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<br />APPLICATION FOR PERI'IIT <br />CITY OF ZEPHYRHILLS <br />DUILDING DEPARTHENT <br /> <br />APPLICANT <br /> <br />Brenda Jeffries <br /> <br />ADDRESS <br /> <br />38720 Vulcan Circle <br /> <br />PHONE <br /> <br />783-8522 <br /> <br />OWNER <br /> <br />Same <br /> <br />'. <br /> <br />Same <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ..-:-Addition ____Alteration _Ftepair ____Install <br /> ____Sign/Temp. _Sign _Hove ____Demolish <br />PROPOSED USE: __~Single Family ~M/F ____~~ of Units , .L-tl/H <br /> _Commercial _Indust, ____Swim. Pool 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 FORNS.** <br />**COpy OF CONTRACT REQUIRED, <br /> <br />PERMTTS 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 />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-X-PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />__Frame ____S teel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. lj <br />City License Registration n <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Si!?nature <br /> <br />Company <br />State Cert. or Regist, n <br />City License Registration 0 <br />****************************************** <br /> <br />El ,ECTRT ClAN <br /> <br />Signature <br /> <br />Company BrUCil Carrigan Plumbiu~ <br />State Cert. or Regist. n RF-0038842 <br />City License Registration if 29 <br />****************************************** <br /> <br />PLUMBER Bruce Carrigan <br /> <br />Company <br />State Cert. or Regist. 0 <br />Ci~y License Registration # <br />****************************************** <br /> <br />MECHANICAl, <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration lj <br /> <br />APPLICATION APPROVED BY <br /> <br />* *** * ** *****~J****** * **** *1,~: 1:.": 1:~,~: * 1: *1, *~, 1: <br /> <br />71d4'hJ ;~ , <br /> <br />PER!'IIT OFFICER. <br />