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<br />PHO::Uf . . '120- /15 '24- <br />Ca.:>fl. T I Z E PH" fC \-\-1 LL$.. ) FL 3:3. ~ q. \ <br />C-I Rc.Li::: Z.EPt{\{fZ HlLLS FL '3.~~ 5 4- ( <br />, , <br /> <br />E1LOCK__snBDIVISIONJ CH-I4Lr-=OMI V ICLtts.'Jr <br /> <br />i\lP'P(r.'-l[r~"~'lrLO~'D PO"R7:. -,p'f,:~rlnr'T <br /> <br />CrIY OF ZE'rJlH1fc,,!ILU,.3 <br />mrn..1l)J[ 1N1G ])lKIP'.'\mr;;nVNT <br /> <br />Oh"XER 'S NAME 1? U SS6 LL m. 12> R 0 l.v N <br />Oh"NER'S ADDRESS '6 ~ 3 .s f\- N G:.~ L\A <br /> <br />.1OB ADDRP~S 4, /"'g51 LV ErL <br /> <br />LEGAL DESCRIPTION: I,OY(.S) <br />PARCEL LDA' ~ECOa D <br /> <br />R..\4 T <br /> <br />'\3oD 1 (" 3:. l <br /> <br />P~G::.6( 0 <br /> <br />/lK.Y j'~ jp;1/ <br />r' /~ ;,--,~ <br />.d J (I <br /> <br />h'URK PROPOSED:~CW Const.ruc~ion _Addibon _Alt.eration _Rcpair _Install <br /> <br />_Sign <br /> <br />_DCJriOlish <br /> <br />_~{ove <br /> <br />PROPOSF,D nSE: <br /> <br />~ingle Farmily <br /> <br />_:fit of Unil:s <br /> <br />~H/F <br /> <br />_\A);:r;;.mercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant & <br />3q I .? .(.), r <br />BUILDING SIZE: xl+-.::> , <br /> <br />llealth. DCJl?3:rtmlent Approval <br />fVI 006L- Hb50UJTE <br />f 7 D "'). ~. Square Fee t~ . <br /> <br />?Jo~ ok aVES <br /> <br />Height <br /> <br />_~I/H <br /> <br />Other <br /> <br />RESIDENTIAL: <br />COMHERC"IAL : <br /> <br />ATTACH (2) PLOT PL\lNJS & (2) SEI'S OF BlJlII.DIING PI,AllliS & (1) SET ENERGY FORl'IS. H <br />ATfACn (J) SE:TS OF' nUUDIINIG PLA1~S & 0) SE7l' EL'i'Ei{GY l'Of\1'15. ~'" <br />-!!-~COPY OF COITITRACT ImQUJJl[]Ul:J!). <br /> <br />~ <br /> <br />PfrnJ!'fiTS RF..QUE'sTf::n <br /> <br />t./BUILDING <br />~ECTRICAL <br />/HEClIl\.lN"I CAL <br />~;UI'rnTNG <br /> <br />$ <br /> <br />Valuation of Total C"..o!1S !true 1: ion <br /> <br />~lorida PO\."C:c C{) rp . <br /> <br />100 <br /> <br />AH'P Service <br /> <br />Vahll-atioli. of iHechanic.ll :rrlstallation <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />ROOYI:NG <br /> <br />SPF:CIALTY <br /> <br />GAS <br /> <br />TYPE OF CONSTRUCTION: v1Uock _I1'ramlc _St~eel <br /> <br />ITNlISHED FLOOR ELE\"ATIO:N.'S: I) 1'1" _ <br /> <br />IS PRo..TECT IN PT...oOD Z.ONE. AREX? <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />~~~~~~~~~~~~~~~*~~tt*~*t~~**~~~~~~*~~~~~** <br /> <br />OOfiRl\C'fOIR SRCY'IOr: <br /> <br />RUILDER <br /> <br />Y! USS EL(.... <br /> <br />q~ <br /> <br />fYl, q;; U5lA^- <br /> <br />OlM'll> AJlll1Y <br />State CcrL or Regist. *' <br />City I.icense Registration <br /> <br />Signat~ure <br /> <br />~~~~*~~~~~~~*~~*~~~*~~***~~~~*~~~~~*~~~~~* <br /> <br />ET.ECTRlCIAN <br /> <br />OOOl!)["l\]'{Y <br /> <br />9.. U S.5 (;:; L-L <br /> <br />Q~ <br /> <br />Wl. 2>~ <br /> <br />S!:ate GcrL or RegisL 'F <br />City License Registr,ation <br /> <br />Si!':Tlature <br /> <br />~**~~~~~~t*tt~*~~~~~~~~~~~~~~~~~*~~~~~~~~~ <br /> <br />PUJ!MBER <br /> <br />CO'MPANY <br /> <br />Y2uS5~CL <br /> <br />~n1.S3~ <br /> <br />St:..ate Ccrt. or Regist. iF <br />City Licc:nse Reg-i s tra tion *i <br /> <br />S ign.-"l ture <br /> <br />~~~~~~~~~~~~~~~*~~~~~~~~~~~~*~~~~~~~~~~~~~ <br /> <br />NF.:CfJ,\'i'ICi\T C01'WA,,"1lY QU5S 6l_L <br /> <br />. "." ,. N. C) ... _II tl\A, gJ-'~. State Cert. or Regi:sL if. <br />Signature 'Y..:1..A./~ , rl, YVV--- City I.icensc Registr,ation. <br />OTIIER () ~ ~J-!l;:';l'-!l;:-!!-*-!k;:!:-!!-*1Ir. .......:::'.......'0.'0'.... <br /> <br /> <br />tEll / 1'\"", r.:> State C-eTL or Hcgist. :F. <br />Signat.ure . r Y \ . p~ Citt}'i I"icense Regi:c.;t~1.-altion -# <br />~~~~~~~~~~~~~~~~*~~~*~*~~~~~~~*~~*~~~~~~*~ <br /> <br /> <br />APPLICATION Al'I'I<OVIC" BY ~~ ~dIAfC..t- <br /> <br />,Ot.her <br /> <br />rv\ , 13rto Lu (~l <br />c6..-C D 31 61\ <br />~~ '24- <. <br /> <br />Vt-\, 13fLO Lv- l-J <br />I:=-dl 001 D 551 <br /># 1 (--..-? <br /> <br />W\ CJ3n.l) LA-Il--.( <br />, <br />CcC o3QQQ(" <br />tOI. <br /> <br />tvl" C}3nocv{....( <br />cl4 C. 64-1 7-64-- <br />I, <br /> <br />I'ElmIT OFFICF.R. <br />