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<br />Al'\ll.lCA'l'lON 1-'On I'tlnll'}'
<br />CITY OF Z~I'IIYlUlt l.I,S
<br />UU1LDING U~P^HTHENr
<br />
<br />Al'PI.lCANT ~Il.c-E f}l..t1~_..__",
<br />J ~ 'fS_ _ ,tJ IH-fYJ {!,-/C.OV E_-_.. f) R.. ,
<br />AllIlltESS 'L!.
<br />N/Wc-If
<br />
<br />'\
<br />
<br />-:
<br />
<br />PIIJ~E '7 /:J. -.;J..b/~
<br />
<br />OWlEt{
<br />Jon I.OCATTON S~:scf
<br />
<br />GOu~C-E
<br />Cj:zJ:1 sr,
<br />
<br />LOT'SUE ttj x.JS""0> AREA sq.t-''f. S.:L9
<br />
<br />U:G.^1. IlE'>(:RIPTlCNI toT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />I / / -d- b ,.- :1; _-_L'._ iO/D --::{ /J.Oo - b/ S-6
<br />"AI'CEI. I. n. 1,---,-,- _
<br />\lOHK PROPOSEO:_. ~_New Construction /Addl.tion _Alteration _Repoi l'
<br />
<br />_InSlall
<br />
<br />___Sign/Temp.
<br />1'lWI'OSEU \JS"~: __~S lngle Family
<br />
<br />_Sign
<br />
<br />_Hove
<br />
<br />_Demo} ish
<br />
<br />_H/F
<br />
<br />_" of Units
<br />
<br />,_tll,lI
<br />
<br />...__Commercilil
<br />
<br />_lndu6t.
<br />
<br />_Swim. P'iol
<br />
<br />Other
<br />
<br />..,_Restourant IX ~I~e Hh Department Approve 1
<br />,1I1111.IHNG SIZE' ..)3 ~.---.:Q9 LlA!fJICR... RIX)~ Sl)\I(U'C feet,' rP:.. q /
<br />
<br />IIclBhl
<br />
<br />HE~;lI)ENn^l.: ATTACII (2) PI.OT P1.AtS ,. (2) SETS OF IlUIUHNG l'l.ANS & (1) SET I::NEItGY rotHIS."
<br />COtltlEKC1AL I A""rAclI (J) SETS nl-' 1ll1l.1HNO "I..AN:> fa (1) St:T t:tH::ttGY I'oml~,.u
<br />"COpy Of CONTRACT ~EqUIRE".
<br />
<br />V'Ii\i I J.U I N G
<br />, _ELECTRICAl
<br />, _ ~~'F.CII^NICAl.
<br />
<br />$
<br />
<br />ftRMlI5-REOUESIfU
<br />d /d""D .I_~_Va1uation of Total Const1'ucllon
<br />
<br />AtIP f.el'vlce Florida Power Corp. !"i '~~H.1LE,C,
<br />
<br />$' Valuation of Hechanlcal Instol~~tlon
<br />
<br />_PI.t1HlllNG
<br />
<br />GAS
<br />
<br />RoOt'ING
<br />
<br />SP~CIALTY
<br />
<br />"'
<br />TYPE Of CONSTRUCTION:
<br />
<br />_Block
<br />
<br />_Frome
<br />
<br />_Steel
<br />
<br />. ''1"'-
<br />
<br />Other'
<br />
<br />r Itll SilEO Floon EI.EVATTONS 1______f'T.
<br />
<br />I, i
<br />"'~'h~h'."""'*""""""",."".",
<br />
<br />.'I\!uut:R
<br />
<br />/1 J() CONTIlACIUR SEU'UON fir.t;"
<br />f'I?l.f' /7!~l1/'Y1 '_____ COlllpuny '7'--/- /}Ztf/Y),. ,: _._______
<br />/J d/J~ ,(/ , StaFe Gert. or Reght. U C-.Ie<:.b.&'r6cf.lJ
<br />--L/1~ ~- Clly hll:eflse'Reglstl'Otloll /I /AD
<br />....".to"............"..,,,,,,.....,,,,,,.....,,,,.
<br />
<br />Slnl\lllure
<br />
<br />LLEGTIUGlAli-
<br />
<br />Company
<br />State Cert. or Regi&t. Q
<br />City LI~ense Ree.lstratlon U
<br />.,",..,'"...".*........,......~.......,,'
<br />
<br />,_..
<br />
<br />51cnntut:.i:.--n
<br />
<br />l'LUHUER
<br />
<br />~~~nat\l..e
<br />
<br />Company ~
<br />State Cert. o' RCBlst. U
<br />City l.lcunae Pelll&'~r(\tlol\ II;
<br />.,^,.........,....",.,.....,...&w...,....
<br />
<br />. '
<br />"
<br />
<br />111:: GUAU I GA 1.
<br />
<br />Company
<br />Stale Ccrt. or HI;'Ght. U
<br />City License Itell!~tn,i:lnn "
<br />"*'t~.,to..."....,"*.,...",.....,."....,
<br />
<br />SIHllllture
<br />
<br />. ,
<br />.
<br />
<br />.~ ,
<br />
<br />OTIIER
<br />
<br />Company ,
<br />Stole Cert. or Reglst. U
<br />City License Real5tn~tlon II
<br />
<br />Slgliature
<br />
<br />..,..~....*.........,*.*.,.*.,..........,.
<br />
<br />^I'I'UCATION ,aPPROVEO BY
<br />
<br />J'~Rtn'I' Ofl'l CElt,
<br />
<br />"
<br />
<br />~l~A\
<br />I~ .",'.}
<br />1,- _ ,
<br />.,.,--:..--.-.,.. j
<br />
<br />F ._;,._'-~,
<br />,1' .' . :',' ~'..... -:' , ~, ~
<br />
<br />~'....'....,..."':'-....."..............;"........, ......~"'...
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