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<br />APPLICATIOIIi FOR PERllIT <br />CI'IY OF ZlWHIKHn.I's <br />BUlI..DIIIG DEPAKIIIEIO' <br /> <br />('ivy \ t~, {jlOf, _ .1 'i? d ~ cJO I '8' ' <br />,) c ~7 . l 3:3 <br />OWNER'S ADDRItSS t (~)/2/\ ,. ~ n e \ 0\ '. L~~-h ( \ S <br /><)(-jry)~ 0 <~ Abc)v C <br /> <br />OWNER'S RAKE <br /> <br />JOB ADDR&CiS <br /> <br />LEGAL DESCRIPl'IOII: IDI'(S) <br />d-C-Y~~d\ <br /> <br />~SOBDIVlSIOII <br />t-- /........... <br />~m~ - ~ <br /> <br />PARCEL LB.' <br /> <br />WORK PROPOSED:_lIev Construction _Addition _Alteration _Repair _Inst:all <br /> <br />S. <br />- 19I1 <br /> <br />_Move <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: <br /> <br />Single F~y <br /> <br />_tl/F <br /> <br />_, of Units <br /> <br />~/H ~ et t;(,UIie'--/l'( <br /> <br />_ec-ercial <br /> <br />_lDdust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />R'-St:aurant & Bea1tb. ~t Approva1 <br /> <br />BUlLDIRG SIZE: <br /> <br />\ L\- X C~:4). <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDERTI.AL: <br />COfIIIERCIAL : <br /> <br />ATrAaI (2) PI.OI' PLAlIS & (2) SEI'S OF BUII.DIIIG PIAJIS & (1) SEI' EllERGY FOlUIS. ** <br />ATI'AaI (3) SEI'S OF BUllDIJIG PJAIiS & (1) SEI' ElIERGY FORIIS. ** <br />**oopy OF OORTKAct :RIIQIJIRIlD. <br /> <br />PRRIIlTS REQUESTED <br /> <br />\1 BUlLDIRG <br />VF.loRCJ'RICAL <br />~CAL <br /> <br />~PL1JKBIRG <br /> <br />$ <br /> <br />Va1.uation of Tot:a1 Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Va1.uation of tlechanica1 Inst:allation <br /> <br />GAS B.OOFIIIG SPECIALTY <br />(\"\L;O\ \ \-10f{"l<Z <br />---..Block _~ _Steel V €.fic<.( fl'l(U\ ~ other <br /> <br />TYPE OF OORSTllUC'I'IOII: <br /> <br />FIRISBED FLOOR ELEVATIOIIS: <br /> <br />fT. <br /> <br />IS PRO.JECI' IR FLOOD WIlE AREA? <br /> <br />YES RO <br /> <br />****************************************** <br /> <br />RmUl"" /~ ~ <br /> <br />Signature( ~ <br /> <br />mYDAcna S~L <br />; ) , 1 lDIPAIII" \ ~~\ m ~ <:, <br />~ 1~--1"' St:ate Cert. or B ist.' <br />City License Registration . <br />******~*********************************** <br /> <br />~Q <br />~ ' L" IDIPAIIY ~ (I~ <br />... St:ate Cert. or Regist. . <br />S. ~ U City License Registration . <br />********~******************************** <br /> <br />PLIIIIIER .' lDIIPAIIY {2 -'L~\ 0\1--\ S <br />"~~ State Cert. or . gist. t , <br />Signa~' .' City License Registration . <br />,------ **** ************************************* <br /> <br /> <br />b lDIPAIII" Go- ' <br />~ State Cert. or _10. t <br />. City License Registration . <br />***** ********************************** <br /> <br />~.L~A~_' <br /> <br />OTIIRR aJIIPAIIY <br />St:ate Cert. or Regist. . <br />Signature City License Registration . <br />***************.........************************ <br /> <br />APPLlCATIOR APPBOVED BY PERIIIT OFFICER. <br />