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<br />OlitlFH ' !; <br /> <br />"^"I< ..~~_ <br />:~~lO~ <br />. SlTt.Y\c <br /> <br />APPLICATION FOR PKRHIT <br />CITY OF ZRPlIYRJIItLS <br />8UILDING DHPARTHBNl <br /> <br />t ....u <br /> <br />Ilwnn ':: M'II'UU;:;'H <br /> <br /> <br />n~tt._____I'''''NI< 783 -;)0lL <br />~--t>w~_~I<, <br /> <br />I fill ,~1I1' P E~;:; <br /> <br />..._......._-_.<-----.._----......--_....._.._~ <br /> <br />In:,-". 1)1~:CH t 1''1', ON! LOT(5)___ <br /> <br />" DI,C)l;l\__slmlllVISlON <br /> <br />---.---.. <br /> <br />1';\/il'll. I.P.v <br /> <br />------.---....-_.--.C..QDIAIN rliOtLl'RQ~E.ll.Iy IM NOII(;.lU <br /> <br />1:1)111'. l'i:n/'II:;J:p: <br /> <br />11.'w Gon8tnJ(~Uon __---^ddlUon --^ltn(,RUon <br /> <br />__Rt!J1ll1ir _~l.ORt:.ll <br /> <br />.!; I HIl <br /> <br />..___,HOVQ <br /> <br />---...J)(''''(d l !II. <br /> <br />Ii'Ol'iI'~1 P 11:;1:: <br /> <br />__" .') j ll(,de ('Rill II )" <br /> <br />~__JII r <br /> <br />~, of 1111 it. " <br /> <br />_____u Ilf <br /> <br />..c..>.....',.(; i,.l <br /> <br />__.lUdIlR l . <br /> <br />---.,.);w 1... l'oo 1 <br /> <br />___(Hlle,' <br /> <br />Ill.':,~qll'IIO~~ OF <br /> <br />,H~fll.4Iuroul & Jlf~tllth U(lptJ,.tm~ut ^ppr()v~J <br /> <br />1101'."': '--~l1\Lbl~ K .~~~Q.o'U ~<:.~..__.".______._ <br /> <br />"Ii 11.1)' 111; :;U.F: <br /> <br />-H,)(..___,____Sclun('u Pef~t, <br /> <br />_ Jle! &ht <br /> <br />!' I:'; Illnrn III.: <br />\:Wlf1F.!tI,:1 ""1.. : <br /> <br />^TTAGU (2) PL01' PLANS 6c (2) ~Ers OF BtJIWINU PLANS lit (1) ::; EI I-:NERGY FORMS. <br />^ 'l"fAGH (J) SETS OF nUlI.D1 NO PLANS & (1) SRT ENF.RGY FORMS. <br />I'W)l'f-:H.TY SURVEY REQUIRRU 1'0ft ALL NEW CONBrRU(;'fION. <br /> <br />111l11.l1lNI; <br /> <br />s <br /> <br />q1g:~, <br /> <br />rERMIIS R~OU~STED <br /> <br />_':U:CH( I CM, <br /> <br />,. "_____----^-Kl) S., rv i ce <br /> <br />Florida I'ower (;O{'p. <br /> <br />W.fLE,G. ' <br />I . ,J., J .: '~. <br />, <br /> <br />..jo. <br />I, <br />" <br />;'\' <br />I' . <br />"fl.~ ~ <br />;'.' . <br />Ii '~~;t:~. <br />I i. <br /> <br />ValuotLoQ of Total Con",u'uc!.l()O <br /> <br />rWClIMU Ud, <br /> <br />.t <br />~,_.... <br /> <br />V(\junt.lon oC H~chllnlc..l Installation <br /> <br />1'1. W lit I ~J(: <br /> <br />"._"_ ._.___ f;.A!;. <br /> <br />ROOI' J HG <br /> <br />SI'f,CJALTY <br /> <br />l. II <br /> <br />iYlT (If" CONSHW(:T!OH I ----.Block <br /> <br />_Frl1llo _Steel <br /> <br />_Other <br /> <br />!' .. <br />, <br />!~:: ~'.; <br />" . <br /> <br />, ' <br /> <br />,', <br />! . ~ j ..' <br />',',.kh: <br />- . ---I I~. I,~, <br />YES : 'NO · ',' ,,! rtI, ~'. <br />. . , . ~ ~. j I · I 'f. .. <br />......................................... ': ;, .'~h;\~ <br />'; . ,!:1 I"~t',.l, <br /> <br />CON)"RACTQlJ ~B:~ cb' ~ :k' ; ~ ' :' i~ '~t~~~!: <br />I J -- .) ,:... 'I' I~'~' '1J <br />" \ ^ ' j i0 :', . 1 " , . " ...~ f <br />COHl'AHY tL j L..t/ " ~~ ' I .: : ~.:~ l.~: <br />S~te Cert. or Regilt. ,_ " . " ~ ',\ 'I +'~'J~~: <br />y Liccnae Rogistration '-=mrt. , ,< , '~:: ":~~~:,~ <br />...................................... , .: ,. ~i';: <br />t ~ " ....! ~ : :!l <br />I". " ,t ~ I 4.. . <br />; " ,. '. . ~l' ", <br />, " ,\,.:.. .~ <br />l' . l/ " .' " . ,:' ~\:ij,~;~~', <br />' . . ..........- ..... 1~tl i;' <br />. t, 7-. . . f 'f"! . '.I,. _ . ~ <br />~ ,\,:,\' ~"'I' ~""v <br />. ,(' ',.., ,I'.~ <br />: '\ I ,',' : I :,1. .I. tl~'., , <br />:< ~ ,:" ~lt;~.";l'.4.~ <br />.' ' I ;; :.f ;~r~,t~~! <br />'1 I , <br />, , ,,!. .~ ftj',,.?J. <br />',I .It, , ':".~\,..)of <br />..-;.!;: ."J:H <br />" . '-.f '''101' \- t. r,. ",r~'I''' <br />, '..' f .: :'.';' i;''f '.) <br />,I I lJ~~ ~'.:~ ~ I~'f ;:\.;t4.'~\~ <br />I' :,1,.' l1't i::' ~'}~~hJ <br />.,. ,:..U, W,,. 'Ii: ~m' '~~.(' <br />· . ';',':'/l.;'>>i:-k: I, ~"i~' . ' <br />,(,..) f <br />" ,j I: · I" T. "..~:1'~~: <br />. ,. 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