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<br />APPLIGATION FOR PElUIIT <br />CITY OF zBPIIYlUD.LLS <br />BUILDING DRPAllTMENT <br /> <br />_'s~~~'~ <br />OWIBI.' 5 ADDUSS:;2J .. . ,~ A(. . <br />JOB ADbUSS 6~ as JC(~~J fl, <br />LBGAL DIl8I1IIUTlOlh LOT(S) t!>,fJCl BLOCI\- ~OBD1V1ll:rO~t~ .~ <br />PARCBL J.D.' 3 T.:- ~i If::<.L ~.:- /J/,,2/J (PAT"l" ,.~ PIIOPUTY T"'- HOTICIU <br />won PItOPOSlOa----"ew CoaatNCtioo ..--.AdditiOD -..Alteration _____pair 4lnstall <br /> <br />~:'N/ ,N'!I <br />JcJ. i - <br /> <br />. <br /> <br />--l5tao. <br /> <br />-IIOve <br /> <br />~lbh <br /> <br />PROPOSED USltt -5iDale ,aaily ~/F _' of Uni~ ~/a <br />__r.W _Iodust. ~"bo. pool _Other <br />----1eataur8llt lit Health Dtilpartaent Approval <br /> <br />DESCIlIPTlO1l or won: <br /> <br />BUlLl)'fJIG SUB I <br /> <br />I b. <br /> <br />Square Peet.. <br /> <br />Belpt <br /> <br />USID8IITI.AL= AnAOII (2) Pt.OT PLAlIS lit (2) SITS or BVILDIHG PLANS & (1) SIT BOllOY PORHS. <br />COMMERCIAL; AnAal (3) SITS or BUltDUG PLABS lit (1) SRT BIIDGY FOBMS. <br />PaOPBllTY SUltVBY RlQU1RBD POll ALL NEW COHSftUOTION. <br /> <br />...__JIUlLDIIO <br />~CAL <br />---1IBCIIAII1CAL <br />~UG <br /> <br />;(;~r4f1 <br /> <br />,qapTS RYfWm..cITlP <br /> <br />Valuation of Total Construetion <br /> <br />N.fP Service <br /> <br />Florida Power Corp. <br /> <br />W.Il.B.C. <br /> <br />* <br /> <br />VeJ.uatiOD of Hech8nical l.nsta11atioo. <br /> <br />GAS <br /> <br />ROOFtllC <br /> <br />spaCIALn ' <br /> <br />UP! 0' OOISftucrtONa ____lock _praae -Bteel <br /> <br />. <br /> <br />Other <br /> <br />PUISIIBD l'IQOI. BLBVAnOIS = ..-- <br /> <br />PT. <br /> <br />IS PJOJRC'l' U FLOOD zon AlIA, <br /> <br />YIS NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SRG'1TOIll <br />.'UI.D~ .... ~AIIY ~ .' :-4 <br />~ State Cert. or baiat. . <br />5iaoatl ~" City Licenae Aealatratioo . <br />.......................................... <br /> <br /> <br />JI.RCTVCUII COKPAItY A-il- L;J1.l... Eleckl c. <br />~ State Cel.'t. or :blht. f <br />:7 =--' City Li........ ...iotr.U.... · CO" ..2Y&' <br />:- -. - .................::::.......~..p;;;. --- . <br /> <br /> <br />~ State Cert. or haut. . <br />Siauture ~-- City License R.e.1stration · <br />~ .......................................... <br /> <br /> <br />IIIWIWI1CUt COHPAlfY..-- <br />State Cert. or Reabt. . <br />staoature City Llceoae Be.tetration . <br />.......................................... <br /> <br />f1TARR OOKPAn <br />State Cert. or Re,lat. '__ <br />SlSDature r' City License lle.tetratiOD. · <br />.......................................... <br /> <br />APPLlCAno. APPBOV!D BY . PUtlIT O"ICO. <br />