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<br />, \ <br /> <br />W--.'''''f. <br />I' f <br /> <br />.\' <br />" <br /> <br />OWNER'S ___ <br /> <br />:,. ..,.?.c ()~~ <br />5/b-.J /) /'l... iA <br /> <br />APPLICATION FOR PItRKlT <br />CITY or ZEPllYJUflU..S <br />8UILDIRC nBPARINBRT <br /> <br />C..c7d-k:- <br /> <br />~<2-~~ <br /> <br />PIIOIII: <br /> <br />c; 3/- OFd-- ~ <br /> <br />OWNER' S ADDaBsa <br /> <br />~ l.j :l.5 <br /> <br />B~t.vo 0 y <br /> <br />~ ~- <br /> <br />o~ <br /> <br />,JOB ADIJUSS <br /> <br />LEGAl. DBSCRlPTlO.: LOTes) <br /> <br />SUBDIVISION <br /> <br />B M I-ur-wOVC (' <br /> <br />"ARCEL I.D.' <br />1mb; PROPOS8D: ~ Coost.ruction ----.Addition ----..Altet:aUon <br /> <br />.IIe..tr <br /> <br />Y...ta11 <br /> <br />--"pi... <br />~POSIm ItRR~ ~toaJ.e f'eId.ly <br /> <br />--"oye <br /> <br />--P~lt8h <br /> <br />_ec-ercial <br /> <br />--1f/. _' of Units <br />Indust. ~. Pool <br /> <br />---ll/B <br /> <br />other <br /> <br />...taUl'Mt. 6 health Deparment Appro"al <br /> <br />8UI.1.DINC SlZB: <br /> <br />L <br /> <br />, <br /> <br />Square feet. <br /> <br />Rei&ht <br /> <br />RESIDENTIAL: ATrAal (2) PLOT P'I.MS . (2) sm OF 8U1.LDlRG ,tAIls. (1) S&r UBRCD' POIIIS. <br />COIOI8RCIAL = ATrACII (3) SI'IS OF aUlLDlNG PLAIIS . (1) SET ElIERGf FOJUIS. <br />IWJPEIl1T SUitVEl' 1tIlIQU1.RJID FOil ALL IIIl.V COHSTJtUc:t'lOI. <br /> <br />PElUfIt'S JlEQlJE.qTRD <br /> <br />---..BUILDlIG <br /> <br />. ~ <br /> <br />L <br /> <br />Valuation of Total OoostructiOll <br /> <br />--f.LECtUca <br />-1tEC&InCAI.. <br /> <br />AIIP Sentce <br /> <br />Florida Power Corp. <br /> <br />.N.k.I.O. <br /> <br />$. <br /> <br />Valuation of Hecbanica1 lIuItallatiOll, <br /> <br />_PLllfB1IIO <br />nl'E OF COIISDbCnolh <br /> <br />GAs ROOFING <br /> <br />SPEcIALn <br /> <br />Klodt ---1'C8JI. ~teel <br /> <br />otber <br /> <br />FINlSIlBD fLOOR &LBYATIOllS: <br /> <br />Fl. <br /> <br />IS PROJECt' IN FI.OOJ) ZORS AREAt <br /> <br />.......................................... <br /> <br />IES 10 <br /> <br />BUIlJJq <br /> <br />mNTRACTORSEC'QOI <br /> <br />CORm li S S ; (lev\) <)1-/1-'-.) C -....\--1 C'Jy.\ <br /> <br />.f') ,7 , /f) _ _ - State Ce~t. or .balst. ,., C. <br />~ y~ 7f- ~-"'- City Llcf!08e Reai8tratlon . J <br />.......................................... <br /> <br /> <br />Sianatuce <br /> <br />1U.P.&TIrT CIAII COIIf'AIIr ti.1Ut-,- ~<L "Z- c2o.k. ~. <br />~ 1/ State (;eel. or aeslst.' E R s:!..ry <br />&WlUltllce ~ ~ eit)' Lleen.se Registration f. q 1 <br />~..~........,.......................,. I~ <br /> <br />PJ..UtBq cotIPANt L <br />~,f ~ /J State Cert. or "lat. , <br />Sipature T'/)~oJlAR. ,fI/ ~ City License Re81at.rw.tion . <br />......................................,... <br /> <br />3/ <br /> <br />~RI!II.A.r~,u <br /> <br />COItPMY: <br />State Cert.. or lteaiat. . <br />Clty License Regi5tratioo , <br />*......................................... <br /> <br />CotlPANY ,hI, If; AAz,-IIfJ::> C?oc., (. ) <br />Sblte Cert. Or "slat. '-a~ 'P ~K Sa- , <br />Cll;J' License Registration' ~ J <br />.................................... <br /> <br />S itpJa bare <br /> <br />01'II17.Il , <br /> <br /> <br />~ <br /> <br />Signature <br /> <br />APPLlCATlOl APnOvBP Br <br /> <br />PIIIIlt OPPICIIl. <br />