<br />'0 " 0 .
<br />,.. .., 0, .'
<br />
<br />.
<br />
<br />APPLICAnOR FOR PIBKlT
<br />CITY OF ZBPIIYltBI.LLS
<br />BUlLDIIG DBPAR'11IBl1'r
<br />
<br />\'J .
<br />
<br />~ I'. : :' ; 0
<br />
<br />, '.
<br />
<br />"
<br />
<br />OWHIR'S IWIK ~,II lCCt..1o' erG"\"<
<br />ONRIR'S ADDUSS Sf 0 ~ :s \.I no... ~41_ J.I.. J I' Or.
<br />JOB ADDRESS ~ /)"\ e
<br />
<br />PBOIR 'f13~"J7;~t~C:~
<br />, ;2_ ~y,J..'. 11,1.' F f \"t 1 ~3.~
<br />
<br />, , I,.l... ,.1.,.,,:
<br />
<br />LBGAL DBSCIl1FrIOR: LOT(S)
<br />PARCBL I.D.' 5~r I~
<br />
<br />,C-
<br />~
<br />
<br />. , .' . '. ' : ~
<br />
<br />{OBTAIR PROM PllOPDTY TAX. RonCR.
<br />
<br />, . if '>1'1
<br />~terat~ hpair' : Tn_tall
<br />
<br />JLOClL-.JUBDIVISIOB
<br />
<br />&..~rk~r 1:1,/1
<br />
<br />~ .5 (2.., 12 e
<br />WOlUt PROPOSBD:-.Jiew CQostructioo ~itiOO
<br />
<br />, -Jiaa
<br />
<br />--.Jlove
<br />
<br />~lish .
<br />
<br />i " ~.~ " t' "", '; 'l' .
<br />
<br />PROPOSED USB: -Jiaale F_il7 ---.JI/p _' of Units
<br />_eo-ercial _Iodust. jC-s_-.. ,Pool
<br />llestaur8llt Ii: Health Deputaent Apprf;)val
<br />
<br />; II. .. >. _t,
<br />
<br />---.JI/B
<br />
<br />1 . i.,,: ' .
<br />
<br />. t
<br />
<br />_Other
<br />
<br />"')
<br />
<br />'. .
<br />'. ;
<br />
<br />II".... 01'
<br />
<br />.. ... ' ; .
<br />
<br />DESCRIPTIOR OF WOlUt: -"'t'""~ 1'4_..ol
<br />
<br />~G""ro,.~ ,_1-
<br />
<br />", '.', .. ;.:"'P4fl'
<br />F.b.n-..e<Jt lkr., ~ f)c ;,.:.~:.. .
<br />. - 0
<br />. -,. .f1." ",' .
<br />
<br />BUILDING SIZB I
<br />
<br />x
<br />
<br />Square.Feet,
<br />
<br />Height
<br />
<br />" I " ..,1 " r .:
<br />
<br />RBSIDBIITIAL: ATTACH (2) PI.OT PLUS Ii: (2) SITS OF BUlLDIBG PLARS Ii: (1) SET BRBIlGY FOlUlS.
<br />COHKERCIAL: ATTACH (3) SITS OF BUILDIBG PLARS Ii: (1) SET DIRGY FOlUtS. ....'
<br />PROPBllTY SURVEY IlBQUIUD FOR ALL IBM COBSTIlUCTIOH. ...', .
<br />
<br />PERHl.TS BBOUESTRQ
<br />
<br />! '
<br />
<br />--.BUILDING
<br />
<br />$
<br />
<br />Valuation of Total ConstJ:UCtioB ,,~ ;' "
<br />
<br />RI.ICTJrlCAL
<br />
<br />AIIP Service
<br />
<br />,
<br />Plorida Power Corp.'
<br />
<br />,.t,
<br />
<br />, W.R.B.C.
<br />
<br />" ....
<br />
<br />--JlBCBAlIICAL
<br />----..PLUHBIRG .
<br />TlPB OF OOISTIWC'fiOR:
<br />
<br />$
<br />
<br />Valuation of 1lechanica1 IDstallatioo ; .,
<br />
<br />GAS
<br />
<br />ROOFIIIG ..
<br />
<br />SPBCIALTY
<br />
<br />'t.,. " I ".
<br />
<br />-lock -Jru.e '--8teel
<br />
<br />Other"
<br />
<br />PIllISBID P100ll BLBVAfiOIS:
<br />
<br />Fl.
<br />
<br />IS PBOJIC'l U FLOOD ZOlB; ADA!
<br />
<br />_nn.nKR. (\ b
<br />Sipature ~ ~ 7JJ i
<br />
<br />:u:::~ COHPAIY- ',' ~
<br />Dn I, J ~ n .../J. /J.. . t State: Cert. or Reaist. .
<br />-- . PC/~. CitT L~ BeaiatratioB"
<br />p ..........................................,
<br />
<br />'lIS'" 110
<br />-............-................................-. .'d_ : "~'; i' .
<br />" ..1 ' ;
<br />CORTllA.CTOR SRC'fiOIl . . f.. .
<br />, I
<br />
<br />f OOIIP~~ Ct\:': <\u It,~ ::cv~:.: ~ ~ .
<br />l~ State Cert. or aeaiat. , . (' ~ <: -:i)jf J.t
<br />~~t City License Reaistration' ' ____ __ ~/
<br />. ... ................................. ... .
<br />
<br />--'I
<br />!
<br />
<br />L..-'"
<br />
<br />
<br />~
<br />
<br />PL~ER
<br />
<br />,I, ~ , I
<br />
<br />
<br />~ .... : .
<br />\ .... .
<br />,'l, ~ .f' \ i
<br />"\' ~ ~. I.
<br />; \ t,
<br />
<br />Sigoature
<br />
<br />
<br />COKP.
<br />Stete Cert~ or I.eaist.'
<br />City License balsaation:'\ .,'. '
<br />........~..*****.*.....**.....*.*.*.*.*.*t ; .1:;;, l:', !~, ' ,', i ! r ..
<br />
<br />. id;"'(~': , ~<T ~'-r ':
<br />
<br />~
<br />
<br />IlECIWfi~
<br />
<br />Sigoature
<br />
<br />
<br />cotIPAIY
<br />State Cert. or Resist. . I ' ", :'~' '"
<br />City License lleaiatratioB;" . I ,I, :1
<br />
<br />..~.~..............=:*...::*j*~**.:luJti.~ n?~
<br />
<br />, .. ,. i:',-Y i T"SUb!' Cert. or lleSls . ..
<br />&1'-". "..'.
<br />. I , i ;" CittLicense B.eslstratioa;' '
<br />...........t.........*.....***......*...~. ;', .:' "', ' ;
<br />.t 1'~ .;'
<br />
<br />
<br />I PBBHIT ,OFPIOBR.'
<br />. " I
<br />I
<br />
<br />Sigoature
<br />
<br />S~H~-'
<br />OTRRR
<br />
<br />APPLlCAnOH APPROVED BY
<br />
<br />. -~l:'.' .~. i:l~).-~~;-_o____..- _,_.____~. ,.
<br />
|