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<br />. :. I'~ rfr' thifls <br /> <br />APPLICATION pea nma'!' <br />CITY 01' ZRPRYltHt:LLS <br />BUILDIlfG DB"PO'l'llf."D1'.f <br /> <br />DAft ucaIWD$ /D-"1 <br />l'LAlIIS awl" .... <br /> <br />OWNf";R' ~ NAME W.\ l ( 1\ CcVY\ . ? ex.L. k <br /> <br />JOB ADDRESS Le:).O 7 fuCL'k <;+/ <br /> <br />LBGAL DESCRIPTION: LOT(S) <br /> <br />/rCA s I- <br />Z~~A'}f(II~ <br /> <br />BLOCK OtJ30Q SUBDIVISION <br /> <br />PHON(tB) 7/ tj- 9 VI S- <br />ri, 5:3 ~<f d- <br />DCL~S ~ J e WI f{ I Po...rfc <br /> <br />WORK PROPSED: ONEW CO:~STRUCTION <br />Cl SIGN <br /> <br />o ADDITION <br /> <br />IORTATN FROM PROPERTY TAX NOTICE! <br />O~LTERATION 0 REPAIR ~STALL <br />o DEMOLISH <br /> <br />PARCEL ID fI <br /> <br />o MOVE <br /> <br />PROPOSED USE: ClSGL F~~ILY DWELLING <br />ClCOMMERCIAL <br /> <br />OMULTI-fAMILY <br />Cl INDUSTRIAL <br /> <br />0# Of UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />D RESTAUMNT , HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~lDb(' Ie rdv(lVl € ,)-e~ O~-d.<O _dl_(JO~O-D0300- DOlO <br />BUILDING SIZE /),L{ 'XL{ ~ SQUARE FOOTAGE: //5 d- . HEIGHT <br /> <br />ri BtlILOING <br />r5' ELECTRI CAL <br />nt"'PLUMBING <br />rnlMECHANI CAL <br /> <br />CJ <br />$-2, 0 0 0 ,t'J <br />a... 00 <br /> <br />ENERGY FORMS. <br />1. tt..t-. <br />'\A 0.- <br /> <br />l ().,;:P )<,/11, U <br />PEllMITS RESl2Ji:STED ~ ,Vi ( '0' ?; f/ 7, <br />VALUATION OF T<>TAL CONSTRUCTION /j 15'\ ~ <br />AMP SERVICE 0 fLORIDA POWER ~ W.R.E.C. Q.JR <br /> <br />HE:SIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH 12) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />ATTACH '.3) SETS Of BUI LDING PLANS & (..J SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED E'OR ALL NEW CON STRUC'rI ON . <br /> <br />IC'DO co <br />$ 1,)__' <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHAHCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: Cl BLOCK <br /> <br />o fRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />J S PROJECT IN FLOOD ZONE ARFAO YES ~O <br /> <br />L <br /> <br />8tJILDD r\ I~ A/JJ <br />SrGNATUR;~~-f f~ <br /> <br />.. <br />- <br /> <br />COMJiANY' ~\l <br />STA'!'E CERT OR REGI ST #. <br />CITY PROCESSING L- <br /> <br />..............**......**.......................................... <br /> <br />COME'ANY 'V\... E I '€ eh-I \ C- <br />STA')'E CERT OR REGIST # e r< co ~ <.{ </ 3 <br />CITY PROCESSING ., <br /> <br /> <br /> <br />"_1~ lA01 . . <br />SIGNATURE- ~ { ( ~ <br /> <br />**.**.....*...*.........*.**...*_....w..**.....*~****.*****....... . <br /> <br />PL~\. 4. COMPANY Wa.<,tlte B~t,'..,[J <br /> <br />~.,I' \~ , ,,/A /}I/ (/\ ---. STM'E CERT OR REGIST # :r: OOO()() 8'(J <br />SlGNATURE~ f/~ CITY PROCESSING" <br /> <br />...............................**......... <br /> <br /> <br />~. <br />S'GN^T~1t . ~ <br /> <br />COMPANY <br />STA'l'E CERT OR REGI ST .. <br />CITY PROCESSING " <br /> <br /> <br />.............***..........*........+*...**.........**.....******. <br /> <br />0'l'IID <br /> <br />COMPANY <br />STA'l~E CERT OR REGIST " <br />CIT~f PROCESSING # <br /> <br />SIGNATURE <br /> <br />'. <br /> <br />..'........*...................**........................*........ <br /> <br />" <br />