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<br />APPLICATION FOR PERMIT <br />GIn OF ZEPlIYRHILLS <br />Bllflj.~"T~ DHPAR1'1!iiEM <br /> <br />OWNER'S MAKE Larry Crosby <br />OWNER'S ADDRESS 7359 Jason Dr. <br /> <br />PHONE <br />Zephyrhills, Fl. 33541 <br /> <br />782-1729 <br /> <br />JOB ADDRESS <br /> <br />5313 19th St. <br /> <br />Zephyrhills, Fl. <br /> <br />LEGAL DESCRIPTION: L.OI'(S) <br /> <br />BL.OCK <br /> <br />SlDBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />WRK PROPOSED :~Nev Construction <br /> <br />_Addition L-Alteration <br /> <br />_Sign <br /> <br />_Hove <br /> <br />~D~lish <br /> <br />_Repair _Install <br />Remove existing roof rafter <br />Replace rafters and roofing <br /> <br />PROPOSED USE: <br /> <br />Single F8IIily <br /> <br />_KIF <br /> <br />_, of Ulnits <br /> <br />_H/H <br /> <br />~~rci.al <br /> <br />_Indust. <br /> <br />_Swi8. Pool <br /> <br />Rental <br /> <br />Other <br /> <br />_Restaurant &: Healt:h Depar1:llent: Approval <br /> <br />BUILDING SIZE: <br /> <br />14 X 30 , <br /> <br />420 <br /> <br />Square Feet. <br /> <br />8 <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottMERCIAL : <br /> <br />ATTACH (2) PLOT PLAWlS &: (2) SEIS OF BUILDING PLAWlS &: (1) SET ENERGY FORKS. ** <br />ATTACH (3) SEIS OF BlJILDDilG PLMiIS &: (1) SEt' ElmRGY FORKS. ** <br />**COPY OF COftRAGl' RlrQllTfRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />1100.00 <br /> <br />Valuation of Total Construction <br /> <br />N A ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />N A MECHANICAL <br /> <br />s <br /> <br />Valuat:ion of Hechanica1 Installation <br /> <br />~PLmmING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'I'ION: _Block .JQL.Fr~ _Steel <br /> <br />.. <br /> <br />Other <br /> <br />YES <br /> <br />XX <br />NO <br /> <br />FIKISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />COl8JTRACIOR SECTION <br /> <br />BUILDER <br /> <br />~Z~ <br /> <br />OOOW~ Gordon Ten Brink <br />State Cert. or Regist:.' CGC <br />Cit:y License Registration , <br />****************************************** <br /> <br />043422 <br />110 <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CDlPMY <br />State Cert. or Regist. , <br />Cit:y License Registration t <br />****************************************** <br /> <br />Sifr08t:ure <br /> <br />PUJKBER <br /> <br />CO'IfPARY <br />State Cert:. or Regist:. , <br />Cit:y License Registration I <br /> <br />Signa t:ure <br /> <br />~~~**~~~~~~~~~~t~~~~~~~~~~~;~~&~~~~~~~~~~* <br /> <br />KECHARICAL <br /> <br />COIIPMilY <br />State Cert. or Regist. I <br />Cit:y License Registration t <br />****************************************** <br /> <br />Signat:ure <br /> <br />OTHER <br /> <br />S ignat:ure <br /> <br />COlIPARY <br />St:at:e Cert:. or Regist. ~ <br />City License Registrstion . <br />******~*~****************************~**** <br /> <br />-... j <br />APPLICATION APPROVED .Hl', ~ _,' . <br /> <br />'PERMIT OFFICER. <br />