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<br />V& ~~rnl~n~~~b ~ERMIT APPLICATION <br />nmPARTM!lIN'f !3 3 3!5 8 ell S'fRBlBI'f ZllJPHYRHu.r,S I P'L 3 j 540 <br />Phoh.,'13-7'0-~O~0 """3-780-00" _ ~_ '_ ~ __ <br />lJA'rIII RII()IlIIVllIo -5/_~~ 3. <br />PLANS R!llVImW 11'E11..____ l. __ <br /> <br />millER'S I"". -~tl...lI~!J ,-E;J M-li. f'. PHONm CON'I'A"',_fl~:,'J.r./.::~o!>.'f <br /> <br />.TOB S ITEl ADDRBlS8 ..3'JJL.?- 7-..---~(f/V.Li_JlVL___ LD_L..12:l--_______..___.____ _ __ _.. _ <br /> <br />LE(]l\L IlIlJSCRIP'I'10111 LOT(S) BWCK SlIBIJIVISlml ~fltNt? ~LZ..f.J{)Nj}1-!.-(P <br /> <br />-........... <br /> <br />BUILDING <br /> <br />------ <br /> <br />PAR""" lU "-_. J I.f -1-'3 :2L~2 0 I 0 - 0 2/? c>E..:::_.D f7- 7 -~CJJ3 TA IJ'-.::R OM PRO P ~:'.T A~.._~,,:,:!(' "-I.. <br />~vURK PRClP8BlIJ I lkrm!:I'/ l~()Ns'rRUCTION -erAilIJI'rWN 0 A UrBlRATI ON [J RBJPAIR ~18TAr,I, <br /> <br />U8Hm <br /> <br />o MOVE <br /> <br />o DIllMm,ISll <br /> <br />PRt)l.lOSEfl lIBE: I kJ13G" F1\MILY DWELl,TW-..! <br /> <br />OMut,'I'I -. FAMn,y <br /> <br />[JU OF UNI'J'S <br />o SW It1MU1G POUL <br /> <br />[J M08J1,El ll(Jt1El <br />I-~(.l.?n 1/'/""'4.-1.. <br />I"J (J'i'I/BlR <br /> <br />f] cm1MBlR(! TAr, <br /> <br />o INDUS'I'RIAL <br /> <br />CJ RmS"A1JRAHT & 1!00['T~Tl1mH'r APPROVAL _ <br />"'SCRIP'I'JON OF I<ORK __1,,;( ~s H.!f4-LZiS 1 7-r<~FEi_~~~-!.L~~f!.f1:{)Elt!:. <br />BUILDING SIZE -______ SQUAREl FOO'rAGEl7ZO IIB1HHI'r __.__._______..______ <br /> <br />RB:8IDBlNTIArJI A'I"rM~H (2) pl,orr PJJIUlS .& (A) SBlTS OF BlJII,lJING PI,ANS & (1) sEI'r E1NElRrJ'i F()RI>1B. <br />CO~1MEJR(!IAIJ I ATTACH (3) Sill'fS OF BUtLDING PLANS & (1) 8BlT ElNS:Rt~Y FORMS, <br />PROPBlRTY SURVey RBlQUIRBlD tOR ALL NEW CONSTRUCTION, <br /> <br />l~JII,UIN(~ <br />I~LEJCTRICAr, <br /> <br />~EBm.TS RJ3lQUElSTElD <br /> <br />$_L1mf.fi <br /> <br />VALUATION OF TOTAL CON8'fR{JC'rION <br /> <br />_._-----~ <br /> <br />At~P ~ElRVICEl <br /> <br />o <br /> <br />FI,ORIDA POWElR <br /> <br />[J <br /> <br />W. R, E1. (.', l,J1(2C ~ th;CJ? <br /> <br />U PLlJI~BIN(j <br /> <br />U l'lEJ~Il1\NIC'AL <br /> <br />I <br />$----..- <br /> <br />VALUATION OF ~<1BJC'HANCIAIJ UIS'rALIIA'I'TON <br /> <br />[J G1\S <br /> <br />LJ ROUFum <br /> <br />tJ SPBlotAU!"{ <br /> <br />[J O'I'HBlR <br /> <br />TYP@ UF CONSTRUCTION I [) BLOCK <br /> <br />o FRAMEl <br /> <br />[J S'J'ElmL <br /> <br />[] OTIIElR <br /> <br />FIN LSI/ElI) F'I,()()R BlIJBJVA'rIONS <br /> <br />IS PRO,rElC''P IN FLOOD ZONEI AREA [J YRlEl 0 l">llJ <br /> <br /> <br />Bt1ILDBlR <br />B1GNATtJR8l ----~-J1, - aikf <br /> <br />I-~ <br />, ' . ~Hiift!tl~3 <br />CO~~PANy..f,jjf CCN !"/(lvlc rJ.Jq-~.JlE-.-c:.F~CF:k<.::_EL.., <br />B'rAr['Bl CBlRT OR REI<JI8'1' # .t::.&C;JL-.5.']!lrt'L_____L______ <br />CI'fV PROCBlS8ING L.:b{e-________________n__ ____.__ <br /> <br />**** * * ** *** *** ***** * ********* ************ * * **** ***** *** ** * *** * ** * * <br /> <br />B1LmCTRICIAH <br />8J(31IA'l'{JREl_.___~_A_~_ ~) <br /> <br />COMPANY ~~_fJ---c.c. D?:.{'~._.________ ______ <br />STATE CElRT OR REl<JTS'l' II d- <br />CITY PROCIl1B8INl1 # 1-;;::;---------------.--- <br /> <br />----._.._l_...___ _._..._..._._.~. __.._____..__ <br /> <br />****************************************************************** <br /> <br />PLlJHBBlR <br /> <br />_4___..____ <br /> <br />(!OM P 1\N Y -_____________________._____.__..____________ <br /> <br />STATEl CHlR'l' OR REGI8T # ___________________.__ <br />CITY PROCESSING # <br /> <br />B JelllATIIRE: <br /> <br />****************************************************************** <br /> <br />-..--...--------.--- .__._-._-~------_. <br /> <br />---------------.--- .----....---..---- ..----.-. <br /> <br />**********************************************************.****** <br /> <br />OTIIBlR <br /> <br />---- <br /> <br />Cot'IPANY <br />---------.-.--.-..-.------ -----.-.--... -'- <br />S'J'J\1'B1 CERT OR RBlC1Is'r U <br />CITY PROCBlSSING # <br /> <br />---.---.---- -.-.----..-.._..____ h__ <br /> <br />8 [ClllJ\'l'lJRE <br /> <br />-----.----- <br /> <br />***********************************************************~***** <br /> <br />------'-. ._._-_.._----_...~-.-.- -- .--.-. ----.. <br />