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<br />. . <br /> <br />APPLICATIOII fOR PERllIT <br />CItY OF ZlwuIKHII.I_4; <br />BUII.DIlIG DEPAKllml1I <br /> <br />OWNER · S RAIlE <br /> <br />t~ I- /j/~r I cl-r;-p <br />/J:~A-!e./? v" J~ .4r k J <br />~~// /?k/ <br /> <br />PIDIE ~t7I-.J?3 - q-~c;J L/ <br /> <br />OWNER I S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />7 tj ;2 5- <br /> <br />LEGAL DESCIUPl'IOB: LOI'(S) <br /> <br />~StmDIVISIOB <br /> <br />PARCEL LD.' <br /> <br />J '-I - :2 5-- :;? / - 3- 2. <br /> <br />IiORK PROPOSED:___ev Construction ~tion ~A1teration ---RePair _Inst:a11 <br /> <br />S. <br />_ J.8Il <br /> <br />_Ifove <br /> <br />~1ish <br /> <br />PROPOSED USE: Single F.-il.y <br />Xec-ercial <br /> <br />_fl/F _, of Units <br /> <br />--1118 <br /> <br />_Iodust. _Swa. P001 <br /> <br />Other <br /> <br />RpStaurant 5: Hea1th Deparment Approval. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~ Feet, <br /> <br />Height <br /> <br />RESIDENTL\L: <br />aJfINItRCIAL : <br /> <br />AtTAaI (2) PIDI' PLAIIS 5: (2) SEI'S OF BUII.DIlIG PLAIIS 5: (1) SEI' ElIERGY FOIUIS... <br />A1TAaI (3) SKIS OP IRJILDIlIG PLAIIS 5: (1) SEI' ElIERGY FOIUIS... <br />..OOPl' OF OOIn'RACI RIIQUIJUtD. <br /> <br />PIIJIJIITS BEOIIR.4;nm <br /> <br />-----..BUlLDIRC <br /> <br />$. <br /> <br />Va1uaUon of Total Construction <br /> <br />IU.RCl'RICAL <br /> <br />AIIP Service <br /> <br />Florida Puller Corp. <br /> <br />W.R.E.C. <br /> <br />~ICAL <br /> <br />$. <br /> <br />Valuation of If.ecbanica1 Iost:allation <br /> <br />-PLUIf.BIIIG GAS ROOPIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OORSTRUC'l'I.OII: -----..Bloclt ---Yr&8Je _Steel <br /> <br />Other <br /> <br />FIBISBED FLOOR ELEVATIOIIS: <br /> <br />fT. <br /> <br />IS PROJECI' IN FUJOD mIlE AREA! <br /> <br />YES IiO <br /> <br />.......................................... <br /> <br />mnJIACIOR SECI'ION <br /> <br />BUII.DRR <br /> <br /><<DIPAIIY <br />Sl:ate Cert. or Reg.i.st. , <br />City License Registration I <br />.......................................... <br /> <br />Signature <br /> <br />IU.RCTRTCIAR <br /> <br />aJIIPAIIY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Si"'Ature <br /> <br />PUIMRRR <br /> <br />alllPAIIY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />IIEaIOICAL d allPAIIY WWN 1fH.. I'hlfc-~/cAt..- J / N C- <br />~ -+- State Cert. or Regist. I CA-c-A-,-r/7' 7 <br />Signature ~ ~ City License Registration I /'1/ <br />.......................................... ' <br /> <br />OTRRR a.lPAlIY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICAnOR - n <-I/dA04~'-;~O/j"Jw-- PmIIT Ol'I'ICBR. <br />