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<br />01/11/96 <br /> <br />12:45 FAX 813 782 1169 <br /> <br />H & R INTERSTATE <br /> <br />~ooi <br /> <br />APPL'IChT:tON FOR PtR1'1IT <br />CITY OF ZEPHYlUULL5 <br />BUILDING DEl"'ARTNENT <br /> <br />JOB LOeA! <br /> <br />w <br />6'//d - Ri ,:if' uJA-/':V r; ;~'e' <br /> <br />LEGAL DESCR4PTION: LOT(S) DLOCK sunDIVISION <br />PARCEL 1. D. fl C) 3 - :l(~ -,;)./- 0 ,i I o..~ ()O(){J-{) - (!!) 1:;;"0 <br /> <br /> <br />.'~.,.. '.. <br /> <br />5?(3'-7~c.l- d.a 7" <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />'. <br /> <br />OHNER <br /> <br />/ I <br />LOT SIZE~x/C)() ^REA SQ.FT. <br /> <br />WORK PROPOSED:_Ne'.~ Co ,truct.ion _Addition _Alteration _Repair _Insto.ll <br /> <br />PROPOSED USE: ~sin~le Filmily <br /> <br /> <br />.-Sign <br /> <br />_Nov~ <br /> <br />~Demolish <br /> <br />_Commcl'cial <br /> <br />...--:...-Indust. <br /> <br />Swim. Pool. <br />- " <br /> <br />._~t/Il <br /> <br />(fl~j1tJ~dv N!J ff4JM.~ <br /> <br />~M/F <br /> <br />___JI of {,lni ts <br /> <br />____Restaurant & Health Department Approval <br />BUILDING SUE' ~x.5Q~ , E: ,quare Feet, /100' <br /> <br />Hei~ht <br /> <br />RESIDENTIAL: ATTACH (2) PLOT FUNS & (2) SETS OF DUILDING I'LANS & (1) SET ENERGY fORl'IS.... <br />COHl'lERCIAL: ATTACH (3) sETS OF Du!LDING PLANS & (1) SET ENERGY fOR~lS.':'!: <br />.~COPY Ot CONTRACT REQUlRED. <br /> <br />~UILDING <br />~LECTRIGAL <br /> <br />$ <br /> <br />PERMTTS R~QUESr~D <br />dJ 47tf7} : Valuation of Total Construction <br />j)V. AM1? Service plorida Power Corp. ZH.R.E.C. <br />/ c? S?J Valuation of Medwnir:~l Ins calln t ion <br /> <br />-v""-MECHANICAL <br />~mllnNG <br /> <br />$ <br /> <br />----:-:CAS <br /> <br />ROOFING <br /> <br />srECI:\LTY <br />,/n 1."L-. 0 cher <br /> <br />"" <br />- . . <br /> <br />TYPE OF CONSTRUCTION: ____8lock ____Frame ____Steel <br />FINISHED fLOOR ELEVATlONS :~T. . <br /> <br /> <br />h.****.~****~*H*****~.*~~**~~*~ <br /> <br />C~NT~~~~:n~ECTT~(Jt=f-~ ell ~f H Ser v"c <br /> <br />State Cert. or Rc~ist. U . <br />City Lic~ose Hc;gh 1".1'01 I'. inn II to <br />.*.******~**D******~*6~*6~~g*~~ <br /> <br />.',~ ~o~p~~~y ~rJ An E Ie c..- <br /> <br />. State Cere. or Heg;isC. I~ <br />. ro ' City License Rcr;{:,tr,:\:.i.O~ I': 170 <br /> <br />:~~~_~-; ~ ~ ;7............:::::::...(J~t:.~:""H~ dj 1f~ <br /> <br />~~ - State Cert, or R'Gi5"~ <br />Signa re- City License RezistrntiCln 11 - d..7g <br /> <br />......... .......:::::::..t;;h';.G:::' + A-/c: <br /> <br />State CeJ;t.. 01;' Res;is t.. if <br />. icense R(!Cis trat ion II /7 <br />********.~**.*********o*.~ft**.~* <br /> <br /> <br />Signat.\Jre <br /> <br />Cornt'~my <br />State Cert. or Recist. 0 <br />City License ReGistration lj <br /> <br />11'lJU: !{ <br /> <br />*~****~*.*~******~~*****~~***~*~n**~***.*h <br /> <br />PCRNlT OFFICER. <br /> <br />APPLICATION APPROVeD DY <br /> <br />--.- <br />