.c-aJ- 0 01 D-oOOOD~ 0(0 1/ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCEl <br /> <br />vWRK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o Al,TERATION <br /> <br />o REPAI R <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o HOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />BUIl~DING SIZE <br /> <br />c:JRESTAU~~~ & HEALTH DEPARTM~~T APPROVAL <br /> <br />New /~1ob/ Ie tIofYt€ ~P;QCefne 11 i- <br />I </ X' 5 :2 SQUARE FOOTAGE '7/0 <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RES I DENTI ,lHo: <br />COMl.mRCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY f'OHMS. <br />J\TTACH (3) SETS 01.<' BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED f'OR Al.L NEW CONSTRUCTION. <br /> <br />o GAS <br /> <br />o ROOF'ING <br /> <br /> PERMITS REQUESTED <br />$ /0{ 000 VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE 0 FLORIDA POWER '0 W.R.E.C. <br /> 1'500.00 ~ <br />$ VALUATION OF MECHANCIAL INSTALLATION ::M '314 <br /> o SPECIALTY 0 OTHER <br /> <br />rgI BlIILDING <br />0" El.ECTRICAL <br />[g'" PLUMBING <br />[g""~ECHAN I CAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FIN1SHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREAo YES <br /> <br />o NO <br /> <br />C G~TQt{{~$iCTJ:ON ?U(U I S <br />BUILDER/ -- ' . .,'. .... ~OMPAN~;+()..f(~ S fYJDb~)e {,km~%~{.e L~ <br />s r GHA'~ l-~~'-AmtJ1J>- ~~*~E P~~~~S~~N~E~I ST #. ::t:}.Iooo co 8'1 <br /> <br />***********.********k********************************************* <br /> <br />-~ <br />ELECTRf'iAN { VI <br />SIGNA'r~- UL'1rJ<h-- <br /> <br />COMPANY lv' /I~ E/ec:h- Ie <br />STATE CERT OR REGIST # cR 0 c 1.5 73 <br />CITY PROCESSING # <br /> <br />PLUMBER ._ ~ <br /> <br />SlGN~;:~~ ~~C(L I <br /> <br />k~**+*~*********..~***********k*****************k***************** Ia~r~- <br /> <br />~l 'l i/:t; I.l)"--purll's <br />COMPANY rr O' .p t'Vl e r 'OuerS <br />STATE CERT OR REGIST # ;:r.Hoocoo ffl <br />CITY PROCESSING # <br /> <br />I<fEC .--..-" * * * * * * * * * .. * * * * * * * * *~. * " .. * " * * * * * * * * ~~~;;;,~ * Z:'i7f * f!J7 ci.. * * * * * * * * 'k * I< * <br /> <br /> <br />~~ ,'--fl//},..., STATE CERT OR REGIST It CRCo /o9tJJ 7 <br />31GN^TliRE~Al-("A- I ~ CITY PROCESSING # <br /> <br />******~***************A********.****~********************_~******* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**.*********************~k****~****k******k*********************. <br />