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<br />OWNER'S NAME <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />Dan & Linda Boan <br /> <br />PHONE (813) 788-6498 <br /> <br />OWNER'S ADDRESS 4546 Blossom Blvd. Zephyrhills, Fl. 33541 <br />JOB ADDRESS 5554 17th. Street Zephyrhills, FL. 33540 <br /> <br />LEGAL DESCRIPTION: LOT(S) #15-#18 <br /> <br />PARCEL I.D.' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />11-26-21-0010-11300-0150 <br /> <br />WORK PROPOSED:~New Construction ____Addition _Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />DeIIOlish <br /> <br />. PROPOSED USE: * * *Single FuBy <br /> <br />_Co_ercial <br /> <br />_M/F ____, of Units <br />_Indust. ____Swim. Pool <br /> <br />_M/H <br /> <br />Other <br /> <br />____Restaurant Ii Health Department Approval <br /> <br />BUILDING SIZE: 37 <br /> <br />X 51 <br />-' <br /> <br />1887 <br /> <br />8 Height <br /> <br />Square Feet, <br /> <br />RESIDENTIAL: ATl'ACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET EHERGY FORMS. ** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLUS Ii (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />..JQLBUILDING <br />~ELECTRICAL <br />XX MECHANICAL <br />-XX...PLUMBING <br /> <br />$ <br /> <br />60,000.00 <br /> <br />Valuation of Total Construction <br /> <br />200 <br /> <br />AMP Service <br /> <br />*** <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />2,900 <br />GAS <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICI <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />** <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY Whitworth Builders <br />~ State Cert. or Reqiet. . 0048799 <br />Ci ty License Registration , J<,/Y' <br />**. *********.*.*****.*.****..*.********** <br /> <br />COMPANY First Class Electric <br />State Cert. or Regist. , E 4 0/ / 5-/ '7 <br />Ci ty License Registration I /.s~' . <br />**************************************** ' <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />COMPANY r.orella Plumbina <br />U~ State Cert. or Regist. I dOffl <br />. -City License Registration I .fiil <br />****************************************** <br /> <br />~ COMPANY Sonny. s <br />State Cert. or Regist. I <br />, r U lye"'; f Zl. Ci ty Licenee Registrati(lll . <br />/7 ***'** ********************************* <br /> <br />COIPAIIY t40i<l ~4;v'l- <br />o . ~ #JI . State Cert. or Regist. I <br />~ ~~~ Ci ty License Registration' .3 cJ <br />*** ************************************** <br /> <br />5'67- , :J. ~ 'f <br /> <br />-ItZ-- <br /> <br />lPPLICATION APPROVED 'BY <br /> <br />, <br /> <br />PERMIT OFFICER. <br />