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<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 />