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<br />APPLICATION FOR PER1-rIT <br />CITY OF ZEPHYIUIILLS <br />BUILDING DEPARnlENT <br /> <br />;/ /},;--<J~ <br />#I)~ /O-~j . <br /> <br />APPLICANT <br /> <br />I,; <br /> <br />~ 'i-R-- lill~R Srn:r-=E. <br /> <br />i-lL0y 91:(.u~ <br />Ci, RiTA S ON i{ . <br />RID(r<L. WA~ DI2.Jr/{. LOT SIZE-'iiX /()() i\I~EA SQ.FT. t/)C7{) <br />01.50 BLOCdJOOOO sunDIVISION Zt-f'HY i2 [r,tJCrl.- <br />3- ;)0:" cJ./ - 01 3?J - 00 OO{} ~ (l'lj-J <br /> <br />PJl~~~t3 ) l S' z:.. -7 2--1 b <br /> <br />ADDRESS '3 ~ z.. f.o 1 <br />ROl3ULi H, <br /> <br />Jon LOCATION 60Lf~ <br /> <br />OI{NER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.!I <br /> <br />\~ORK PROPOSED:~Ne\~ Construction _Addition _Alteration _Fcpnir _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_novc <br /> <br />_Demolish <br /> <br />-..:...-M/F <br /> <br />~i~ of Uni ts <br /> <br />, ..-L~ll H <br /> <br />_commercial <br /> <br />~Indust. <br /> <br />_Swim.. Pool <br /> <br />Other <br /> <br />nUILDING SIZE: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT pLANS & (2) SETS OF BUILDING PLANS (, (1) SET ENERGY FOR~lS.** <br />cmmERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lSJ* <br />**COpy OF CONTRACT REQUIRED. <br /> <br />_Restaurant & Health Department Approval <br /> <br />d-i1x-IJ!; _~ '1:, 501/1 <br /> <br />l~'?r <br />), :'lb~ <br /> <br />Square Feet, <br /> <br />I SToIZ1/ <br /> <br />Height - <br /> <br />PF.RMTTS REQUESTED <br /> <br />LnUILDING <br />LELECTRICAL <br />~~lECHANICAL <br />LPLillll3ING <br /> <br />s <br /> <br />_33 q{,?O <br />/50 AMP Service <br /> <br />Valuation of Total Construction <br /> <br />Florida power Corp, <br /> <br />~\{,R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Inst3l1a~lon <br /> <br />.' <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECI,\LTY <br /> <br />TYPE OF CONSTRUCTION: _I3lo'ck _Frame _S teel <br /> <br />(n. H. <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />ofe * ** -!,-!c "l" *-1:*"** ***********"* * ,/, * 0" ..', ~" -Ie "l; '.or .,'e ..'; '1: 1'; .:: ....; ..'; 1: -.': <br /> <br /> <br />Signature <br /> <br />f<ONTRACTOR SEQIIQli <br />" Company -8l:::L.f :c t\\-rFJe~mT€ <br />State Cert. 01- g~(',iSl~, II ~ <br />__ City License J\cr~.i:i U';ll". inn II -- <br />~***************************************~~ <br /> <br />:J '77 <br /> <br />Company CCi--t-( .::Jl)tt.D A-N ~(. S ~v. <br />State Cert. or Rc(';isl~, II <br />~ I 7-0 <br />. . "I' '. J ~ <br />C~ty L1.cense hC['.1,st~r;:1tlon ,.. <br />***********************~**************~*~* <br /> <br />Company :...JJ t::l---sa u rZ Y {'() A-N <br />State Cert. or Regist. 4~ <br />City .License Rcgistrntion U ~ :J "1&1 ~ <br />****************************************** <br /> <br />signature <br /> <br />Company t3 A+l- e ~ <br />State Cert. 01- Re['.ist, ;,'- ~ <br />City License Regis tration ',' --=.1 D <br />****************************************~* <br /> <br />., <br /> <br />P lLD P ~rJ E cl-fY J c- <br />/7 <br /> <br />Signature <br /> <br />Company <br />State Cert. or l~eGj_st. f~ <br />City License Rccistl~ntion ~~ <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />rEl\~IIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />