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<br />APPLICATION FOR FE.'RKIT
<br />CITY OF Uli.mTJlILLS
<br />'3tlf'.: U: !l t'~G ml'PARl11'!l1l'1NIT
<br />
<br />OWNER'S NAME
<br />
<br />Pauf.R.,6-6 ShoeSoU!l.CQ. PHONE 817 485-7'273
<br />860 AiJrrx>>t;t F JteeL\X(ij Weot, SuA;tQ 300, HU!l.Ot, TX 76054
<br />
<br />OWNER'S ADDRESS
<br />
<br />JOB ADDRESS US H,{ghAtly 307 cmd CWrute., Sy:ac.e. 530, MeJtC.hant.6 SquaJte ShoppiYlg CenteJt, ZephyM{il.6, FL
<br />/JERCHAWrS S2.UARE SHOPPIf\G CENTER, 7407 G<\LL BLVD., ZEP/-fRIHILLS, FL ,33547 SECTI(}.J 34 TiliNSHIP 25 1WU. 27
<br />LEGAL DESCRIPTION: LOT(S) BLOl.."'K___SrmDIVISIO~
<br />
<br />PARCEL 1. D . f
<br />
<br />T encmt IrnptWVement
<br />WORK PROPOSED:_1!iIev Construction __t.dditiml ~Alteration _Repair _Install
<br />
<br />_Sign
<br />
<br />_,_l'IIove
<br />
<br />_ __Deaoli sh
<br />
<br />PROPOSED USE:
<br />
<br />Single F3lIIil}"
<br />~eo.aerci,al
<br />
<br />_..JflF
<br />
<br />.~:fi!: of Units
<br />
<br />_litH
<br />
<br />_.I:ruIu.s 1::
<br />
<br />~_.,__Swia. Pool
<br />
<br />Other
<br />
<br />_Restaurant & Health )j.ep:'J'I".JliIen~-.,pproval
<br />
<br />BUILDING SIZE:
<br />
<br />35 X
<br />
<br />80 ,__,_??qg,,,,_ "._. "'H___S"uare Feet.
<br />
<br />Height
<br />
<br />RESIDENTIAL:
<br />COHHERCIAL :
<br />
<br />ATTACH (2) PLOT Pl...~.t~S &: (2) SEI'S OF BUILDliNfG PLMlS & (1) SET ENERGY FORMS.**
<br />ATTACH (J) SE:TS O!-l' BiJU.jJI.iM1'; PI..tUJS r: (1) SET ENERGl FORMS. H
<br />t*c:opy OF CO~C'i' RE'QUJ1&ffiD.
<br />
<br />PF~lS RR.o'JE.:5TED
<br />
<br />~BmLDING
<br />
<br />$ 35,000.00
<br />
<br />Val.u.atior.. of Total Construction
<br />
<br />_ELECTRICAL
<br />
<br />AMP Service
<br />
<br />Florida Power Corp.
<br />
<br />_W.R.E.C.
<br />
<br />_MECHANICAL
<br />
<br />s.
<br />
<br />V,>luation of Mechanical Tn..t~11~f'ijon
<br />
<br />_rLurffi"inG
<br />
<br />Gd~
<br />
<br />Kuv..ilN~
<br />
<br />~',r L~L-'\L.j'.l
<br />
<br />TYPE OF CONSTRUCTION!: _Block __FraJlJe __'._Steel
<br />
<br />Other
<br />
<br />FIllfiSHED FLOOR ELEVATIONiS:
<br />
<br />FT.
<br />
<br />IS PROJECT IN FLOOD ZONE ARE..,",-?
<br />
<br />YES NO
<br />
<br />*t*********************~******************
<br />
<br />OJNTRACTOR SRCT'ION
<br />
<br />BUILDER
<br />(I/J J M. ".
<br />Signature l/I1.J..,~ dA_~
<br />
<br />*""**********~',
<br />
<br />M4tu~
<br />
<br />~ , ~. H' A.. :;_ P..t'cwn:m CaVlh:t:trLt.c.,tW VI. CCfYI}XU'Uf, I VlC..
<br />C;t~te .';t2rt. or Regist. # C G C079586
<br />Ciy:Licu-.:.> ~ Registration:; N/A
<br />
<br />~...;' ....;..!!:. '!;:",.J.; ~:~~::~'~~'~-a:-~'f:'!:'f:*,~-&~1t'~'*~..e:~ ~
<br />
<br />
<br />")oo(PA~"'f -f7v~t C~~ C!~c. {-
<br />
<br />State Cert. or Regist. ~
<br />City License Registration' /_'7
<br />********-:f:-fr***'**'J:~**,",***************
<br />
<br />PLUJKBER
<br />
<br />CO'IfP~JY_ _, ________
<br />
<br />Signa ture
<br />
<br />:::'LalCe;~~rt;. or Regi;"i _ jll-
<br />City Iicense Registration I
<br />
<br />~-!'<-'!'::~':!-~.&.~~ "-..a.^".~..f'.~'::!I:,,:,~rr..,It..-,,:_~^~., .&.r~.a.~J"'A '."I:""":-~~-:."- .:I:-~-"':-:!'-~'" -!Z.a.
<br />
<br />I!'f,ECllAiNfICAL
<br />
<br />CU.:i.'ili\!IY
<br />St3te ~crt. or Regist:. ~
<br />Cit:.y Li.::erLSe Registration j
<br />******************************************
<br />
<br />Signature
<br />
<br />011IER
<br />
<br />cmtPANY
<br />State CerL or Regist. #F
<br />City U,cense Registration ~
<br />************~&2'~.**~~ .~*****************
<br />
<br />Signature
<br />
<br />'U<._~..:,;"",.., ~_-..._~
<br />APPLICATI.ON APPROVED BY., ,
<br />
<br />PER."fi r OFFI CER .
<br />
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