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<br />01(11/96 <br /> <br />12:45 FAX 813 782 1169 <br /> <br />H & R INTERSTATE <br /> <br />'@Ovl . <br /> <br />Al'PL1:2AT~ON FOR I't'Rl'lIT <br />CIT'l OF ZEFlfiIUl'ILLS <br />BUI.Lt>1.NO DEI?AR'l't-lENT <br /> <br />APPLICANT <br /> <br />:,........ <br /> <br />tJj'3-78~~d..a 7~ <br /> <br />- . <br /> <br />l.EGAL D"ESCRlPTION: LOT (5) DLOCK SUnnlVlS1.0N. <br />PARCEL I.D.ll 03--.;l.G. -;;U - 03/0-60(')0 0 - 03 gCJ <br /> <br /> <br />'P110NE <br /> <br />ADDRESS <br /> <br />OHNER <br /> <br />eOT SI7.E~~.l2() I i\RE..\ 5Q. FT. <br /> <br />Jon LOCATION <br /> <br />WORK PROPOsto,_New eonstruccion. --^ddition --^ltc"otiOn _nepoir _Install <br /> <br />___Sil:n/Tc:m1". <br />PROPOSED USE: ,x-Sin~l.e f;)milY <br />__Conllnc l"C iOll <br /> <br />...--Sign <br /> <br />_Nove __Demolish <br /> <br />~M/F <br /> <br />~(l of \,lnits ._H/Il <br /> <br />~IntluS t.. <br /> <br />_Swim... roo1. <br /> <br />Ot.her <br /> <br />____Restaurant & Health Department. Approval <br />nUUDING SIZE' ;l8' x.J!i, t' ()..O I. <br /> <br />Square Feet, <br /> <br />H~iGht <br /> <br />RES I D ENTIAL' A TT A en (2) PLOT pUNS & (2) SETS OF nllILD 1NG P c.\NS & (l) 5 ET ENERGY fOreIS." <br />COl12'IERCIAL: ATTACH (3) SETS OF nUI.LDING PLANS & (1) SET ENERGI' FomlS.*~ <br />*~COPY Of CONIRACT ~EQU1~ED. <br /> <br />PERMTTS Rr.pUESTF.D <br /> <br />YBUILDING <br />LELE:CTRICAL <br />-L-MECHANICAL <br />~PLU!"nnNG <br /> <br />$ <br /> <br />J.2 / /d5CJ <br /> <br />:_Valuation of Total construction <br /> <br />),;:;7J AM? Servi'ce <br />/3 Iff} <br /> <br />Florida rower Corp. <br /> <br />~ H.R.E.C. <br /> <br />~ <br /> <br />Valuation of Meclwnir.:211 Installation <br /> <br />SPCCI:\LTY <br /> <br />GAS <br /> <br />- lWOFlNG <br /> <br />TYPE OF CONSTRUCTION~ ____Block ____Fra~e ____Steel <br />FlN1SHED fLOOR ELEVAT10NS ;~/A- FT.' <br /> <br />/f/# <br /> <br />ocher <br /> <br />*6..**..*~*.*****.***.***U.****~**~&**C~** <br /> <br />CONTRACTOR ~E~ 11 IJ M J tl (' . <br />. company ~,ert-;e "'f)h~/e. oll1e ~)e.,.v,(e... <br />State Cert. or RC~1SL. 0 ~ <br />. . CitY l.iccnse J\(;t:~L~l"(al'.i.L1n iJ _ . "IV <br />~~.*....*.****~***.ft.****..*6~*6~Cg*~~ <br />) . <br />. . .:: ~o~pa\lY ~df\V\ [. te.c.+; c- <br />-State C~rt. or Regist. C <br />( City License RcC{str~tion U <br />***ft***.~**~.***~*************~**~~*~~V*~v <br /> <br />~~:t:n~ert~~~~~st. ~ f'M <br /> <br />City l.icense Re:?istr~ti(lfl ;1 _ U '7/4 <br />~***.***.****.***.~.*.**.*****..*~6.**.**G <br /> <br />f7 () <br /> <br /> <br />~ <br /> <br />COll1pany 'BfT~r G"s <br />State Cert. or Re~ist. i~ <br />City License Re,~istt:ation II <br />6.**.**~*****.**~*.~*~~*~~******~**6~**.C* <br /> <br />~ rYe <br />J7 <br /> <br />- <br /> <br />Signature <br /> <br />COIllt'any <br />Stati Cert. or Recist. 0 <br />City License ncgistrn~ion lj <br /> <br />QT.HF.R <br /> <br />APPLICATION APPROVeD flY <br /> <br />*a****~*..~~*.***..*.****~.**~ft~***~~**~.' <br /> <br />PCR~\1T OFFICER. <br />