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<br />AI~LtUArlUN ro~~kRH1T <br />cIty or Za'UYIUULLS' ' <br />BtttLblNCr'bDAlttHINt <br />1\";[, <br />UIlIlI!II'S ~1II7~f 1k.P/l~(I/(1 y /UtlS;f;' <br />OWNEtt'" AbbltMS ~ 7-1.;), Co IT AG-E Sr; <br />Job AtJDkKSS S;q /J1 fi <br /> <br />PIIONE t;f?J>-tJ 77 Y <br /> <br />LEGAL DESCRlPTl()Nt LOt(S) <br /> <br />8LOClt <br /> <br />SUBDIVISION <br /> <br />PARGEt l.b.' COBTAIH fROM PROPERTY TAX NOTICE) <br />woRk ~RO~OSRD!_~eV tongt~cttOtl ----Additlun ----Alteration ~epair ____Install <br /> <br />_Silll <br /> <br />PROPOSED USE! ~1i81e ....11y <br /> <br />----"ove <br /> <br />-Pe.oliBh <br /> <br />----"'F _' of Units --11/11 <br /> <br />_c::~etcla1 <br /> <br />_lndust. _swbl. 1'001 _Other <br /> <br />~estaurant & Ileallh lJeparlment Approval <br /> <br />lJESCRlPTION OF kOBt <br /> <br />/Jj)JJ ~uJf'~.IV ,.1200/11 <br /> <br />BUILDING SIZEt ID .x. ),I.? . .;)/,O <br /> <br />Squatf! reet. Pm 9 Jleight <br /> <br />RESIDf:NT1ALt \. AtTAt'll (2) ,wr 'LANS & (2)' SITS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />coHtttRctAL t.. ArtAw (3)' SitS ,0' IUiWlHG "LARs & (1) SET ENElGY FOlUlS. <br />'IlUJttuttf SUltVlt;UQUlltlW )'0.' AtL HI" WMSTRUCTlON. . . , <br />Ii' . . - ;. .. - l ~ . ,'" . . . <br /> <br />~UILDING <br />~LECTRlcAL <br /> <br />" <br /> <br />._1 i <br />l'dHttS.tuWUKSTID <br />/ ! c2<:: 00. Valuation tJt tCJtal Construction <br />,'" -, . J <br /> <br />. ! ' <br /> <br />. ,$ <br /> <br />. I .. <br /> <br />NIP Senlce <br /> <br />lli-' . <br /> <br />(florid. Powe~ torp. <br /> <br />W.R.E.G. <br /> <br />---"BcnAJllCAL . ,$ <br />----'LUtt.BltfG <br /> <br />Valuation of Hecluwlcal1ttstallatlon <br /> <br />(;AS <br /> <br />ROOFiNG <br /> <br />SPECIALTY <br /> <br />TlPE OF CORS11lUCT101U \ _____lock _Frue _Steel <br /> <br />Other <br /> <br />FUUSHED rt.ook BLiVAT10RS:... ' , <br /> <br />ft. , <br />. <br /> <br />1S 'P.ttOJlct IN FLOOD ZONB AREA,? <br /> <br />.,"; ,.; ., <br /> <br />YES <br /> <br />NO <br /> <br />...".t.......,........................... <br /> <br />: " <br /> <br />~L' y{.\ ~ <br /> <br />BUILDER <br /> <br />, .' ,';" COlt11lAct'ol.' ,$ECTIOH <br />, : ' :"<,, ,', . "I;' ';4t:.L' //LU J41 . <br />Jli//J/~..l ~ . " ,~':::~;t':~r Rea..';. , CR.COj{f<PZ) <br />~~ ~it, tlcenae legisttAtion f ____ <br />................,.."..................... <br /> <br />S 19nab.tt@ <br /> <br />EIJmrR1<aAl1 <br /> <br />tottPANt <br />st~te Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />siRl18ture <br /> <br />CUKPANY <br />State Cett. tJr Regisl. , <br />Uity License Registration , <br />.......................................... <br /> <br />PLutI8ER <br /> <br />Signature <br /> <br />COMPANY <br />StAte Gert. ot Reglst. ,___ <br />city License Regt8ttatlon , <br />.......................................... <br />. <br /> <br />HE(''lWflCAL <br /> <br />SignAture <br /> <br />COMPANY <br />st.t~ Cert. or ReRist. .f <br />'. City ).icense Registration' <br />........."................................. <br /> <br />OUtER <br /> <br />Signature <br /> <br />.. <br /> <br />. \ <br />< <br />, <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICI-;R. <br />