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<br />APPLICATIOH FOR flBlll'l:.
<br />CITY OP ZUIIDRJu $
<br />BUILDDlc,; DEPAlt~'.f
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<br />OWNER'S tLUfR ~MA/I9'SIlIJP1/t~t-t- PHONE
<br />OWER'S ADDu.ss.J../)7'~' '1j.Rt)~l' J..1JN.~pLJJIJ- LDOP
<br />JOB ADDB~:SS -r';/?tJ.E '. . .'.
<br />LEGAL DBSCIlIP'1'lOH,:L01'(S) BLOCK SUBDIV1SIOH A#VJ4/4~~ ~(,u.o...r_
<br />fARCEL I.D.' . ~4C,~'b";.fli...:'~/~b'-~Q?a:?-06'Yb . '(9)>T~IN FROM PRO~~'Tq ~g'flC~l
<br />WORK PBOPOSBD:'V)I~W" _tnCtioo --AdditiOA --J.1,teration Repair ~~'tau
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<br />Hove
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<br />-.J)e.olish
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<br />PBOPQSED USE: ~iDa1~ 'F~~
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<br />.--Jt/F
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<br />_'of . Units . ---Ji/H
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<br />_eo-ercial.. . .
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<br />_1Qdust.
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<br />Swia. fool _O~r
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<br />:Restaurant' Health Departaent Approval
<br />DESCIU:P'lIOII OF W~: t;J> , .:-:~f ;C - SHILL) .... ..rCREEAJ ~Y'1- c...~RP"R.r
<br />BUl.LDIHG SIZE: x . S-oo Square Feet~ J!';t)'? Beisht
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<br />,.,1 i' , ,..-,,", :'. " 'f .
<br />~)l)EllTW.: ATrACII (2) PLOT .l'LAIIS , (2) SETS OF BUILDIHG PLAalS '" (1) SET UERGYFOJlHS.
<br />COHKBRCI.I\L: ATlACII (3) SETS OF 8UILDDlG PLANS '" (1) SET BHERGY fOBHS. . .
<br />. f~~~.~~~;~.~1JUBD..Foa .ALL;HEW'~S~pCTION., '.. .
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<br />BUlLODlG .
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<br />'_11,'"
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<br />PERMITS REO~TPJl
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<br />Valuati~ '.of Total CoDS~.:ruction
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<br />RT RCl'RICAL
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<br />~ Service
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<br />. Plorida pow~r.Corp.
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<br />W.R.E.C.
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<br />---JU$WIUilCAl.
<br />-PLUKUHG
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<br />Valuatioa of ~cal1ll&c:allation
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<br />CAS
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<br />ROOFDlG
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<br />S1>>ECIALTY
<br />Other
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<br />FIllISIIED FLOOR ILIVMlC)JiS:
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<br />F'l' -.' '. . IS fJWJEct U .FLOOD ZONa AREA!
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<br />'. CONTRACTOR SF:CTION
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<br />Signaturl~
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<br />BUILDKR
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<br />RLRC'l'RIC'lAI
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<br />:,i..:",,:',/ f. cOHPAHY . .
<br />Scaee Cere. or Regist. ,
<br />Ciey License Registration',
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<br />Si aflAtur.~
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<br />. COHPAIY .
<br />State Cert.or ~aist. .
<br />City License Registration ,
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<br />HECIIAHT~U.
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<br />. ., COIIPAHY
<br />. ~., ,,;' ...., J~' ,'. .,..' State Cert. or Regist. ,
<br />City License Regiseraeion .
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<br />Sianaeurll:
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<br />COItPAHY
<br />SUI:e Cere. or Regist. ,
<br />City Licea&e Regiseratio~ .
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<br />SigDaturl~
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<br />APPLICATLOH APPBOvm
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<br />PERHIT OFFICER.
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