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<br />01'111/96
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<br />12:45 FAX 813 782 1169
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<br />H & R INTERSTATE
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<br />@001
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<br />i\l"l'Li:ChT'ION FOR :rE'R1'lIT
<br />CIT'l OF ZEPliYRHILLS
<br />BUILDING DEPARTl'lENT
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<br />APPLICANT H <I- ..L:+(r s-hf--f-~{J'~Y1{~ ' (e.
<br />ADDRESS 35;;lq, 1 w.,r ~'f,r.d0~' _:~fty rhtr(S
<br />tV e. (S' ,,11. (( r hi A-f/( , .
<br />Jon LOCATION /-tJ+.Af go :ZY;hy"'~:~
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<br />Pll~~'~"~/3-78d. -~7C7
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<br />OHNER
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<br />LOT S IZEJfJtJ ;\~ 5 I\RE.-\ SQ. F1' .
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<br />LEGAL DESCRIPTION: LOT(S) DLOCK SUnnIVISION
<br />PARCEL I.D.~I 03- c;{~- J.(-'03'O:-()Ot)oCJ~ ,0&00
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<br />WORK PROPOSED:_Ne'.~ COf\$ true t.ion' ~^ddition _^It.cl'ation _Repair _Ins to.ll
<br /> ~Si...g'n/TcmI', __Sign _Nove ~Dernolish
<br />PROPOSED USE~ 'JL;ina,le F;)mily ~M/F ~(I of Units ._~1/11
<br /> ~comrnc.:cial ~Indust. _Swim. root frlputl'efllreJ kOther
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<br />____Restaur3nt & Health D~r~ent Approval ,
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<br />nUlLDl"" SIZE< @ 1/ x5J. ~ " ' , ~"O:::;~gu.r. Feet, 110<(
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<br />RESIDENTIAL' ATTACII (2) PLoT 'PLAN,' & (~) SETs;J?~nlG PLANS · (1) SET
<br />COl1l'IERCIAL: ATTACH (3) sETS OF nlJ1:LDIN'GPUNS~l) SETttN8RGY fomIS,':':
<br />*~COPY Or CONTRACT RtQU1R~D. .~~
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<br />PERMTTS Rr.QUE~TF~,
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<br />H~i~ht
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<br />ENERGY fORl'IS, **
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<br />LBUILDING
<br />~ELECTRICAL
<br />~ECHANICAL
<br />~V?'1lnNG
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<br />$
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<br />;( ~ ? 6D_Vnlua tion of To tal Cons t ruc t ion
<br />/61 AM'!? service plorida Power Corp, '# H.R.E,C.
<br />/r~fJ Valuation of Meclwnir:t\l Inst.allation
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<br />$
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<br />TYPE OF CONSTRUCTION~ _'Block _Frame _Steel /IJ /r' Ocher
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<br />Fl N1SHED flOOR ElEVA nONS ~~~. ::~. ..... .... ..... ...,.,,'H "... '.'" #
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<br />CONJ'RACTOR s E~f rer 11 () M / ILl' C'
<br />cornpan~ I . ~ic? ('lolt?tle {r~ 0U""v'c 'ce
<br />State Cert. or Rc~ist, U
<br />, Cit.y License Hl':C.'i~ (',(a I'. i,nn II
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<br />----' ',~ ~O,"P~:l~Y bJA r4Jtce- --:s;JAI1
<br />. State Cert, or Regist, t:
<br />, City License Rcr;i'r,tr,:\t.;.on Ii / r;o
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<br />,: Cornpany' Nej'!;.o'1.>~y'mM
<br />, , State Ce.rt. or ,Recidt.:. , !,!
<br />e City License Re~is trntiof\ 11 = ,;L '"7 h
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<br />~EO"NT~~ H.......~~u~.:::::::...&h;'.~;;;:e +
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<br />~::J/J /J. . "7'7 .. State. Ce'tt.. or Re~is~, {,!
<br />Signature /~ 7f::'~~ :- '_:. Cit.y, ~icense ReCist.nd:ion i~
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<br />GAS
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<br />ROOFING
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<br />SPCCI:\LTY
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<br />Signat.ure
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<br />\~tate' Cere, 01.' Re~ist, i.I
<br />City License nccistration lj
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<br />Q.IJI F. R
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<br />*~.***~*.********~*****~***~**~~n*~~~**.~*
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<br />PERi"I1T OFFICER.
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<br />APPLICATION APPROVeD DY
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