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<br />APPLICATIOII fOR PERllIT <br />CITY OF Zl!;ntIKltU.U; <br />BUII.DDIG DEPAImIEIIT <br /> <br />OWER'S lWIE uJ..4. NGUr71BrJrJ <br />OWER'S ADDRESS PO, go 'f.- 0'9 ~ Z, C:;/ fjlL,i' /h, /::;:,. / <br />JOB ADDRESS . ~ 73 ijLJ (lJdILi~/lIt./ Hvt.- <br />I <br />LEGAL DESCIUPl'IOIII: I.OI'(S) fo 9 JII.OCI( SOBDIYISIOR tJ {.. J j!-W ()o d <br />PARCEL I.D.# I<J- 20-2/- O,cc)- 000<.)0 -6090 <br />- <br /> <br />PIIOfIE <br /> <br />7~~-9oJV <br /> <br />IiORK PROPOSIl:D:~ Construction _Addition _All:eration _Repair _Install <br /> <br /> S. _lIIove _De.olish <br /> - J.gIl <br />PROPOSED USE: ~FaaiIY _II/F _' of Unit:s _II/B <br /> _ec-ercial _Indust. _SwbI. Pool Other <br /> <br />_Rest:auran.t 5: Health Depar'-ent Approval <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Beighl: <br /> <br />RESIDERTIAL: <br />alIIIIERCIAL : <br /> <br />ATlAaI (2) PLOI' PIAIIIS 5: (2) SEI'S OF BUIlJlIlIG PIAIIS 5: (1) SEI' ERERGY FORtIS..* <br />ATlAaI (3) SEI'S OF BUD.DDIG PIAIIIS 5: (1) SKI' EIIItRGY FORIIS. *. <br />*.mn OF mllTKAct .REQUIRED. <br /> <br />Plr.RllTTS KEOUESTED <br /> <br />_BUILDIIIG <br /> <br />$. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />~E.C. <br /> <br />---.JIECIIAIIICAL <br /> <br />s. <br /> <br />Valuation of lIechanica1 Inst:allation <br /> <br />-PJ.,UttBIRG GAS KOOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OORSmUCTIOII: ----Block _f'raIIe _Steel <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATIOIiS: <br /> <br />FI' . <br /> <br />IS PROJEct III FLOOD ZOIlE AREA.? <br /> <br />YES NO <br /> <br />.........................*................ <br /> <br />aJlIIRACIOR SECI'IOR <br /> <br />RmIDF.ll ~ <DIPAIIY w. /).1[) ('v M -t,l/..v Co"" r'/ <br />I, ) 0 State Cert:. or Regist:. I {)020 P'C Y <br />Signat:ure W r City License Registration I 0 I.{ <br />........*................................* <br /> <br />h.,v. <br /> <br />RI.F.CTRTCIAR WllPARY (/Yh~'~/J..-'~~ t/AA~' ~ <br />~ /~-0 / ./ ./)/ State Cert:. or Regist. I nt:;> t. -f-f.S- <br />SilPllature ~ 'l ~~ City License Registration I J-.t/'- <br />.......*..**.............................* <br /> <br />PLUIIBER. ~~ <DIPAIIY ad~l &~~ <br />State Cert:. or Re t:.' <br />Signat:ure ~ City License Registration , /2 J ,- <br />..............................*........... <br /> <br />fIIlaIAIIICAL ~ 1/ _ :;::n J{/~~, ~~~~{ <br />Signat:ure 6( ft ~ --- City License Regisl:rat:ion , 7 / <br />/ .f."...*.."."...."..............."..* . <br /> <br />'-.j :/ WllPAIIY y//t/' k/~./? <br />, -#.- /. Stat:e Cert:. or Regist:. , c: OC <br />7{/~~ City License RegiSl:ration' [/ <br />*........*.....*...........*..*.*......... <br /> <br />APPLICAnllR APPIlOVIlD IIY 'jf aA'lA' ~ ~ ~,.. <br /> <br />OTRIIR <br /> <br /> <br />Signature <br /> <br />P.ERIII.T OFFICER. <br />