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<br />APPLICATION FOR PERN1.T <br />CITY OF ZEPHYIUIILLS <br />BUILDING DEPARnlENT <br /> <br />~/' ;' <br />, tJ~ " <br />l / :: ~ ~ 'is <br />PH~N~t3 ) l S" L- -7 ~ f b' <br /> <br />APPLICANT ~ER sfAT-=t:. <br />ADDRESS -3 ~ 2..(01 H uJ Y 5~" [.0 EST <br />H ~ ~ IJ\lruls TATt <br />Jon LOCATION 376'-15 PR..A/JO PLAli- . L01 '07 <br />Db? 0 BwcJ<tft'Oa7sunDlvlsION 'Zt::.PI-t yf'l <br />3 - 26 - Z I - 6 J ~ () - {J {)tJ 00 - (')b 7 () <br /> <br />O\\NER <br /> <br />LOT <br /> <br />SIZE~X I O{) !\REA SQ. FT. (; 0(/0 <br />ex OG-E.- <br /> <br />LEGAL DESCRIPTION: LOTes) <br /> <br />PARCEL I. D. 1/ <br /> <br />IWRK PROPOSED:~Nel~ Construction _Addition <br /> <br />_Alteration <br /> <br />_~ep:.1ir _Install <br /> <br />_Sign/Temp. _Sign <br />PROPOSED USE: JSinr,le Family ...:--M/F <br /> <br />_t-love _Demolish <br /> <br />_Commercial ~Indust. <br /> <br />_Ii of Units <br />l <br />_SI.Jim.. Pool <br /> <br />. .~rl/H <br /> <br />Other <br /> <br />IlUILDING SIZE: <br /> <br />_Restaurant & Health Department Approval <br /> <br />;) ~~ L/ )~: <br /> <br />12'60 <br /> <br />Square Fcc t , <br /> <br />/ .ST~f2V <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FOR:1S.** <br />CNmERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS.~:* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMTTS REOUESTED <br /> <br />LBUILDING <br />LELECTRICAL <br /> <br />$ <br /> <br />2<170fJ <br /> <br />. <br /> <br />l5 () AMP Service <br />/600 <br /> <br />.' <br /> <br />Valuation of Total Construction <br /> <br />Florida power Corp. <br /> <br />-*-h'.R.E.C. <br /> <br />_rlECIlANICAL <br />LpL1Y:lf3IiiG <br /> <br />$ <br /> <br />Valuation of Mechonical Installat,i,on <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECli\LTY <br /> <br />;J;;fI <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />____Frame ____Steel <br /> <br />fINISHED FLOOR ELEVATIONS: FT. <br /> <br />*********~******************************** <br /> <br /> <br />~ONTRACTOR SE~ <br />. Company -H1::i-t' :c ~f~~mT€ <br />State Cert. or Rccist. 0 <br />3C1 <br />City License gcr'..i~;t..I,;\t".inn il ~...;l JQ <br />********~****************~**************~* <br /> <br />Company jJ el---Sa t-J rZ Y ('{) A-N <br />State Cert. or Regist. 0 <br />Signature City License Rcgistl'ClLion I,! { () X <br />, . *************************************+.+.*** <br /> <br />[lEClIANT"_A'. ~ ~ ". Company BA+H~ <s QrLDPA"NE. <Lrrj c. <br />L4I1 A - State Cert. or Regist. Ii <br />Signatur~ /~ ~ . City License Registration ;.' .-:J<6 <br /> <br />I / , ,',",( * ie *ie ie * *1, *** **** *.!C ,~**,~ *"*"le"le"le ,'c ic i: i: .:: -:: +.,~ ,',,": ,', +. ,', ,', <br /> <br />State Cert. or Rcgist. D <br />City License Rcgistrotion <br />**************************************~*** <br /> <br />Signature <br /> <br />Compony <br />State Cert. or Rcgist. U <br />City License RCGistl~ation ~~ <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PER~lIT OfFICER. <br /> <br />APPLICATION APPROVED BY <br />