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<br />MRR-27-2007 21:35 <br /> <br />WILLI RMS FENCE CO <br />CI'n' or UPBDHILLS <br />Dtnu):DIG DEl'AP.'DaDrr . <br /> <br />1 863 683 6402 <br /> <br />P.02/05 <br /> <br />"--' <br /> <br />DAD IIBCZIWD <br />PloaRS ~ nm <br /> <br />1YbS~t{; <br /> <br />OWNER'S NAME C:d)~ nf:2p rk,r~1I1 h <br />JOB ADDRESS ,C;-f\1 q L..f.-4:... ~-+ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOTrS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PAACEL 10 II L 1- ~fe- .:::l.l- Flf'll J<\.- I ~"'I').. F'>nl n <br /> <br />IORTATN ~RnM PROP~R~Y ~.y NnTT~F.' <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o 1\.DDITION <br /> <br />1>. . <br />OALTER1\.TION <br /> <br />D R!:'PAIR. ~ INSTALL <br /> <br />DSIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />o HOVE <br /> <br />o DEMOLISH <br /> <br />OHULTI-FAMILY <br />EI INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />D HOBILE HOM <br />1t'f0THER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT , HEALTH DEPAATH~T APPROVAL <br />T ,..,4\11 '%'ij" L j I ~ <<Ft I Blnttv V; "II' (' hr\.... r. ....Il <br />SQUARE FOOTAGE <br /> <br />q..4. r....-rl n <br />HEIGHT Lo' <br /> <br />BUILDING SIZE <br /> <br />............ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETs OF BUILDING PLANS , (1) SET ENERGY FOaMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ l ~~.()I' <br /> <br />VALUATION.OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />o MtCHANICAL <br /> <br />S <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTy <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />rt OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />MOTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YE:S 0 NO <br /> <br />..,.~~~' <br />Q. ~ '.. . ".' ~'"' ....' ... . . ~:,: ,. <br /> <br /> 8UILtlER <br />'-..../. SIGNATURE <br /> ELECTRICIAN <br /> SIGNATURE <br /> PLOHBEI\ <br /> SIGNATURE <br /> MECHANICAL <br />\....; SIGNATURE <br /> O'l'HEll <br /> <br />COMPANY <br />STATE CERT OR REGIST . <br />CITY PROCESSING . <br /> <br />............ .1IlW:'\.......... *.*.. ......... ...... ,......,....... ......... .......~.. ...,....."..... >It <br />.'- <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING . <br /> <br />....~....~.....~~.......................~..~~~~7~-:~..~~~.;~_ -. ,~ <br />. .' "---. ..... ". -'--'-~ -:--.;...,=~- <br /> <br />COMPANY. <br />STATE CEar OR REGIST . <br />CITY PROCESSING . <br /> <br />.......9...*..............*.........**..........*...~.........*... <br /> <br />COMPANY <br />STATE CE:RT OR REGIST # <br />CITY PROCESSING II <br /> <br />...~........~.................................................... <br /> <br /> <br />COMPANY j (n>'\ I .?~ Ilu\",< i=e.'\c:.t ~. <br />STATE CERT OR REGIST jj G::.pq~ I O~la..!;"" <br />CITY PROCESSING II <br /> <br />................................................................. <br />