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<br />------ MRR- 26-' 98 THU 09: 01 ID : <br /> <br />TEL NO: <br /> <br />1:*552 P03 <br />C j;cf~ l <br />/7 /1 c: rPf?JJ { H':Z~'f <br />__kl c"fl/? tz,tboJ,t r <br />~{? 8b5{)28C1 xT :%-~or <br /> <br />APPLICATION FUR PBR"lT <br />CI TY OF ZIPHl'RJIlLLS <br />DUll~lNa DBPARTMINT <br /> <br />OWNER's NA"B ::;e.)r7bk, fdll Tnc. <br />OWNER'S AI)()RBSS 5~8 (PV-;;~ AJ, .5.+. <br />JOB ADDaus ~\},jC SE:. 5L\ ~ l.)~ 301 <br /> <br />PIIONB 8' 3 ,384 . GoOQ <br />t>e-\c.xsbL ~1>Ct 'Fl, <br />\ <br /> <br />LIGI\L DI5I."8IPTI08: LUT(S) <br />PARCEL l. D. f <br /> <br />BLOCIl <br /> <br />SUBDIVISION <br /> <br />WORK PROPuSBD:____Nev OOns~rucLluD ~dditioll ----Alteration _____epeir ____Install <br /> <br />(O.TMB 'ROIl PltOPR.nr ~ NOTIQRl <br /> <br />-kSlan <br /> <br />--..JIove <br /> <br />-Oel10118h <br /> <br />PROPOSED USEz ____Sin81e F..l1y <br />-A"eo..erclal <br /> <br />--"I F <br /> <br />_' of Units -----"18 <br /> <br />_lndu8t. <br /> <br />_Swl... Pool _Other <br /> <br />_____"estaurao.t . lIealth Depart..ent. Approval <br /> <br />DueRlnlON 0' WORK I S \ Co:, N <br />/4(1 r X BD r. <br />BUILDING SIZlh [), _ D <br /> <br />~FGr ~ I~STA-LL..A-Tl do,,-- <br />, <br /> <br />17 <br />Square Feet, 3D e Height: <br /> <br />RBSIDElTlAL: <br />COPIMKRCIAL ~ <br /> <br />ATTACH (2) PLOY PLANS, (2) SITS OF BUILDING PLANS & (1) SEY BNEkGY PORMS. <br />ATTACfI (3) SETs UF BUILDING PLANS" (1) SBT ENERGY FORrIS. <br />PROPERTY SURVEY RBQUIRBb FUR ALL NB~ CONSTRUCTION. <br /> <br />PERMITS UOUE!loT. <br /> <br />-BUIlDING <br />---ELlCTltlCAL <br />-'iICIWIICAL <br /> <br />s <br /> <br />50, ~c)D <br /> <br />ValuatIon of To~al Con8t~ctioD <br /> <br />NIP Service <br /> <br />Florida Pover Corp. <br /> <br />N.R.I.c. <br /> <br />s <br /> <br />Valua~ioll of "ecbaalcal I.naC811ation <br /> <br />_P'.I"'BIIIG <br /> <br />OA.-. <br /> <br />~.OOP 1 Ne: <br /> <br />SPECIALTY <br /> <br />TIP! OF OOlIStRUClION: <br /> <br />Rlodt _Fr_e ____SLeel <br /> <br />Other <br /> <br />nllSBBD PLOOIl BLlVAT10BS: <br /> <br />FT. <br /> <br />IS PROJECT 111 FLOOD ZOIB ARBA' <br /> <br />.......................................... <br /> <br />YIS NO <br /> <br />COIITIlACTOR SR('''TIDIt <br /> <br />aml.n. <br /> <br />COItPAIIY v <br />State Cert. or Real.t. . <br />Cit, License Regiatratloa . <br />.......................................... <br /> <br />Si.,.ature <br /> <br />RUtC'l'RTel" <br /> <br />COKPANY <br />State Cer~. or Re.lat. , <br />Vlt, License Reat.t.r:at.lob . <br />.......................................... <br /> <br />s~t.ure <br /> <br />PU8IARII <br /> <br />QHlPANY <br />State Cert. or Reais~. f <br />City License RegiatratioR . <br />.......................................... <br /> <br />Sl...ature <br /> <br />.R~.. -T r..... r <br /> <br />aJttPAtly <br />St.te Gert:. or Realst. . <br />City Liceuse Realstration f <br />.......................................... <br /> <br />8il!lD8cure <br /> <br />fmIII <br /> <br />Signature <br /> <br />COMPANY LEU- ~i&).,)~" \~c. <br />\ :J:J ~ ~ State Cen. or _tst.' '5=000<(0 <br />- IH_ ~ J City Ltcense keei.tracioR' .:2$4~ <br />..... ................................... <br /> <br />./'/ <br /> <br />APPLICATIUN APPROVlb 8Y <br /> <br />PBlUtlT OyrICBlt. <br />