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1 ` �� - <br /> ' ' . • ' .. v��1 C.'�. " ' APPLICATION POR P�tlil'f ' . <br /> � CITY OF 2EPAYRHILIS <br /> BUIId1ING DSPARTlIBNT <br /> ORNBR'S NAl� PHOAE <br /> OWN@t'S ADDRBSS <br /> JOB ADDRESS <br /> LBGAL DSSCRIPTION: LOT(S) BLt/Ci(_SUBDIVISION <br /> PARCBL I.D.# (OBTAIB FROH PROPSRTY TAY NOTIG-) <br /> fiORR PROPOSSD: Ne�+ Constcuction _�Iddition ____�flteration �epair Install <br /> Sigu �iove _pe�olish <br /> PROPOSED USB: Single Faaily _�lJP * of Units _H/H <br /> Co�ercial Indust. Swi�. Pool Other <br /> Itestaurant Sc Health Departwent Appmval <br /> DBSCRIPTlON OF fi0R1C• <br /> BUILDING SIZS: X , Square Feet, Height <br /> RPSIDSBTIAL: AITACH (2) PLOT PLANS & (2) SETS OP BUILDING PI.ANS 8 (1) SET EH6RGY FORF15. <br /> COlQlBRCIAL : AITACH (3) SBTS OF B[JILDIR6 PI.ANS � (1) SST EHERGY FORlLS. <br /> PROPSEtTY SUR{ISY R6QUIRBD FOR ALL NBii COIiSTRUCfION. <br /> PER!lITS R60UgST6D <br /> UILDING s Valuacion of Total Constcuction <br /> � <br /> CLBCfRICAL �6� Ser�rice �_Florida Power Corp. W.R.B.C. <br /> lIBCHANICAL = valuation of llechanical Installation <br /> �LU!lBIAG GAS ROOFING SpBCIALTY <br /> TYPS OF OONSTRUCTION: �lock Fraae Stee1 Other <br /> PINISHSD FIAOR ELBYATIQAS: i�. IS PROJSC! IN FIAOD ZONB ARSAY <br /> YBS NO <br /> •tf:i:t�*:t;**t**�art*t►**�**R*t*«�*t«a��r• <br /> (70NTRACfOR SB(:fIOH <br /> Dl�I� OOlIPAHY <br /> Sute Cert. or Begist. � <br /> Signature Citq License Hegistration � <br /> •�t*tt*�*str�Rt�t�t:f*s*�t*f�f!*tirt;�AAt*: <br /> ,� e - p coMrnaY Dt��_�ea ��iG-�r•c <br /> � /J SC�ate Cert. or Regist. # � UUuOV'S_ <br /> Siana `�- � � !L.-.—City Licenae Registration � a?'7 3 ^ <br /> . <br /> i lfs�t�ff!!tflt*ffflfR*f1f#tlfffttf*!lftRfi <br /> �� ��� <br /> State Cert. or Begiet. � <br /> Signature City License Registration # <br /> fttfltlRfftt�*ltttflf**fR*f*tR#*!if*#fttff <br /> �WYi.�.7iYaY COHPANY <br /> State Cezt. or Regist. # <br /> Signature City License Begistratioa f <br /> •*f ite+et►*�***:::w�**r*��tss+*i*+3t+t*r��►sff• <br /> Q1�EB CO!lPAIiY <br /> • State Cert. or Regiat. i <br /> Signature City License 8egietratiou # <br /> •***t**t***t:tt��tt*a�*�tt*ftlr��****�***• <br /> APPLICATIOH APPROVED BY PE[i2IIT OFFICER. <br />