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<br />.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYIDlILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />Ruth Mine, Jeff or Brenda Mine <br /> <br />ADDRESS <br /> <br />5933 19th Street <br /> <br />Zephyrhills, FL 33540pHONE <br /> <br />, 783-7253 <br /> <br />OWNER <br /> <br />Ruth Mine <br /> <br />JOB LOCATION <br /> <br />5933 19th Street <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br /> <br />WORK PROPOSED:_New Construction _Addition ----Alteration ____Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />_# of Units <br /> <br />__M / H <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />~PLUMBIN'G <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sirmature <br /> <br />PLllliBER Bruce Carrigan Company Bruce Carrigan Plumbing <br />d' (> ' //./, ') State Cert. or Regist. 4, RF-0038842 <br />Signaturyl::J~.,..t::c" 41/:'c~eL---r(t("'Oc City License Registration # 29 <br />~. *****~*~********************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~**********~j***********************~* <br />/2~~ X, (.J /)/i' ).--. ) <br />- ~ <br /> <br />PERMIT OFFICER. <br />