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<br />7bVO P <br />:;;- f--JOr- (L pJfUG~:7;J1!i: 1?)~/'7Es <br />~ ~ -..~~b7 J-/uJ,f/ 5'1 Z~P#, <br />.,"8 ADDIU~SS ~ () I~ 1" td;Z S- 2 G /7-1 / ~ R/ ~ ,.A <br /> <br />APPLtcAttON rOR PKRHlT <br />CITY OF t.EPIlYiUI1LLS <br />BUlLbtNU'b!'ARTHENT <br /> <br />u.... ~! ,~i . <br />',.7\ f-l"'0 <br /> <br />" ..;; <br /> <br />PIIONB '7 f' ~ -07.;> -;?' b <br /> <br />LEGAL DESClUPTION! LOT(S) BLOCK <br /> <br />pARCEL t.b.' .:]-,;)6 -';;j-()JjD -tJblJOO-Ot/ '1lJ <br /> <br />SUBOl <br /> <br />~ :~ 6 pL-l)<S. <br />5. 2--0 ~c <br />~G~. 20 <br /> <br />WORk PROPOSED!~eV Oongtructiun ---^dditiun --..AI t <br /> _SiAll ----"ove --pe.. <br /> ~ . ----", F <br />PROPOSED USE! _Singie tal1y _'oJ <br /> _tu.@rciai _lndust. _Swb <br /> <br />--Restaurant .. Ilealth Department Approval <br /> <br />DESCRIPTION OF SlOItk! Co#C~rE - -S~.6.AJ t!2tJtJJ?1- 0'1~(.rE.- <br /> <br />BUILDING SIZE! /t.f- X ~ 0 . ,S-~ D square Feet. ~ 7'lI)O iteigllt <br /> <br />RESIDENT1At: AttAt:ll (2) PWT PLANS Ii (2) SEts OF BUILDING PLANS" (1) SET ENERGY FORMS. <br />coHtiEftctAL! AnAtll (3) SETS OF BUILDING PLANS & (1) SET ENEltGY FORMS. <br />'Ro~tmtf StnlVlt UQUtREbrOR' ALL NEW CONSTRUCTION. <br /> <br />pERMtTS,REOUBSTED <br /> <br />/BUILDING <br /> <br />,$( ~L/-..9t, 00 <br /> <br />valuation uf Tutal Construction <br /> <br />~LEcrRlcAL <br />--1tECllARIcAL <br />---'LtJH.blNG <br /> <br />AH.P Service <br /> <br />Florida Power corp. <br /> <br />W.R.E.C. <br /> <br />,$ <br /> <br />Valuation of hecl~ical Installation <br /> <br />GAS <br /> <br />looFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTltUCTION! \ -Block ___FrMe _Steel <br /> <br />Other <br /> <br />FUUSHED ,tooR ~UYATI0NS:. .- . <br /> <br />ft. <br /> <br />IS 'PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..,..................,.................... <br /> <br />BUILDER <br /> <br />CONTRActOR SECTION <br /> <br />~iL' , '- 'COtWAtty'" ,/7L-.5J1-Ltl IN). <br />I~ '. Ill:ll~e ter~, or Regist.' CRC:I>~I/.. PI> <br /># ~~ tity License Registration' ~~ <br />.......................................... <br /> <br />Signature <br /> <br />EI.BCTRlCIAM <br /> <br />COMPANY <br />state Cert. or Regist. . <br />city LicenBe Registration . <br />.......................................... <br /> <br />SiRlUltu.ce <br /> <br />coMPANY <br />state Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />PLUHBER <br /> <br />Signature <br /> <br />COMPANY <br />StAte C@rt. or Regist. , <br />city License Registration . <br />.......................................... <br />. <br /> <br />HEClWUCAL <br /> <br />Signature <br /> <br />COMPANY <br />StAte Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />otHRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />