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<br />.' , <br /> <br />APPLICATION FOR p".I:.1aUT <br />GI'IY OF ZItl"HIKH II.T,~ <br />BlJJIIJ)llIG DEPAKIKEXl" <br /> <br />OWNER'S RAKE ttI~A-RT 5TiJf<ES <br />OWER'S ADDRESS r. 0, B>o X \ \ b - <br />. <br /> <br />JOB ADDRESS 71JtnGoJ\ BLVD <br /> <br />mo./j>o I) - ~ '73- 4l.:i \ <br />6ENION n'AkL= . A~ 7[;H7/6- 06 7rfJ..... <br />/ <br /> <br />2e p>hI'R\l\ \Ls <br /> <br />LEGAL DESCRIPl'IOI!I: UJI'(S) <br /> <br />BlOCIC <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.I <br /> <br />WRK PROPOSED:_5ev Construction .-JUIdition _Alteration _Repair. _Install <br /> <br />Ksi.gD. <br /> <br />_l!Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br />Lec-ercial <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_S~. Pool <br /> <br />Ot:her <br /> <br />_Restaurant &: Bea1t:h Depa.rtaent Approval <br /> <br />BUILDDfG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />alItItERCIAL : <br /> <br />A1TACII (2) PL.OI' PIAlJS &: (2) SEI'S OF BUlLDllIG PIAlJS &: 0.> SF:l' ENERGY FORKS."'''' <br />ATI'AaI (3) SEI'S OF BUll.DDIG PLUlS &: (1) SKI" ERERGY FORKS."'''' <br />......COPY' OF CONTRACT Bl\QUIRED. <br /> <br />PIr.RIITTS REOtJ&CiTED <br /> <br />_BUlLDIIiG <br /> <br />$ <br /> <br />Valuation of Tot:al Construction <br /> <br />F.T.F.CTRIGAL <br /> <br />20 <br /> <br />A!IP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_K.EaWlIGAL <br /> <br />$ <br /> <br />Va.luation (.of l!fecbanica1' Installation <br /> <br />_PLlJKBDfG GAS <br /> <br />KOOFItt<<; <br /> <br />V SPECIALTY <br />V/ <br /> <br />Ot:her <br /> <br />~ oltuckd <br />L <br /> <br />TYPE OF COIiSTRUCTIOII: _Block <br /> <br />_Fra.e _._,Steel <br /> <br />FIIIISHED FLOOR ELEVATIORS: FI' . <br /> <br />IS PBO..1ECT Di FLOOD ZONE AREA? <br /> <br />YES IiO <br /> <br />................................................................~..........................................*............ <br /> <br />WlW'RACIOR SECTION <br /> <br />CDIIPOY <br />State Cert. or Regist.1 . <br />City License Registration. I <br />...................*~~~~~........................................................................ <br /> <br />BITTT.DER <br /> <br />Signature <br /> <br />~~ LUlPAIIY~bOU-L~ ~~ Co <br /> <br />. ~ -:te c:ert:. or R~gist:. .' r="T .' ~ t ~ <br />S at:or L1cense Reg1strat1on. f b ;)-/.::7 . <br />...................................................................................................................... <br /> <br />Signature <br /> <br />aJ!IPMY <br />State Cert. or Regist. I <br />City License Registration. f <br />....................................*.........~*...........................**...*......**..................* <br /> <br />PLtIIBER <br /> <br />CilllP~Ji.J" ___ <br />State CerL or Regist:. f <br />City License Registration , <br />.......................................................................................................................... <br /> <br />KEalAllIGAL <br /> <br />Signature <br /> <br />OTIIF.R~'~' ,tJiP-."Pe'rof2- LUlPAIIY /YklbOUAI1e..- '!5/6'tJ. al1let1~Y <br />, ___ State Cert. Oll:' Regist:.. If ~10o..00 103 --X <br />Signa e _ City License Registration. I 00505" <br />..................*...........................................~......................................................... 6~ <br /> <br />APPLICArIOR APl'ROVED BY ?1 .:I 411 .c-, J ~~-,.... <br /> <br />PERKI.'! OFFICER. <br />