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<br />APPLICATIOII fUR PERllIT <br />CIn OF 2.Il;nt1 If" II_Le; <br />.BUII.DDIC DEPAImuIJI"r <br /> <br />OWER'S IWIE~~~ -=B~k-. PIIOlIE <br /> <br />=-~-.s~f~~i~t~ :?>I~~~~() I~ <br /> <br />D5~ <br /> <br />LEGAL DESCRIPl'IOII: I.OI'(S) <br /> <br />~SUBDIVISIOII <br /> <br />PARCEL I~D.' <br /> <br />WORK PROPOSED:_1Iev Coost:ruction. --.J'ddition. _A1teration. _Repair _Install <br /> <br />~ign <br /> <br />_lIove <br /> <br />_ne.o1ish <br /> <br />PROPOSED USE: Single F-u.y <br />~~rCial <br /> <br />_If/F _' of Unit:s <br /> <br />_If/B <br /> <br />_Iodust. _Swia. P001 <br /> <br />Other <br /> <br />R~Staurant 5: Hea1th ~t App.cova1 <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />~ Feet. <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />mttIIERCIAL : <br /> <br />ATI'AaI (2) PI.OI' PLAIIS 5: (2) SEI'S OF BUILDDIC PIAIIS &: (1) SKI' .EllERGY FOlUIS... <br />ATI'AaI (3) SEI'S OF BUII.DDIC PIAIIS 5: (1) SKI' EIIERGY FORIIS... <br />..mPI' OF OOllrRAcr JUIQUIlUlD. <br /> <br />~UILDIIIG <br /> <br />PIIJIIIT1"S RJrnIlR..e;TED <br /> <br />$. YO;)". 01) <br /> <br />Ya1uation. of Tota1 Coost:ruction <br /> <br />~CAL <br />-.JIE(2IAlIICAL <br /> <br />AIf.P Service <br /> <br />F10rida PoIier Corp. <br /> <br />W.R.E.C. <br /> <br />s. <br /> <br />Ya1uation. of 1f.echani.ca1 Installation. <br /> <br />_PLUlf.BIIIG GAS ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIlSTJUJCl'IOII: ---B1ock _Fraae _Stee1 <br /> <br />Other <br /> <br />FIWISBED FLOOR ELEVAUOIIS: <br /> <br />n. <br /> <br />IS .PROJECI' III FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />aJIDIACIUIl SECTIOII <br /> <br />fDIP~ fYlt<5 S- <br />Sl:ate Cert. or Regist. . <br />Cit:y License Registration. , <br />.......................................... <br /> <br /> <br />Signa <br /> <br />RTRCTRTCT All <br /> <br />alflPOY <br />Sl:ate Cert. or Regist. , <br />Cit:y License Registration. , <br />...a...................................... <br /> <br />SilmAture <br /> <br />PI.BIRD <br /> <br />alflPAIIY <br />Sl:ate Cert. or ReBist. . <br />Cit:y License Registration. . <br />.......................................... <br /> <br />Signature <br /> <br />IlEalAllICAL <br /> <br />alflPAIIY <br />Sl:ate Cert. or Regist. , <br />Cit:y License Registration. , <br />.......................................... <br /> <br />Signature <br /> <br />0IR1IR fDlPOY <br />Sl:ate Cert. or Regist. . <br />Signature Cit:y License Registration. , <br />.......................................... <br /> <br />APPLICAUOII - BY '1(" M.("~' 0 AA)v,) l'IlIlIUY OFFICER. <br />