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<br />.... <br /> <br />APPLICATION POR PIIUIlT <br />CITY or ZBPllllUllu.s <br />BUlLDIliG DIPAR'I'HUT <br /> <br />0WNJat · s -.AHB <br /> <br />M~ ~fot4L <br />YSS-.r- / /73~ ~e AJ. <br />. <br /> <br />C/-Pc./.Al Of k <br /> <br />PHONE (<lll) ~-7~- '19 7g <br />___c cj 6:;' ').. ( f,oB O)(" 83 (0 ) <br />C~Q'I-v ::!y{,A8 <br /> <br />0WIEIt.' S ADDaISS <br /> <br />JOB ADDRBSS <br /> <br />I r <br /> <br />U<w. DBSClUftl.. totes) <br /> <br />IltoClL.-.-SUBDIVISION <br /> <br />PARCEL I.D.' fO.TAla I'q ~PDTY TAX IQJXWll <br />WOllI PROPOSED: ~ew CooatlUCtioo. ~ition --Alteration _____e.-ir _lnatal1 <br /> <br />--1J18D <br /> <br />----'k:Jve <br /> <br />---Peaolleh <br /> <br />PROPOSED USI: --8iaale F_ily <br /> <br />_~reta1 <br /> <br />---.Jt/F _' of Unit. --It/a <br />V Indust. -Stria. Pool _Other <br /> <br />'1'" ......taurant Ii Health Departaent Approval <br /> <br />DItSCJUPTIOI or WOIUt: AJQ,t;c)~:kd ~uJ~ 10 ~ 'leek ~kJw'l ~u,lf~ <br /> <br />BUILDIRG SUI. l~o X /tJo. J~oe>o Squre Feet, 3 I Height <br /> <br />USlDBn'lAL. AT'fACII (2) 1'LOT rws , (2) SITS OF IUILDIBG PLUS & (1) SIT BIaGi FORMS. <br />COMMERCIAL I AftACB (3) sm OP BUlLDlBG PLAHS I (1) SRT DEROY FORIIS. <br />noPDrr SURYBY RlQUIRBD FOR ALL RBW OOIISTRUOTION. <br /> <br />V;Ul:LDUG <br /> <br />PERMITS llRnUJt.qTRD <br /> <br />$. c'2~OO~ <br /> <br />Valuation of Total Construction <br /> <br />RI.BCD:ICAL <br /> <br />... Service <br /> <br />'lorida Power Corp. <br /> <br />W.R.B.C. <br /> <br />--.JIECIIMlaAL <br /> <br />s. <br /> <br />Valuation of lIedwlical InstallatioD <br /> <br />-J'LtIIBDO GAS RDOPIIG <br />UPE OF mataucrtOll: _ RlocIt _F~ ~teel <br /> <br />SPECIALTY. <br /> <br />Other <br /> <br />YIS <br /> <br />/ <br /> <br />- <br />NO <br /> <br />FIIISBBD I'UJOR RLBVAtlOlS I '(6 FT . <br /> <br />IS PROJICl' IR FLOOD 10MI ARIA' <br /> <br />.......................................... <br /> <br />WlIUGtQJl ~'c:rIOll <br /> <br />B.JllJlD. OOHPARY !J,t~ 11et-) IdvJ ) /uC I <br />y t/1/1/J /1 / State Cert. or Re.iat. t CGCC ~3 ~73 <br />Signature /~ ~ City License .e.istrllltioo' ~ 1'f!i1t <br />ffi ,~...........*.....*..........~.~.......... \ ' I <br /> <br />::::.. ClIIPAIIY ~tUC"'<'/ €Ifi:21wCA L G..z.ovf' =Ie <br />_. - 7.p dJ:z::--.--. State Gert. or ...iet.' ,'Zo /S~ 9 to <br />__.____ __ t~ -J-' ~ City Licenee Reai8tration' ______ <br />.......................................... <br /> <br />Sip,ature <br /> <br /> <br />COKPABY-60YL1t-tV&~ }t1 ic-d.ft'~I'-~ L; J ~Nv-C-, <br />State Cert. or ReSist.' c....)~ '--0 ~ 01-3 <br />City License Re.i.tration' /4 25__ <br />.................................... <br /> <br />~ <br /> <br />IlKalWrt6'. <br /> <br />Si,pature <br /> <br />0'I'IIIIl <br /> <br />mHPANr: <br />Stat. Oert. or Ile.iat. , <br />City Licease B.aietration f <br />.......................................... <br /> <br />Sl8nature <br /> <br />A!'PLtCATIO. APP1lOVED BY <br /> <br />PBRKIT OFFICER. <br />