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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />Jack's A/C & Heating <br /> <br />ADDRESS 12601 Abbey Drive Dade City FL 33525 <br />Ii 6' <br />OWNER E ~U/,' >1 A. i. e r'<I.H d <br /> <br />PHONE~ 904) 521-0420 <br /> <br />JOB LOCATION3.s;33.yj r;MMLA.JOOd. PI,. <br /> <br />LOT SIZE_____X AREA SQ. FT. <br />SUBDIVISION lJr;{fw~od l'2J-l"k/'J f" <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PARCEL I.D.~F (!;>J - .2...~-;zI-C'..z..IB <br /> <br />OOEOO 00/0 <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 />____# 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 />BqILDING 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 />~MlcHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />S hma ture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />Signature <br /> <br />Company Jack's A/C & Rea tinq <br />State Cert. or Regist. #CAC041220 <br />City License Registration # 69 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br /> <br />or Regist. # <br />. .tJ;.'i!.t ion iF <br />~~~H <br />************ ~*~~******** <br /> <br />Company <br />State Cert. <br />City Licen <br /> <br />Signature <br /> <br />t <br />APPLICAbollJ ~m6VEDBYM"" <br /> <br />PE/itJOFFICER . <br />t <br />