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<br />...., '.' .....
<br />
<br />APPLlCAnON FOR PEBKlT
<br />CITY OP ZEPIIYllBTT T $
<br />BUILDUG DEPAR'lKEHT
<br />
<br />OWliER.' S ,ADDBBSS
<br />
<br />\JACk.. ,gCHrn/ff~~
<br />~II" ~I/! ZEfJ/lYR ~/f)&E ;JR-.
<br />S' /J />>ft i '
<br />
<br />PBONE
<br />
<br />7??-sb 7/
<br />
<br />OWNER' S 'NAKK
<br />
<br />JOB ADDUESS
<br />
<br />LEGAL Di:~SCIWTIO",: L01'(S) , BLOCK SUBDIVISION
<br />PARCEL 'LD." 3-o?~"-.2/~t:1~~O-t?~t??7d";' t?//c> ~9'T~IN FROM PROPERTY Tq~QrIC~l
<br />WORK PBnPOSED:~ew' eoaat~tion' ---..Addition --Alteration Repair -":"~'tuJ.
<br />
<br />Siaq. ;
<br />
<br />. .~. , .
<br />
<br />,~ve
<br />
<br />---.D~lish
<br />
<br />PBOPQSElI USE: ~iaale F~Uy
<br />_eo-erc~ '
<br />
<br />,--Jt/P _' of ,Units' ' ---1l/JJ
<br />
<br />_IwJwtt. swu.., fool ,_O~er
<br />
<br />Restaurant fI Health Departaent Approval
<br />DESCRIP'.;.":lOH OF WOU: CO/f.Jc.RE7L - S #'fib ~T'
<br />BUI.IJ)UC; SIZE: /2. X /tJ. /.2/J Square Feet. f'7~l 'Heisht'
<br />
<br />, . ~ :.. ".' '<.". ". ( .
<br />RESIDEH'Ji~IAL: ATr4CII, (2) PLOT l'WS i (2) SITS OF BUIIJ)DiG fUNS i (1) SET BNERGYFOBMS.
<br />COMMERC"JC.AL: ArtAaI (3) SBTS,'OP aUIi.DUG PLANS" (1) SET ENERGY FOBHS. '
<br />PlWPiUY S1D,1~:, ~UIPD POR ALL .HEW CONSTRUC'lION.
<br />
<br />"
<br />
<br />'~' t
<br />_BUILDDlG ,
<br />
<br />. 'I:Y.r.. ~
<br />
<br />f{pnfITS REOUESTP~
<br />
<br />, $,
<br />
<br />c2tJOVr f) 0
<br />
<br />Valuatiop' of TO~ Co~truction
<br />
<br />RT RC:nu:CAL
<br />
<br />~ Se~~ce
<br />
<br />Plorida Pow~r Corp.
<br />
<br />W.R.E.C.
<br />
<br />--JmQ14liICAL
<br />
<br />$.
<br />
<br />V~ti.OIlof Kecbanical :ID&tallation
<br />
<br />J ",
<br />! "
<br />
<br />" ~. ; .... . ...:; . I !.';,
<br />
<br />~LUUBDlG
<br />
<br />",
<br />
<br />CAS ROOPDlG
<br />
<br />,
<br />.'
<br />Il~, --P~ Steel
<br />
<br />SfECIALTY
<br />
<br />TYPB 9P ~1IS~ucnON: ,
<br />
<br />Other
<br />
<br />"""'jl'
<br />
<br />. .~; ~,.V:~'i. ~. ~ ..;
<br />
<br />FDlISBEIIII FLOOR ELBVAnOJiS: '
<br />
<br />PT.
<br />
<br />IS PlWJECT 1H FLOOD ZONa ~T
<br />
<br />"
<br />,.'"
<br />
<br />"'. .....: .:' I
<br />
<br />YES
<br />
<br />NO
<br />
<br />...,~-~~!..*:......"...***..**,.**.*.*~*'.....
<br />
<br />Signatw~e
<br />
<br />
<br />ootIPAHY. I ',; ';?C.r' ~Ltll1J,.
<br />
<br />State Cert. or llegist. ,CR.c.oJ'I6 PO
<br />City License Registration' J>d
<br />*******.***********.*..._*_..._-_._-*._*..
<br />
<br />BUILDER
<br />
<br />RI..RCTRIC ~Wi
<br />
<br />1",,-;, '; j COMPANY .
<br />State Cert. or Regist. ,
<br />City License Registration',
<br />***.*********~*..*...*..*...****.*....*...
<br />
<br />Si allJltulJ~
<br />
<br />PLUKBRR
<br />
<br />i'.,:'-, ',' ",;: ! COIfPAIY
<br />
<br />.. , State Cert. or Beaist. t
<br />City License Registration ,
<br />**~.~...**************.*.***.**.***,*****..**.
<br />,~I.: .'l", ,;_~ ';;.\).*i:. ~I .~
<br />
<br />SigQatW~I~
<br />
<br />HECElAHT(~U&
<br />
<br />.". ;..
<br />
<br />'" COMPANY:
<br />State Cert. or Regist. ,
<br />City License Registration .
<br />.*.....*.*..*******************....*.*...*
<br />
<br />... :.:"
<br />
<br />SigQatW'i~
<br />
<br />OTHF.R
<br />
<br />.*.....*.....**~
<br />
<br />COHPAHY
<br />State Cert. or Regist. .
<br />r-t -.r Licen&e Regis cration t
<br />~*....***.*.****~.*..
<br />
<br />j .~..
<br />
<br />Signatw:~e
<br />
<br />APPLlCA~aOH APPJU)VED BY
<br />
<br />PRRKIT OFFICER.
<br />
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