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<br />AFFLn:Atl0N FOR rBI'HIT <br /><:11'Y or ZErR1JUtlLLB <br />ftU1LDING DEPARTMENT <br /> <br />0{~t qrp .' <br />2~ D .. <br /> <br />. - <br />. <br /> <br />UWNER'S NAHfL-__,L.l.-.:!K._H,frKa\)_~..__._,._,____________~~__PIIONE 'B13. Q'l3 ~ 5""56' <br />OWIBR'S APf)RM$ 'P o. Box LIt) 8. ,-DLEff:.W ?o.z.r R"~KY, 1=1 ~'-Jc.."5""' 0 ""::1J~ <br /> <br />JOI ADI.lUS6 ,=sg I ~ I (. '1"1-0. A<JEr. <br /> <br />(),~ 'In 1 - ~ <br /> <br />LBcw, DISCllt1'lON; LOT(S)_~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PAROEL 1. D. . I .~ :.aJ...,.::..a....L:_.._._~ (OBTAIN FIlOM p.npltRTY TAX. IOTICI) <br />WRIt PROPOSlOs-LNmr Cotlatruet.ioQ -----Addition ~~^lteration _.Jlepair _lutell <br /> <br />.-.818Q. <br /> <br />_.._JlO\7e <br /> <br />-.J)Molish <br /> <br />PROPOSED USEt -Dioale F_lly <br /> <br />---1I/F ..JL.' of Units .-J.t/B <br /> <br />__eo-ecclAl <br /> <br />__lDdu8t. .__5w1.. Pool _other <br /> <br />~.wR..taur.nt , HeAlth Uepnrt.@nt Approv81 <br /> <br />DBSCR,lPT10II or wou.;_.-.s~....-.J8T'~C.I"H"i'::> W~ITi::-~ ~ Pl.A1:!L ':1 <br /> <br />BUILDING SIZI: <br /> <br />.A <br /> <br />..~_..______SfJuare Peet,.~_ <br /> <br />Height <br /> <br />USJDBITUI.: <br />ootIlIERCIAL = <br /> <br />ATTACH (2) PLOT PlANS &: (2) 58T5 OF BUllJ)ING PLANS' (1) SIT BNUG! FORMS. <br />ATTACU (3) SRTS OF BUILDING PLANS' (1) SRT 8NBRGY FORMS. <br />PROPIRTV S\JRVlY RBQUlRRD FOR ALL NEW OONSTRUCTION. <br /> <br />fIBtW'GRBO~8.Q <br /> <br />hUU.D1RG <br /> <br />../ lU.EcnItAL <br /> <br />LJmawnClL <br />/ pttN~RG <br /> <br />$_..-.8 8,~~~~___Va1UAUOU of Total Collstructioll <br /> <br />.. ,t).~p Secvice <br /> <br />_._____Flor.idA Power Corp. <br /> <br />n W.I..E.C. <br /> <br />S.._._~,.l)... 0 <br /> <br />..-......._V.lu.atlon of tlech8ni,cIll J.DAtaUation <br /> <br />___~GAS <br /> <br />~_~OOFING <br /> <br />_____._sPSClALTY <br /> <br />TYPR or OOIISTRucnOM: L..Dloclt _Fra.e _Steel <br /> <br />,Other <br /> <br />rI.UUD FLOOR BLEVAtIONS =__..FT. <br /> <br />IS PROJECT IN FLOOD ZONB ARIA' <br /> <br />TIS <br /> <br />- <br />NO <br /> <br />.......................................... <br /> <br /> <br />~.R~TC1All <br /> <br /> <br />~Oli <br /> <br />/ ~ CX>KrAMI'-'lafii...u.c..J-!llm.e':i ~ 'J")~lJ. k''f L.AIt.J(;.\J'1: <br />0h St;Aite Cert. or ~e8l.t.. CB ~o .'3I~'5"'-Iq <br />'~~'___'_"_M' City Llcf!ftSIl!! ReaistraUcm . /'1.5 .. <br />.........................*~............... <br /> <br /># COM.PANY _,__R2....zl<..2, s ~:E'-1i; ,~T~ , c- <br />.1/ State Cert. or Reslet.' ~.R. ool..t2..';2,a"'i <br />.t1l1bL._____ ___,___ City LiceMe ReaietraUou . ;!}.~ q <br />ir...............................*****..... <br /> <br />;Ji1JNlture <br /> <br />tpDmM A'I ~ c..'OMPAHy_~..-..cl2I...~'" 7:TA"''''sS <br />.'/ StAte Cel't. or lleal8t.' RF- "- ltt. 3 <br />SJpatw:e _M... ".._____ City Licel1'u! RftQiatratio;;'-"- jOZ h <br />.. ...................*................. <br /> <br />IIBCBAIIICAL 4 a OOH.PANY~....'5..oJ<i"'Jj(J't/ill ~QmE"llr EN-r. <br />Stat.e C~T'-. or Realst.. I<AI=l ()O()Ql:} <br />Sl_t"". -'7-- / -", , . ~-- City Licen.e hl18tr8UOIl . ,,-~ <br />... ..t.~..t..............ttt.*tt..... <br /> <br />818D8.tUl'G <br /> <br /> <br />OO"PAHY_ C IA:SSI<:" _H9",~i i :DE", 8v UjIl.tl-I/'oI <br />State Cect. or RP.8iat.' Ceca Y~~l.. <br />Glty L1c~J18e Registration . t 76L <br />......................................... <br /> <br />O11IRR _ /200 F <br /> <br />APPLICATION Al'PR0V211 BY _~.._____,...___~___ . <br /> <br />PERKIT OFFICER. <br />