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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER I S NAHB <br /> <br />John C. Brant Sr <br /> <br />PHONE <br /> <br />813-788-3804 <br /> <br />OWNER I S ADDRESS <br /> <br />5628 McCoy Ct <br /> <br />Zepyrhills,Fl. 33540 <br /> <br />JOB ADDRESS <br /> <br />5628 McCoy Ct <br /> <br />Zephyrhills,Fl. 33540 <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />92 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Sunset Estates #2 <br /> <br />PARCEL 1.D.' <br /> <br />12-26-21-0310-00000-0920 <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-Rew Construction ~ition --...Alteration ___epair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />.1QLDeaolish <br /> <br />PROPOSED USE: -!!,Single F_ily <br /> <br />--1f/F <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />___estaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Move Deck, Extend 2 rooms and make Master Bedroom w/Bath & Move Kitchen <br /> <br />BUILDING SIZE: /.h X ,.11 ,........,,-:5.:F2 Square Feet, /~ I' Height <br /> <br />RESIDENTIAL: <br />COtIHERCIAL : <br /> <br />A'lTACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />A'lTACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />Ii;mo 0? <br /> <br />_ELECl'RICAL <br /> <br />Valuation of Total Construction <br /> <br />AMP Service ~ Florida Power Corp. <br />00 <br />$ ~ CCl? ~ <br />, <br /> <br />W.R.E.C. <br /> <br />----.JIECBARICAL <br /> <br />-LPLUH8~NG <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />V ROOFING <br />~r_e _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />~lock <br /> <br />Other <br /> <br />PIliISBBD FLOOR ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />-L <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRActOR SECTION <br /> <br />COMPANY ~ <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Bun.DER <br /> <br />IU.RCTRICIAR <br /> <br />COMPANY C/WVLf2./\.- <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />PIDIBER d i Q>>IPAIIY ('jlR It; l5-1k~ p'dyUm.p:(I/( <br />~ . State Cert. or ReRiat.' _ Fc6 f!;"~ <br />SillDature " ,C- 2~ e~ty UC<!DSe kgistration . ,S":2 <br />. ****************************************** <br /> <br />J <br /> <br />SilmAture <br /> <br />MECHANICAL 7 <br /> <br />SillDature ~ ~ jJ City Liceoae ReRistrsUon . <br />****************************************** <br /> <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />*.**************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />