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<br />AFFl,H:A'UOM FOR I'BJ\HIT
<br />CI1"Y OF ZErU1IUULLS
<br />bU1LOING DEPARTMBNT
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<br />0;~t q(p ..
<br />2~ D '.
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<br />OWNIR I S NAHIL.-___L..l::!.~--H,frKat\.$.."--,.------------~-~-PIlONR 'B 13 . qt/ 3 .~ ~S6 ,
<br />OWIBR'8 Apt)RM$ 'P 0,&7< 1../,")8 ,~~~,::r {2"CI-lF:'It 1=1 ~'-lr..."i"" - Oc.}:.:lA
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<br />JOB ADDRESB f~q 1';/ I i. 1" J... I~"'g;.,
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<br />lJ,-4 ',.) J - ~ ,
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<br />LB<W. DISCRlt'T10N; J.,Or(S)_~
<br />
<br />BLOCK
<br />
<br />SU8DIVISION
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<br />PARORL I.D.'~ /,~ :.ak.,:..a._L:_.,_~,_ (OBTAIN PRDK PROPItRTY TAX. IOTICR)
<br />WRIt PROPOSK1h-LNft'W CoIlatruetioQ -.-..Addition ~^lteration _......._pair _latall
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<br />_.Si8Q.
<br />
<br />_h---",O\Te
<br />
<br />---.J)MOlt.sh
<br />
<br />PROPOSED USE: -LJaoale r_lly
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<br />--1I/F .,JL.' of Units ...--It/8
<br />
<br />__co..ecclAl
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<br />__loduet. ___5wi.. Pool _other
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<br />~R8staurant , HeAlth Veportaeot Approvel
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<br />DISCR,lVrlOI or WURl;_~.:S.e;;:....-J8'f"~u,q;:T.:> 1;)~ITE.-~ ~ PI..A"'-,
<br />
<br />BUILDING SIZI:
<br />
<br />,A
<br />
<br />,.____..___S.,uare Feet,_ .
<br />
<br />Height
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<br />RBSJDBRTUI.: AnA-CD (2) PLOT PlANS&: (2) 58T5 OF BUILDING PLANS' (1) SBT BlfBRGY FORMS.
<br />ootIltRRClAL: ATTACII (3) SBTS OF BUILDING PLANS&: (1) SRT BHBRGY FOItHS.
<br />PROPlRn SURVEY REQUlRBD POR ALL NEW OOMSTRUCTION.
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<br />.ElBtIl1'~ UOUJ5Tf.,Q
<br />
<br />hUlWIMG
<br />/' JU.EcnlCAL
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<br />$___S.8,::1.E.i'-....:..c?~.. __.ValuaUon of Total ConsU'uction
<br />
<br />.. ~~~p Service
<br />
<br />____Florida Power Corp.
<br />
<br />W.R.B.C.
<br />
<br />..LJmalAlfl.~ S...._._~QQl._OO _ ___Valuation of "~('hl,lln1,cal1ruataU8tion
<br />/~"""~.G ___~GM __~OOPING ___._SfBCw,n
<br />TYPE or OOISTRUcn.OM, ~Jl~k _Fra8e _Steel Other
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<br />nllSBID FLOOR BLEVAtIONS =_,~. ._J1T.
<br />
<br />IS PROJECT IN FLOOD ZOBB ARIA'
<br />
<br />YIS
<br />
<br />-
<br />NO
<br />
<br />..........................................
<br />
<br />
<br />CQRTRAfaUl $~CTlWi
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<br />WKl'AMI_C..la.fii~.J..C. ,l-!ol'1"l.e'O ,~]')ii'lJ. R'f LA~j(;"IN
<br />S~te Cler.t. or Reel.t. , CB co ~ft.,'-Iq
<br />City Lie~ns~ Reglstr.tton . /~~
<br />....................**...*~...............
<br />
<br />fL4// COH.PANy_,__R_I?...s:F.1H...FL-;::,~TRI c..
<br />, State Cert. or Regl8t.' ~.R. oOI~~aq
<br />, dlfhf___._._______ City LiceMe Re8istraUoll . ;}.{., q
<br />, ~~............................*........
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<br />=-
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<br />,l.1lmo. A ~ CotlI'AtlY___.-C ~1...f3" JA" N. S .
<br />,1/ State Cert. or Resiat. .......BF- t;JQ~~ 4l:. ~
<br />Slpatw:e .....M... " .._____ City Ltcenlu! Rf!Qi8t:ration' ~ ~ b
<br />.. .....................................
<br />
<br />O'nUlR _ Kot> F
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<br />
<br />oottPANY_..5.o~Td.(I'lt~ COfTlEU{l. 'r 'Ewr.
<br />St.at.e C~TL or Realst.. RA~ ()on9~
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<br />
<br />HECBAIIIaAL
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<br />SiaoatU1'9
<br />
<br />~/ ' ----OOPlPANY. C 1A.~l.."i.....tl...mt;s IDE.J, By ~1Z.t't,.N
<br />/ ------- State Cert. or RP.8ist.' CeCQ t4 ~ B {, (.,
<br />____ Gity Llce.u8e Reaistration t f'1OJ-
<br />.........................................
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<br />APPLICATION A,raOVEV BY _~.,____ _"...___~~__
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<br />PDM1T OPFIOER.
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