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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />Ken Wiley Constructidri-Mainten~nrp.' Tnr <br /> <br />ADDRESS <br /> <br />1214 Roholink' ~t- <br /> <br />rry~tal SpriRgs. Fl <br /> <br />PHONE 782-01:)46 <br /> <br />OWNER <br /> <br />Mr. & Mis. Shafer <br /> <br />" <br /> <br />JOB LOCATION 612.J Cameo St. <br /> <br />LOT SIZE 47 X 54 AREA SQ. FT . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION Oakside Mohilp Homp Park <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:____New Construction ..lL-Addition K..-Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Nove _Demolish <br />PROPOSED USE: ~Single Family ~/F ____t~ of Units ,.X-M/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 FOID-IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />1,800.00 <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 /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />. <br />_PLUMBING <br /> <br />.... . <br /> <br />GAS <br /> <br />ROIJFING <br /> <br />___.~__SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel Aluminum <br /> <br />Other Concrete <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company Kpn wi 1 Py ("nn~t Miil iRt. IRe <br />State Cert. or Regist, i~ RX0059630 <br />City License Registration U 6q~41 <br />****************************************** <br /> <br />BUILDER Ken wi ley <br /> <br />Sismature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration U <br />****************************************** <br /> <br />,PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regisc. U <br />City License Registration 0 <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />