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<br />Al'l'LICA'I'10N 1,'uR II l::lUIl 'I' <br />CITY OP Z~l)II,{RII1l.J.S <br />UlJll.UINO IH~ll^It'l'tmN'1' <br /> <br />APlIJ.lCANT <br />AUllIU:SS 3 ~StlS tllJ/.../YJ GRDlJ&:- <br />.11 . CDeD <br /> <br />Jon (.()CATIONM1=3D J77/o AlEJO ~~r OR. . <br /> <br />/leE <br /> <br />;JAil ,h1 ~ <br /> <br />-- <br /> <br />J:) IC. . <br />. <br /> <br />pi~ONE <br /> <br />'7?:2. ,~~ It. <br /> <br />OHNER <br /> <br />1.01: SlZE1i~_~/bO AREA SQ. ,""f._ ~6 Y <br /> <br />, J.EG.^1. DESf,RIPTlON: L01'(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIG;{ <br /> <br />PAnCEl. 1. (), II d - ;)10 -;)/""7 tJ I ~t) -t:Ja:aJ" a..l>l)b <br />\WRK PROPOSED: ~w Construction _Addition _Alteration <br /> <br />_Repair <br /> <br />__lnslaI1 <br /> <br />_Sign/Temp. <br />l'ROPOSEU USE: VSingle Family <br /> <br />_Sign <br /> <br />_tlove <br /> <br />__Demol ish <br /> <br />_H/F <br /> <br />_~I of lnlts <br /> <br />.__tl/;II <br /> <br />_Commercial <br /> <br />_lndu6t. <br /> <br />_Swim. lloal <br /> <br />__Other <br /> <br />__Restaurant & Health llepartment Approval <br /> <br />IIU((.I)ING SIZEI /bl~. <br />, <br /> <br />"/~D <br /> <br />S(I"Ol'e Feet I <br /> <br />97-0 e ' <br /> <br />__III! I ~h l <br /> <br />HE~il()ENnAL: ATTACI! (2) PI.OT P1.ANS & (2) SETS Of' lHJILlHNG l'tANS & (1) SET ENERGY rOIHIS." <br />COtltlEKCIAI.: Al"rAclI (3) SETS OF UUILDIHO l'I..ANS ,. (1) SET E\'f~HGY fOIUlS,*' <br />HCOPY Qt' CONTRACT REQUIREll. <br /> <br />~l tOI NO <br /> <br />$ <br /> <br />PERMITS RF.QUESIED <br />L!L/c;-.?:"O Valuation of Total Constr:uctlon <br /> <br />_EI.ECTRICAI. <br /> <br />AtlP Sel'vlce <br /> <br />Florida Power Corp. <br /> <br />_U./\.E.C. <br /> <br />, _ ~~IECJl^NICAI. <br /> <br />$ <br /> <br />Valuation of Hech8n~cal InstallatIon <br /> <br />_rI.1I~t81 NG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />__________SPtCIALTY <br /> <br />J <br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />Other' <br /> <br />I"lHlSIJEO FLOOR EI.EVATIONS: FT. <br /> <br />~................................~..t'.l'. <br /> <br />.\Il!.1LUt'R <br /> <br />LJ c,€ /l L "of Jl"I, CONTRACTOR SEG'llOH ~ c..E J1.l.. /.,1' ", <br />~ COlIIl'un)' _ /7 . " '. <br />~~ Sta~e Cert. or F,.~&~st. II C~C~~,pb <br />dlly hlcenseReBJ.ill:ratlon II ' ' "0 <br />. · . . . . . .. . . . . . . . . .. . . . . .. . .. . . . .. . . .. .. . .. ,I" . .i . . .. .. <br /> <br />SICllature <br /> <br />liLJ::GTRTCIAN <br /> <br />Slcna.ture <br /> <br />Company <br />State Cert. or Regist. D <br />City License Registration U <br />..,....................................... <br /> <br />l'1.mUlElt <br /> <br />Company . , <br />State Cert. O' ~eBist. D <br />City J.lc~l\se' Pe~18h.(\tion IJ <br />.......................................... <br /> <br />. .~- <br /> <br />~~~Ilature <br /> <br />-. ....w <br /> <br />.' 1 j . <br /> <br />. . <br /> <br />tIE GllAtUCA l. <br /> <br />Company <br />Slole CC1't, or Iteall.t. II <br />CI ty License Hefl.lstl'utlon II <br />...,..,.........................~...,..... <br />. . <br /> <br />Slgllature <br /> <br />UIlIER <br /> <br />Company , <br />Stale Cert. or l~Jist! D <br />City License Rer:'t,tration It <br /> <br />S 1 grio lure <br /> <br />..................................,.~..... <br /> <br />AP1'!.ICATlON APPROVED BY <br /> <br />PERtnl' OFFTCER. <br /> <br />'. <br />