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<br />APPLICATION FOR PIIKI'1",
<br />CITY OP ZEPBDRTT.T $
<br />BUILDING DEPAa'l'KEH'.f
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<br />OWER'S N.UIH G-OOW/A/J J-'W;::)JeA/17
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<br />OWNER'S ADDuss~t)1"'=-J??'~RtP(?' ,'~J9uJ~~p~
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<br />PIlQNE
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<br />JOB ADDRESS
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<br />LEGAL DBSCRIPTIO",:tot,(S) BLOClt SUBDIVISION I~~Y'WARL) ~..u,o~~
<br />PARCEL I.D.' /i/~qb:-.::<./-..t!/~tJ -OClc90CJ- LJtf7C9 (Pf}T~IN ~OM P~OP~TYTq ~PT:{CE)
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<br />WORK PROPOSED:' ;Yew Coaatalctiou. ---..Additioa -Jlteration Repair _1DM~
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<br />Sip :,
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<br />,~ve
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<br />-De.olish
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<br />PROPQSED USE:
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<br />_~ercial,. , ,
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<br />_' of Units -Ji/H
<br />S,d.. Pool ';""'Otl;ler ,
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<br />I I.,
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<br />Restaur8llt , Health Departaent Approval
<br />DBSC1lIPTIOM OP lieu:, Ct:JAJ.c,e~r6 - Sl//ZO...... 'CI9x=. JoOR--r-
<br />BUIIJ)ING SIZE: X ,.3'80 Square Feet~ Pn '9 'Beisht
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<br />llESIDEllTIAL: ATrACII (2)' PI.Ot ,I'LAIIS , (2) SETS OP BUILDING PUIS & (1) SET UEIlGY ,POBHS.
<br />CO!tHERCIIU.: ArrACII (3) SETS OP BUILDING PLANS & (1) SET ENERGY FOlUIS.
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<br />PRRKrTS ppUESTFp
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<br />.'$ cJ '-l S:-O. 0 0
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<br />Valuati~ . ,of. Total CoQS~l'UC~ion
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<br />RI.,f.Cli'IUCAL
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<br />~,Service
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<br />. Florida po.,.r Corp.
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<br />W.R.E.C.
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<br />---JmcauaCAL
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<br />TIPS PF 1::oBS~ON,: ,
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<br />Valuati.oa of IlecbaGical.' Iwttallation
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<br />GAS
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<br />ROOFDIG
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<br />SPECIALTY
<br />Other
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<br />masHED FLOOR. BLBVAT:wIlS: F't'l. ." ; , :. IS PROJECr..UfLOOD ZONa AREA!
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<br />YES
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<br />NO
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<br />, CONTRACTOR SECTION
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<br />BlITJ.DRR
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<br />Signaturl:l!
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<br />K(.RCTRIC"LAH
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<br />. ',,", ,: i , '.. ". COHPAIIY . '
<br />State Cert. or Regist. ,
<br />City License Registration'
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<br />S i D:RJl tur.~
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<br />PLUMBER ,
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<br />" COKPAHY '
<br />State Cert. or Regist. t
<br />City License Registration t
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<br />SiaDaturj~
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<br />HEC8AHTc.U- ' COHPAIIY
<br />~ t,,1. ','1' .-, "., .'.,.... 'j~'- ' , .;..' '. State Cert. or ReSist. t
<br />SiaDatur.~ City License Registration .
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<br />APPUCAT:I:OH APPROVED BY
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<br />PEBKIT OFFICER.
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