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<br />APPLICATION FOR PERMI'I' <br />CITY OF ,ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-'. <br /> <br />APPLICANT <br /> <br />Jack's A/C & Heating for Laurie J. Cannette <br /> <br />ADDRESS 39007 B 1 u e jay A v e'n u e, Z ep h y r hill s <br /> <br />PHONE 788-1853 <br /> <br />OWNER <br /> <br />Laurie J. Cannette <br /> <br />JOB LOCATION 39007 Blue iay Ave. Zephryhi11s LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />13 <br /> <br />BLOCK 26 SUBDIVISION 21 <br /> <br />PARCEL 1. D. 4~ <br /> <br />13_26_21_0100-00000-0280 <br /> <br />WORK PROPOSED:____New ~onstruction ----Addition ----Alteration ____Repair ____Install <br /> <br />____Sign/Temp, <br /> <br />_Sign <br /> <br />____~ove <br /> <br />____Demolish <br /> <br />PROPOSEP USE: ____Single Family <br /> <br />---l'l/ F <br /> <br />____# of Units ' <br /> <br />____H/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 />PF.RMITS REOI~STED <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 />.....x.J1ECHANICAL <br /> <br />$ <br /> <br />1993.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <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: <br /> <br />FT. <br /> <br />CONTRACTORS <br />Builder <br /> <br />Company <br /> <br />Signature City License Registration # <br />***************************************************************************************** <br /> <br />Electrician <br /> <br />Company <br /> <br />Signature City License Registration ~~ <br />*************.**.****.*******..**.....*..**..**.*******************************.********* <br />Plumber Company <br /> <br />Signature City License Registration # <br />*********************.******.*******...**.************.********************************** <br />Mechanical John T. Kutsch Company ,T::lrk' ~ A If'. "); H",~H ng <br /> <br />Signature I. City License Registration # 69 <br />*******************.*~********..*..**.*************************************************** <br />. <br /> <br />Other <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration # <br /> <br />I Hereby certify that I have read and examined this application and know the same to be <br />true and correct. All provisions of law and ordinances governing this type of work will be <br />complied with whether specified herein or not,' the granting of a permit does not presume to <br />give authority to violate or cancel the provisions of any other state or local law <br />regul~eonstrueti r~performanee of canst etion. <br /> <br /> <br />Signature <br /> <br />t9 r-/ 9 ~ ?EJ-- Date <br /> <br /> <br /> <br />.. <br /> <br />/1/"'/9-9~ Date <br />..signed by the owner <br /> <br />,- <br />and notarized. <br /> <br /> <br />JOHN T, KUTSCH <br />Notary Pub"t, St.te of flo.lda <br />My Camm. Exp. June 9, 1995 <br />