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1113 Florida St - CofO
-----------' ' ' �w co� Kol K��K� ��K��C6K��P0~r � city `FH. N-^\NG+OmBEAC'- omto [�^�»�-- �EKjTr�c[�r��0�»^m�-'--��-�S ``~''~^'~`~`-'' Address______�____��___-___-_______����____ ^ Tel, . / ` ' ' {Jno �3rm`�p ��n���� ' � � � - ' ---�---- ' ----- . ` Name Namea Addres's _________ Address � ^ � '��� ��` ` ` -____ T�. � ' � ' � C%iV �� Tel. _—__-__--______��� Cons t on______'_yJn.of coupmMt nk1erod ~^'' ` i�� v ' D��'���KAB� / ��F [�E�ELOPK8EN���E"w�F�" .CES �S anmn$plcudUs place on ' the as and d1|Yihrbe'noh1ovede%cept by . >—..--- °s: r B NUNTINGTON BEAM APOLICATION PORSCERTI MATE OF OCCUPANCY CITY'OF'MUN0+16TON BEACH DEPARTMENT 0F'btVELO0MENT SERVICES (PRINT OR TYPE ONLY) �7r _© ATE Address ____—�LOf�f f''l__ I'7�_� ____ �__ ______ __ _ District _ es Tel. Business Name Occ. Group Buihess Tripe B0 LblNG OWNER Li3�tNf }iMAIVAGEFi N Name ame �_C1 �' L- SA A ✓. _ Address _.. 44A--A ve Address �--� - — + • City /-'`f AJ-Sr—`--aA---- Tel. -+� «� City _�1 7�-- -- ----- Tel. THIS USE WOO W`OE' DESGRl13ED °AS: NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER CHANGE: OF OCCUPANT C EXISI'I'NG`BUILDING CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former Use, if anY _ Occ6pancy Gr. NOTICE: 1. 4 J. rd 5. Occupancy of any buildid b s prohibited and a business license will fiof'be issued if til tiie`bllildliig has beb'winspectdd and a cer ti'f cate`of 'uccapancy is issued. No electrical service will be released for any existing bdilding Oritil the service has been``inspected lic t Jor occt anc in an existing buildirig amrequired to schedule an arid�cetrfified safe. All app p Y electrical 'fuse up` inspection°in the Departriid"t of Develooffiei t Services at the "ti`rbe his a piica- tronttrs`filed. a Change of occtapancy or uae inspectioh fee. Whc ievpr it is necessary to make inspection of a bilild- or use ing or premises in order to'deterrhIhe if a change`iiiay be',Mbde in the character`of occupancy of the building -or orbMises which woi: f&—dace the buildl iEg` in a different'divisio i', f'tlie same i��-o cif occupancy'or in a`differentgrotip of occtiFiancy, a change of occupancy inspection fee of $30:00 shall be paid to°ttie city. Huritifigton Beach Fire Code Sectlon 10 208, requires that building "n Prs ffUst be a minrrYiTiln of fdbr �(4) `indhes"in height wifW6he half ('/z) inch stroke, and`of a corttra$tinback- of from the ground. These ntiii�ibers must be posted can yoUr�IJ011dirig°1h a locatlon`thatis visible from the street. I-lurttiiigton"Beach Fire Code Section 10.301 requires fire extinguisher selection and'distribGtion per the-Natidhal Fire peotect!&, Association, pamphlet 104(see reverse i 7 S 4 1, - SUPPLEIVIE'NTAL INFORMATION SQUARE FT."OF BUILDING GCCUPANCY GROUP --- OCCUPANT LOAD= --- NO. OF STO M ES -- - ----- APPROVED BY DATE (50A-OPFICE USE ONLY) PLAN CHECK NO. PERMIT No. ADMIN. ACTION CERTIFICATE OF OCCUPANCY FEE CHANGE OF OCCUPANCY FEE TOTAL 75-039 REV. ) ) IF VF.,1 tnP'.AI I 1 f SI-RN;ICC-S NO. PARKING SPACES -- HEALTH DEPT. APPROVAL UTILITIES RELEASED . —e