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<br />APPLICATION fOR PERllIT <br />CIlY OF :lIl;ntlllflll_Le: <br />BUlI.DI.lIG ORPARDurIJI <br /> <br />\,\J\ <br /> <br />IShA-/V} <br /> <br />FIIOIIR <br /> <br />s""'t/ r <br />1/0'1-1.- (J 4/ <br /> <br />~SUBDIVISIOlI <br /> <br />Z7 <br /> <br />c:-L__ <br /> <br />PARCEL 1.0.1 <br />.- <br /> <br />WORK PROPOSED:_Rew Construction -.J'ddition _Alteration _Repair _Install <br /> <br />S' <br />- 19I1 <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single F_liy <br /> <br />--1f/F <br /> <br />_' of Uni.t:s <br /> <br />_II/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_SwbI. Pool <br /> <br />Other <br /> <br />Rpstaurant & Health Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDKNTIAL: <br />cotIftERCIAL : <br /> <br />ATlAm (2) PI.OI' PIAIIS & (2) SEIS OF BUII.DDIG PLAIIS & (1) SKI' ElIERGY FORtIS... <br />ATlAm (3) SEIS OF BUII.DIIIG PI.AIIS & (I) SKI' EIIERGY FORtIS... <br />..wn OF WlITKACI' 1UIQUlRIlD. <br /> <br />PEIUIIlS RIlOUESTED <br /> <br />_BUILDING <br /> <br />$. <br /> <br />Valuation of Total Construction <br /> <br />_ELEGTIUGAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECllANIGAL <br /> <br />$. <br /> <br />Valuation of Kecbanical Inst:allal:ion <br /> <br />_PLUtlBIIIG GAS ROOFIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSmUCl'lOll: ---Block. -'~ _Steel <br /> <br />Other <br /> <br />FlIIISRED FLOOR ItLEVATIORS: <br /> <br />Fr. <br /> <br />IS PRO.JECI' IN FLOOD ZOIlE AREA' <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUTI.DRR I. 'l <br /> <br />t~J ! <br />Signature ,--''''\ ",. ~-- <br /> <br />QJIII'IHACIOR SECI'IOIl <br /> <br /><<DIPAIIY /..L:....-t... - '2'4 eJ,.:J, 4h.~ - c:I ~- <br />State cerl:. or Regist. . f?. '>l () 0 <,';4 f'1 if <br />City License Registration 1 7. ~ <br />.......................................... <br /> <br />~ ~vf. - <br /> <br />Itl.RCTRICIAR <br /> <br />aJIIPAIIY <br />State Cerl:. or Regist. 1 <br />City License Registral:ion 1 <br />.......................................... <br /> <br />SiPIIAl:ure <br /> <br />PUllBER. <br /> <br />CDIIPAlIY <br />Sl:ate Cerl:. or Regisl:. . <br />City License Registration 1 <br />.......................................... <br /> <br />Signature <br /> <br />IIEaIAlIIGAL <br /> <br />CUlPAIIY <br />State Cert. or Regist. I <br />City License Registration I <br />.......................................... <br /> <br />Signature <br /> <br />0T1III:R <br /> <br />CDIIPAlIY <br />State Cerl:. or Regul:. I <br />City License Registration 1 <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAYIOIf APPROVED BY <br /> <br />PERllIT OFFICER. <br />