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<br />APPLICATXON FOR PBIKlT <br />CXft OP ZBPBIIUID.LS <br />Bu:tLDIIIG DBPAIl'l'IIBII'l' <br /> <br />JOB ADDRESS <br /> <br />fir CtHtll <br />37,s~ 9r~o <br />o )..JQ. Ft; L'-'- <f Af C5 <br /> <br />/ <br /> <br />{;~/A <br />:>(j.- c,J Z--E/ tly..e 111 u:g. <br /> <br />, <br /> <br />,({) ( C)'-~ lJ~ /GN7 <br /> <br />PRONB <br /> <br />/,qf{ <br /> <br />f <br /> <br />7 :3ocf <br /> <br />OWNER' S RAHB <br /> <br />OWIIEIl'S ~~BS <br /> <br />LBGAL DBSCRXP'fiON: LOT(S) <br /> <br />~UBDXVJ:SXON <br /> <br />PARCEL LD.' <br /> <br />(OBTADI FROM PROPER'l'Y TAX IIOTICB) <br /> <br />won PROPOSED:~ew Coastruction ~ition --Alteration <br /> <br />Repair _InaUll <br /> <br />---1Jian <br /> <br />---'love <br /> <br />~lish <br /> <br />. <br /> <br />PROPOSED USB: ~iD&1e Paaily <br /> <br />_/P _' of Units _/H <br /> <br />_ec-ercial <br /> <br />_Indust. ~wia. Pool _Other <br /> <br />Restaurant i: Health Departaent Approval <br />DBSCRXP'fiOR OP WOlUt: 10 /;.) ~ ~Y1 Kcs r~~1f ; 70 €-f/c~SE I5llS'Tl..v& Of~A/ gd/il>Nq <br />, <br /> <br />Bu:tLDIRG SUB: c;t> x/dD . <soo () Square Peet. Beiaht <br /> <br />usmBII'I'IAL: AftACII (2) PLOT PLUS &: (2) SB'l'S OP BUILDXNG PLABS &: (1) SET DBRGY POlUIS. <br />COHtIBIlCIAL: AftAaI (3) SB'l'S OP Bu:tLDUG PLABS i: (1) SET DBIlGY POBtlS. <br />PROPBIl'rY SURVEY Il8QUIRBD FOR ALL NEW COIIS'1'IlUCTXO&. <br /> <br />PERHITS .RnIlBS'l'BD <br /> <br />____UXLDIIIG <br />---.BI.BC'1'IlICAL <br />~CAL <br /> <br />$ <br /> <br />13;-60 tJ ' cfO <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.ll.B.C. . <br /> <br />$ <br /> <br />Valuation of llecbanica1 I.nstallation <br /> <br />---l'L1IIBIRG GAS ROOPIRG <br />1'IPI OP COIIS'I'&UCIlOI: -.Bloclt ---:1nae _Steel <br /> <br />SPBCIALTY <br />Other <br /> <br />PIIUSIIBD PJ.OOIl BLBVAfiOHS: <br /> <br />n. <br /> <br />IS PBOJBC'I' IN FLOOD ZOIIB ADA, <br /> <br />YES &0 <br /> <br />.......................................... <br /> <br />Sipature <br /> <br />o u.J JJ to<.. <br /> <br />mR'I'RACTOR SBCTIO)l_><--.~-' -'--" <br /> <br />~ <br /> <br />City License,Be8istration' <br />.............................~........~... <br /> <br />:;. <br /> <br />,.. <br />''t <br /> <br />BllTl.DRR <br /> <br />dJ -<.I I <br />, 71 <br />PLD@'ER D OOIIPAIY ~i &KiM <br />~ ~ . State c:ert. or Ile8i8t.' ({ F - :J. '81 <br />Signature ( ,. tZ -- City License Registration' . d0~ <br />~ ~................................. <br /> <br /> <br />,~o- ~/~ <br /> <br />l..-' <br /> <br />OOIIPAIY f)'\C::rQ:\-\) ~ <br />State Cert. or Reaiat. . <br />City License Ile&iatration . <br />.......................................... <br /> <br />1IBCIIAIIl.CAI. <br /> <br />Signature <br /> <br />OOIIPAIIY <br />State Cert. or Reaiat. . <br />City License Ile&iatration . <br />.......................................... <br /> <br />, <br />, <br /> <br />Signature <br /> <br />COHPAIIY <br />State Cert. or Ileaiat. . <br />City License lle&istratiOll . <br />.......................................... <br /> <br />\i' , <br />'~ ' <br />II. <br />1 <br /> <br />O'I'IIRR <br /> <br />APPLICAfiOR APPIIOVBD BY <br /> <br />PBIKlT OPPICBR. <br />