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<br />FROM :MILBAR <br />. <br /> <br />FAX NO. :3525674454 <br /> <br />Feb. 25 2005 12: 10PM P2 <br /> <br />.~. <br /> <br />AP.PLlCA!1'.IOR rOa PENfIi' <br />CIn OF ZJi:psrIUU:l.Ls <br />. 8U~l.DI_G. DEP~D:fE!n . <br /> <br />MCI~. <br /> <br />DArE MCBIVEJ:) <br />. PLQrS.REvliUf DE <br /> <br />OWNER' S NAM~ l L. \ . \ 1 .., <br />l:I...Irh.-r-\y-v-. n() ~~ t ~ <br />JOB ADDRESS~~\ ~l~~ <br />LEGAL DESCRIPTION: LOT(S){Q CY' (f'~ <br />~ARtEL ID '1 <br /> <br /> <br />. .. '0 ~PHONE~_~14 <br />? crn8"'h'l.\l~ . ~ ~~[' . ~ . .' <br />BLOCK - . SUBDIVISION <br /> <br />WORK PROPSED: ONEW.. CONS'I'RUCTION <br />OSIGN'. ..' <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERC!AL <br /> <br /> <br />. ~.. <br /> <br /> <br />o ADDITION <br />[] MOVE <br /> <br />. OAiTEAATION <br /> <br />.OMULTI-FAMILY <br />. 0 INDUSTRIAL <br /> <br />0# OF UNITS <br />ClSWIMMING POOL <br /> <br />o REl?AIR <br /> <br />.~ <br /> <br />o INSTALL <br /> <br />[] DEMOLISH <br /> <br />o REST1\UAANT& HEALTH DEPARTMENT' APPROVAL <br />DESCRIP'l'lON OF WORK Sh~\f"'. ~~. ~~ <br /> <br />[] MOBILE flOME. <br />D OTHER <br /> <br />BUILDING SUE <br /> <br />SQUARE FOOTAGE 1!\~ <br /> <br />.: .' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />. HEIGHT <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF eUILDING PLANS $ (1) SET ENERGY roRMS~ <br />A'l'TAClI (3) SETS OF BUILDING PLANS & (1) SE'f ENERGY FORMS. <br />PROPERTY SURVEY. REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~.., <br /> <br />PERMITS, REQUESTED <br /> <br />J BUILDING <br />I ELECTRICAL <br /> <br />$ <br /> <br />. VALUATION OF TOTAL CONS~'RUC1:ION '. <br />- . <br /> <br />. AMP SERVICE <br />, ' <br /> <br />o FLoRIDA POWER <br /> <br />o W.R.E.c. <br /> <br />I PLUMBING . <br /> <br />,. <br /> <br />.. <br /> <br />. MECHANICAL <br /> <br />$ <br /> <br />VAtUA'l'ION OF MECIIANCIAL INST^:LLATION <br /> <br />GAS ,U(ROOFING <br />rYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />.0 FRAME.. <br /> <br />o STEEL.OOTlIER . <br />IS PROJECT IN FLOOO ZONE A~EA.D YES 0 NO <br /> <br />?INISHED fLOOR ELEVATIONS <br /> <br />." : <br /> <br /> <br />Jl1ZLDER <br /> <br />COMPANY.. <br />ST^TE CERTOR REGIST # <br />CITY PROCESSING f[ <br /> <br />IIGNATURE <br /> <br />,..*************A**********.~*************~****************'******* <br /> <br />'COMPANY.. <br />STATE '. CERT OR REGIST #J' <br />CITY PROCESSING # <br /> <br />:U;CrRICIAN <br /> <br />- ...... <br /> <br />iIGNA'rURE <br /> <br />. , <br />~. .: .************************************** <br />****.******....***..**.***** :.' .. ..... ..-. <br />. .. <br /> <br />IIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIS'r If <br />CI.TY PROCESSING IJ <br /> <br />. . . .. c **~***~*~****~*** <br />********.*~************************* .......... .. <br />***********,** . . ..... <br />COMPANY: . <br />STATE CERT. OR REGIS,!," 1# " <br />CITY PROCESSING' <br /> <br />'LUMBER <br /> <br />U;;CHANlCA1. <br /> <br />;IGNATURE <br /> <br />IGNATORE <br /> <br />******~..***~************.*******....*.**.*.**..*.*.*..*.*******. <br /> <br />.. . . MILBAR COOSTRucrrOO, INC. <br />NG COMPANY , <br />~...~ STAXE CERT OR REGIs'r U = 05.1562 <br />a - eI'rY PROCESSING It 218' . ' <br /> <br />.... .. ." . .. c." . .. . ..' ......" ....' . ..: <br /> <br />* H*"~ ,~.~ *.. *~ * :~~~t: ~~. * * * * * * * * * * * * * * * * * * * *!* ~ *:70,~t'~~7:' * * (~ii;'" <br /> <br />. ...~:: .;'i~. . :...".,.' . '; ,." <br />. "'/'~"\:':'~{- \": -.':\:~".. ...... ...::':'.~:,':.... <br /> <br />ITHEP. <br /> <br />.t,... ... <br />