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<br />AU;!;-2E.-91 <br /> <br />,..10 N <br /> <br />12:16 <br /> <br />PHOTO LAB EXPRESS <br /> <br />P . 0 1 <br /> <br />APPLl.CATI.ON FOR l'ERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEP~TMENT <br /> <br />AP~LICANT ()-P- f) ~ 11) ~ ALEC 1 eLl J'1 'L-t: )' <br /> <br />:::::S~~;~:~~('Ae:f k~1J <br /> <br />JOB LOCATION '}.):S 3 Lj hALL IS 4- II [) --" LOT SIZE <br /> <br />l?JlONE_, L K).,k:<. 7 r:: ~ <br /> <br />X AREA SQ. FT. <br /> <br />LtCAL DESCRIPTION: LU~\~J <br /> <br />..... ... <br /> <br />rTllH",."T C;T,nN <br /> <br />r...nOCL 1:. [). ~} <br /> <br />WOR~ PROPOSED:____New Construction ----Addition -2L-Alteration ____Repair ____Install <br />401' (N, /11 . <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />___Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />-.-M/F <br /> <br />_~) of Units <br /> <br />.---H/M <br /> <br />_Commercial <br /> <br />_:tndust. <br /> <br />_Sw:l.m. Pool <br /> <br />Other <br /> <br />____Restaurant & Htalth Department Approval <br /> <br />RUILt)!NG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Hei.ght <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS << (2) SETS OF BUILDING PI.ANS << (1) SeT ENERGY FORMS... <br />COMMtRC!AL \ ATTACH (3) SETS OF DUILDING PLANS & (1) SET ENeRGY FOP.JoIS." <br />.*COpy OF CONTRACT REQUIRED. <br /> <br />}?JRMTTL'R.EQtlr:Sjt::Q <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Toul Cans tl~\,lc::Uon <br /> <br />_Et!CTaICAL <br /> <br />AMP Service <br /> <br />Florid~ rQwat Cotp. <br /> <br />\~.1t.E,C. <br /> <br />_MECHANICAL <br />..lPLln1B I N'G'... <br /> <br />$ <br /> <br />valuation of Mechanical Instollation <br /> <br />... . <br />. OAS <br /> <br />__ __.:ROOFING <br /> <br />_,~SPr.:CIALT~ <br /> <br />4'" <br /> <br />Tn'E OF CONSTRUCTION: _Block _Frame '_Steel <br /> <br />__Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />********************'***~**********~**.**.~ <br /> <br />~ONTEACTOn ~F,QT~Q~ <br />company <br />State Cert. or RQSist. o. <br />City Lieenu ~or.'i~l;l'r.ll'.i.C'm i~ <br />..*..**.**...****.**..**.***.***~*R**~~*.~ <br /> <br />J3.UIt.Q.~'R <br /> <br />.Y <br /> <br />!i lsnnturc <br /> <br />~.- <br /> <br />s,i",mn tu'!'~ <br /> <br />Company <br />State Cert. or R~;ist. ~ <br />, City License Rt~i.erntion # <br />*.**.**.*****..*.******.******.*"******~ft* <br /> <br />tt.~r.Tn l":U.N <br /> <br />rulM~~B (]~~ -:s.'t:!. Company eM IS tAli/.. f/;!ml' tV b <br /> <br />State Cel't. or ~er;ist. iI I<F ~ <br />Signaturo ., 1 .' City Lie~ns(! Registrntic,n 1~ . c;7. --- <br />oft. '* *'*** 'to'" ....**** .*~.."'**'If'''.*** .,,~,\., *~I ~. ~I"'~' ~I <br /> <br />Colftpany <br />State cert. or Resi~t. Q <br />City Lic~nse Re~i~tration # <br />~,* **." >It"'.,. oil."."" ..** ft. *** "''II ~." '" >It'" f, *11 <, 'II." "',.,. ~I'" tr <br /> <br />v- <br /> <br />tm~ll^N1.C^L <br /> <br />~ignaturc <br /> <br />O!H.FJl. <br /> <br /> <br />Company <br />State Cert. or R8gist. D <br />City License Reeistration U <br />) <br /> <br />Signature <br /> <br />APPLICATION A~PROVED DY <br /> <br />peRMIT OFFICER, <br /> <br />~ <br />