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<br />APPLICAn05 fOR PERllIT <br />CIn OF ZlJ;mIKRITJ_c; <br />BUIlDIlIG DEPAImmln' <br /> <br />OWNER'S NAIIE-:\(~n ~1(:P lj lBJu.:d'b- r'6~<6 -~~ l <br /> <br />_'SADDUSS~~ ~ ~,~~,~,~~'~\I ~m~ <br />.JOB ADDRIlSS~ - _S - - ;; - - >g' \ \: _ f= . _- J ( . _ -- \-\p) <br />LEGAL DF:iCIUPl'IOII: IDI'(S) JR.OCX SOBDIVlSIOlI S~ R€S"'\'"" ~~ <br /> <br />PARCEL LD.' <br />IiORK PROPOSm:_1Iew Construction _Addit.ion _Alteration XR.epair _Inst:all <br /> <br />S. <br />- 19I1 <br /> <br />_Rove <br /> <br />_.oe.olish <br /> <br />PROPOSIID USE: <br /> <br />Single FaUl.y <br /> <br />_II/F <br /> <br />_, of Unit:s <br /> <br />_II/B <br /> <br />_~rcial <br /> <br />_Indust.. <br /> <br />_Swa. P001 <br /> <br />Other <br /> <br />Rpstaurant. &: Bea1th ~t. Approval. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~ Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COfIff.ERCIAL : <br /> <br />A'lTAm (2) PIDI' P.LAIIS &: (2) SETS OF BUD.DIlIG P.LAIIS &: (I) SKI' EDRGY FOlUfS....... <br />A'lTAm (3) SETS OF BUII.DIlIG PIAJIIS &: (I) SKI' DIERGY FOIUIS....... <br />......OOpy OF OON'J'IIAcr lUlQUIIUID. <br /> <br />PI1RII1:TS REOtJF.S'I'ED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />l\ <dOC , 00 <br /> <br />Va1uat.ion of Total Construct.ion <br /> <br />-ELECTIUCAI. <br />~CAI. <br /> <br />Aff.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Va1uat.ion of ff.ecbani.cal Insl:all.at.ion <br /> <br />_PLUflBIIIG GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRt.JCTION: _Block _Fra.e _Stee1 <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnOllS: <br /> <br />Fr. <br /> <br />IS PROJECI' III FLOOD ZONE AREA? <br /> <br />...................................................................................................................... <br /> <br />YFS NO <br /> <br />aJJnJL\CIOR. SECJ'IOlI <br /> <br />BmTJlu. <br /> <br />CUlPANY <br />Stat.e Cerl:. or Regist. , <br />City License Registration , <br />........................................................................................................................ <br /> <br />Signature <br /> <br />ItT.RCTRTCIAR <br /> <br />CUlPOY <br />Stat.e Cerl:. or Regist.. , <br />City License Registrat.ion , <br />................................................................................................................ <br /> <br />Si.....::Iture <br /> <br />PI.Dl8D <br /> <br />CUlPANY <br />State Cert. or Regisl:. , <br />City License Registrat.ion , <br />...................................................................................................................... <br /> <br />Signature <br /> <br />IlECllABICAI. <br /> <br />lDIPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.................................................................................................................... <br />1h \l CA-b~ <br />CUlPANY Ce"Su~~ enE~ ~~~~ <br />t r A ~ Stat.e Cert.. or Regi..s1:. t ~ A "6 I <br />I.2A A. City License Registrat.ion , Cc C.A:t \'61 ~ <<- 6b <br />............................................................................................................. <br /> <br />Signature <br /> <br />0T1IRR <br /> <br />Signature ~ <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERIIIT OFFICER.. <br />