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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />Jack's AIC & Heating <br /> <br />ADDRESS <br /> <br />12601 Abbey Drive, Dade City, FL 3352~HONE (904)521-0420 <br /> <br />OWNER _ <br />JOB LOCATION 5430 8th Street, Zephyrhills LOT SIZE_X <br /> <br />Fred Shaw <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F 11-26-21-0010-01200-0210 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____M/F <br /> <br />____~F of Units <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 />BlJ,ILDING 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 />PERMITS 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 />_W.R.E.C. <br /> <br />~i' <br />~MECHANICAL <br /> <br />$ $3190.00 <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: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br /> <br />~::A~ ~.............****:::::::**~;;~::;..~~c <br /> <br />. ;, // S~ate ~ert. or R:gist. . # E/l..ooiUl "1 <br />________ ~_ C1ty L1cense Reg1strat1on # c,. (.,] :'- <br />****************************************** <br /> <br />,;J7,/ <br />, <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAl" Company Jack's AIC & H~ic62T <br />g~~ ~ State Cert. or Regist. il 220 <br />Signature ' ..l ) City License Registration ~F 69 <br />. . . . '.*.*..*...*....**.*.*..*...*..*.*..*.*.. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />