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<br />. RPR-14-"37 1'01 15:48 1D: <br /> <br />TEL tlD: <br /> <br />1:1642 POl <br /> <br />APPLICATION FOR PDKlT <br />CITY OP ZBPIIYJUIILLS <br />BUILDING DBPARntEliT <br /> <br />OWNIR' 5 awg C I 'r ,-,l .e.- Ie.. <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />(OBTAI. FROM PROPERTY TAX ROTIC~) <br /> <br />WOIUt P1tOfOSlD:--Jlew CoIaat.ruction ----..Addition --^lteraU()Q ---.Jtepair _lIutUll <br /> <br />~illl1 <br /> <br />-.JIove <br /> <br />_D..olleh <br /> <br />PROPOSED USI: _81uale ,..Uy <br />_eo..e rc tal <br /> <br />--.JI/P _' of Unita ---Jf/B <br /> <br />_lndust. _Swta. Pool _Other <br /> <br />~eecaurant . Health Depart.ent Approval <br /> <br />DESCIllPTlO. OP WOU: -r::- JLN' ,,,, , .4 .s ot' <br /> <br />E I,,. T~, ~,g./ 0e....v; r, To <br /> <br />LI Do ~,o <br />. <br /> <br />BUlUJDG SlU: <br /> <br />x. <br /> <br />Square Peet, <br /> <br />Beiaht <br /> <br />USIDBlTIALz <br />OOIVIDCIAL : <br /> <br />AttACH (2) PLOT PLANS & (2) SETS or BUlWING PLANS . (1) SIT I.DGY PORtIS. <br />ATTACH (l) SBTS OF BUILDING PlANS" (1) SET BNBRGY FORMS. <br />PItOI'IItTY SURVBY UQUlRIm FOR ALL NEW CONSTRUCTION. <br /> <br />PElUt.ITS RRQUESTBQ <br /> <br />-BUILDING <br /> <br />V.luaU.OD of Total ConlJtl'Uc~ion <br /> <br />X 1n.lC'l'RlCAL <br />--JIBCIWflClL <br /> <br />AIIP Service <br /> <br />~ Florida Power Corp. <br />, <br /> <br />W.R.B.C. <br /> <br />\ <br /> <br />II <br />! j <br /> <br />Valuatioll of "echanical Iu.tallat.ion <br /> <br />---PlAMBUG <br /> <br />G.\S <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TlPB 0.. OOIISUVC'l'IOII: ___lock _Fr... _Steel <br /> <br />Other <br /> <br />PUlSBID PLOOR ILBVA'I'IONS: <br /> <br />PT. <br /> <br />IS PROJSCl' IN FLOoD ZONB AREA' <br /> <br />.......................................... <br /> <br />YBS <br /> <br />- <br />NO <br /> <br />CONTRACTOR SEct~Wi <br /> <br />COHPAD <br />State c.rt. or Re.let. . <br />City Llcenae Re.tetration . <br />.......................................... <br /> <br />aml..l). <br /> <br />Si8D8ture <br /> <br />IrU'CTIlICYAII <br /> <br />OOHPAIIY ;7) 14 c/ "." ,d E: I ~ c7 -::r. ;v c- <br />hL? State Cert. or ae,lat. . Ec O,<O/!:)o33 <br />~~ City LiceD8e Re.iatr.tiou . <br />......................................... <br /> <br />Stllft&~lr. lfr"h'.I <br />, <br /> <br />PLDrRD <br /> <br />COKPARY <br />State Cert. or Reliet. . <br />City License Real.trattoo f <br />.......................................... <br /> <br />Si.,.ture <br /> <br />lIBaIAIIl CA.L <br /> <br />cotIPAHY <br />St.ate Cert. Or Re.let. . <br />City Licease Re8t.~r.tioD f <br />.......................................... . <br /> <br />S!pature <br /> <br />IDlIII <br /> <br />COMPANY <br />Stat.e tert. or Realet. . <br />City Liceoee Reaietr.tioD . <br />.......................................... <br /> <br />SilDature <br /> <br />APPLICATION ArPaOVED BY <br /> <br />PIWI1T OFFICER. <br />