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<br />APPLICATIOII FOIl pEBKlT <br />CITY OP zEPIlYBBIUS <br />BUILDDlG DBPARTtIEIiT <br /> <br />-/\,::; <br />~77?r / ~.' (.l <br />. ;'_/~-f~ <br />'7~"Z-ll n <br /> <br />OIIIIIlll'S _ ~6Pj \-Io(lO-J K\f"=fA-RI<... I.PIIO" <br />OWER'S AD~ (dolL, \.J;ge- KOA:O <br />JOB ADDRESS (~J~ 'vJ ,is~~ <br /> <br />LEGAL DESCRIPTIOII: LOT(S) <br /> <br />PAllCllL I.D.' (OBTAI' pM PIIOPPTY TAX IIOTlc'l <br />WOBJ( PBOpOSIlII:~ew Coa&tPICdoo ~ltioo hteratiOn ~palr _lnsta11 <br /> <br />BLOClL---SUBDIVISION <br /> <br />--1iigu <br /> <br />~ve <br /> <br />---peaolish <br /> <br />PllOpOSED USE: ---1iinale Feaily <br />"//~ercial <br /> <br />~/P _' of units --1f/B <br /> <br />_I.ndu&t. --1iwia. pool _Other <br /> <br />~estaurant . Bea1th Departaent Approval <br /> <br />DESClUPTIOII OP WOK: H-~\::>~\\ 6~ t LCEy'\1uJA-k~J <br />( <br />BUILDDlG SUE: '\ 0 xl. <b . 2 ~ D JJ~uare Peet. Cf' Height <br /> <br />USIDEIITIAL: ATTACH (2) PLOT PLAIIS . (2) SBTS OP BU"lLDIIIG PlANS&: (1) SiT IU1I1lGY FOBKS. <br />COHKEllCIAL: ATtACH (3) SETS OP BUILDIIiG PLANS. (1) SET EIiERGY POlUlS. <br />PIlOPERTY SURVEY IlEQUIllED POll ALL HEW COIiSTllUCTION. <br /> <br />. pF.RKlTS 'RROIJESTED <br /> <br />~UILDDlG <br />.J lU.KcrBICAL <br /> <br />$ -z. '.11 '1,,00 valuation of Total Construction <br />/ <br />~iSti N ~ AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />~UHBIIIG GAS BOOPDlG <br /> <br />TYPE !lP llOIISr&I/CTIOII:.-J1oc:k :; P"..e --1Iteel <br />, <br />FIJIlSBBD FLOOIl ELEVAfiOIlS: 7_ " . <br /> <br />$ <br /> <br />ValuatiOll of llechanical Installation <br /> <br />SPBCIALTY <br /> <br />other <br /> <br />YES <br /> <br />L- <br />IiO <br /> <br />IS pBOJECI III FLOOD ZOIiB AIlBA'l <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />~NTRA.CTOR SECTIOJi <br /> <br />lDIPAIIJ CttAJ.1IrdJ ;"/Mtl ~ fiUr.k"". <br />State Cert. or Regist. ._ -c. ~l::.3 ~ <br />City License Registration' 17 <br />.................................... <br />COHPAIIY ~ A;JJJ t;LEC112J' ~ <br /> <br />State Cert. or Regist. . <br />City License Registration' 141-, ( <br />.......................................... <br /> <br />JIITIDER <br /> <br />Slgnat.w:e <br /> <br />COHPAIIY_ <br />State Cert.. or Regist. '- <br />City License Registration · <br />.......................................... <br /> <br />PLUMBER <br /> <br />SigDature <br /> <br />COHPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />tJRr.lWlIGAL <br /> <br />Signature <br /> <br />COHPAIIY <br />State Cert. or Regist. . <br />City License Registration · <br />.......................................... <br /> <br />9TRR'R <br /> <br />APPLICATIOII APPBOVED BY <br /> <br />PlUlHIT OPFICER. <br />