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<br />""'~.L.L "".&: U.&;lI.K:".a;a.l <br /> <br />BUILDING DEPAl <br /> <br />j! <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />\{ L1> 11:).1 <br />\ <br /> <br />OWNER'S NAME ~ r'f:4.. Ottte f Gcrt <br />JOB ADDRE~ y~ Abbu#- <:~c-Y\. DI: <br /> <br />/.'1::H r <br />, <br /> <br />PHONE <br /> <br />7U>.1:,X"7 <br /> <br />SUBDIVISION<:::~;\IIU /);.lq t~<<- (~f(' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />O?-;?-fQ'-:> '....Od-at) -ootoo ~W&o <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK 4- ()I\ ~+ <br />BUILDING SIZE ---=to 1. (PO' <br /> <br />~Vl~6'" 9-~.l ~ ~,~ <br />SQUARE FOOTAGE 3700 HEIGHT ~ <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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />@ <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~ELECTRICAL <br />~ PLUMBING <br />~ MECHANI CAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />I' FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />?FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: '1 BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES I NO <br /> <br /> <br />SI.GNATURE <br /> <br />COMPANY \ ~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY 'h"fc;t ~ ltt\ \ ~ lect I' to' e.- <br />STATE CERT OR REGIST # 1::C,DODa-S;70 <br />CITY PROCESSING # \~~ <br /> <br />. ,C/ <br /> <br />~~ <br /> <br />****************************************************************** <br /> <br />ELECTRICI <br /> <br />PLUMBER <br /> <br />************************************************ <br /> <br />~ ~ COMPAN~6l/ JaVtJ'P5 fft/,;YJb /1;; /:r}Lc <br />/ ~ '/-'l' STATE CERT {,R R~GIST # CFc.-- '/'1,),63/3 <br />~~ CITY PROCESSING # <br /> <br />* * * * * * * * *,* * ** ********* *** *** ********** **** *j:.A.* ** ***** ** ******* ** <br />COMPANY ~"'>1.1 'i <br />STATE CERT OR REGIST # (2..M. eJ{) (BLfbJ <br />CITY PROCESSING # <br /> <br />j <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />j <br /> <br />MECHANICAL <br /> <br />******************************************************,~********** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />: fl <br /> <br />,. <br /> <br />, (i~ <br />-i'" t f <br />''-; '.;'1 <br /> <br />;, <br /> <br />j." <br /> <br />,,, <br /> <br />---""_... ....'. <br />