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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />RafaelRodriauez <br /> <br />PHONE 783-7590 <br /> <br />ADDRESS 38620 North Ave. <br />OWNER Same as above' <br />JOB LOCATION Same as above <br /> <br />'. <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.~t <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />11_26-21-0010-01900-00020 <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />_~t of Uni ts <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 FORt-lS.,H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />}'RRMTT~ REOUESTED <br /> <br />_BUILDING <br /> <br />$ 1500.00 <br /> <br />valuation of Total Construction <br /> <br />~ELECTRICAL <br />X X X MECHANICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ 1500.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR ~RCTION <br />Company <br />State Cert. or Regist. !F_ <br />City License Registration # <br />*********************~******************** <br /> <br />J3U1LDER <br /> <br />f.LECTRTCTANRichard Crandall Company Richard Crandall <br />State Cert. or Regist. ~F ER0559, <br />Signature City License Registration 1F 240 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 6 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL Clayton l.rt='lrlrlnr.k Company .c]addock's Air Conrlitinnino <br />State Cert. or Regist. ~F-B.Mnn 199,7 <br />Signature City License Registration il: 1 R <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />f.~--"""'--"'-.'\:r""~ <br />,. -'''._.~'- ..., <br /> <br /> <br />; <br />....~.."'';l'..I~........ . ,,.,_.,...... ..~;....."..~:.".~..lo. "",~..~". ,..,....~""..._.., ""., <br />