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<br />APPLICATION FOR PERI1I'r
<br />CITY OF ZEPHYRHIILS
<br />BUILDING DEPAR~MENT
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<br />APPLICANT ~tLl1.. dm9fru durn &') Ini'. j
<br />ADDRESS 31 ~ S. R 5'-1 W. ZephAJJu'IIs
<br />OWNER --.MItt/lace.. Kfflli5
<br />JOB LOCATION .5flq 13+11 St. ~rhillS
<br />
<br />KwWt 7?iWlfWl
<br />PHONE 813 -112-08$
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<br />" LOT SIZE~X /40 AREA SQ. FT, /Z,hDO
<br />I
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<br />LEGAL DESCRIPTION: LOT(S)
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<br />BLOCK._.. _SUBDIVIS ION
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<br />PARCEL I.D.iF
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<br />
<br />-.:;J -UJ/O - OS;UJ{) ~..{)tf(Jm
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<br />WORK PROPOSED:____New Construction
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<br />Addition
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<br />__Alteration
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<br />____Repair ____Install
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<br />_Sign/Temp,
<br />PROPOSED USE: ~Single Family
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<br />_Sign
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<br />____Move _Demolish
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<br />_M/F
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<br />_IF of Units
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<br />__M/H
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<br />_Commercial
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<br />_Indust.
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<br />_Swim. Pool
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<br />Other
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<br />~
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<br />_Restaurant & Health Department Approval
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<br />BuiLDING SIZE: c2~x 3~,
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<br />l;UY-/
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<br />~_Squal'e Feet,
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<br />'h J ei1tJe..-
<br />
<br />Height
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<br />RESIDENTIAL:
<br />COMMERCIAL :
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<br />ATTACH (2) PLOT PLANS & (2; SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S.~"
<br />ATTACH (3) SETS OF BUILDING PLANS &. (1) SET ENERGY FORMS, **
<br />**COPY OF CONTRACT REQUIRED.
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<br />~ILDING
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<br />PERMITS RfQUESTE!.l
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<br />$
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<br />~Valuatio, of Total Cons ::::..'-..cc.ion
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<br />_ELECTRICAL
<br />..t
<br />_MECHANICAL
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<br />AMP Service
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<br />7loride Power Corp.
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<br />_W.R,E.C.
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<br />$
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<br />ValuatioL of MechanicaII>-'stallation
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<br />TYPE OF CONSTRUCTION: _Block
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<br />;;ram:ooe:,'c Steel
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<br />SPECIALTY
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<br />_PLl~BING GAS
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<br />Other
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<br />FINISHED FLOOR ELEVATIONS: FT.
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<br />***********************u***~**************
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<br />CONTRACTORiE.C~ ~
<br />BUILDER -._- ':;om~~,,, '" K~n1,~:_" '~b-L-1ti
<br />, ___ ,(" ..,? Sta,-~ v_ t, c_ ILo1.s'C. ,,_~5~_
<br />Signature~ ~ ~_ City ~icen~c Registration 4F --f/!::
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<br />* ** * * '* '* -?~ * * ~ ***".i.~ * * *-!... 1C * * .~ 1:~, '01: * -1,.* ** 1: of: ..', "1: >{: "1: -I: ..'. 1: * '*
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<br />
<br />~_'"' Compa~1Y ~ _~JJ1~tk) -Eli ffttC/ _
<br />Signature~-0 7J-. ~"-J-_. ~~~~€':. ~~:~se O;e:~:~:~~i~~E "~I El<fgfJ //0
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<br />********_***+*********.*************R****~
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<br />ELECTRICIAN
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<br />Signature
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<br />/J
<br />( '7"\ ' . . II "
<br />\! / rt/l (t U,;-;fi(
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<br />Compn .. rJhgJL~ J1UYttb~
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<br />State :er~__ ~:c RegJ.s': :,! '
<br />C'~_::::___ City - icePEE: Registr-ad6n 'fr /; )
<br />*************~*;~*****A~************
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<br />PLUMBER
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<br />11 I . J A1
<br />MECHANICAL _,~._ Compc.:y _.Q.~ ~~ ~C ,
<br />~ /. State Cert. or Regist. l,! CAe 04(44)J
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<br />Signature~ ~ 4~~ _ City; o::ense Regis'tration' ~fr . '1 .
<br />/ *~: *~Zc ** *'ic * "/.: ** * ** * 7( ***.:p. i i: f: "k -!( oj, * i: ~:; *..,: -!: +: .':....'0 ~'.' * 1. '*-!:
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<br />CrJmf'[,y -" '" ------
<br />Stat~ Cert. or Reg1st. #
<br />CL~yice~s2 Registratio~ #
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<br />OTHER
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<br />Signature
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<br />F-
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<br />~:;;"~** ;'**"'***~r****o{ ;_*J "'1<*,',* ,~;,*;, **;,J~ .'. ,- ,',
<br />
<br />
<br />BY~~~, -..&~ u --' 'l'-~'= -- PE",:~P"ICER.
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<br />. -~ ."s..~ , ....~,,'" i
<br />. , , I" " -i;~~':1
<br />'''-,'',-~ ".J
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<br />APPLICATION APPROVED
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