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<br />APPLICANT <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~be tf- f () 1>+(' r <br /> <br />ADDRESS 231 DOUGLAS RD *10 OLDSMAR <br />WILLIAM KELLER <br /> <br />34677 <br /> <br />PHONE 854-3449 <br /> <br />OWNER <br /> <br />37733 ALISSA DR *22 <br /> <br />800 <br /> <br />JOB LOCATION <br />LEGAL DESCRIPTION: LOTeS) <br />PARCEL 1.0.# j~) - '2-~ #-7. I - <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />BLOCK SUBDIVISION <br />(\ r ) ,--, - a '2'Z \1 \J - ~ '-:::: A -0 <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 />,~/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 />____MECHANICAL <br /> <br />$ <br /> <br />AMP Service <br />$3495.00 <br /> <br />Florida Power Corp, <br /> <br />_W.R.E.C. <br /> <br />____ELECTRICAL <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />.'*' <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration 4F <br />****************************************** <br /> <br />MECHANICAL Company <br />::;'I'ANLEY R. AYEN State ce'ie.PINtI~fSn'Dt & COOL. <br /> <br />Signature City License RegistratiorRM OOS1AQA <br />****************************************** <br /> <br /> <br />OTHER <br /> <br />Signature <br /> <br />4F <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />