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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S HUm Mr. & Mrs. Jerry Linville <br /> <br />PHONE 813-782-2951 <br /> <br />OWNER'S ADDRESS 5901 Avocado <br />JOB ADDRESs.s6 '17, 17th street <br /> <br />Zephyrhills, Florida 33540 <br /> <br />Zephyrhills, Florida 33540 <br />of 7 <br />LEGAL DESCRIPTION: LOT(S)3,4,5,6 & 1/2B~SUBDIVISION N/A <br /> <br />PARCEL I.D.' 11~6-21-0010-10700-0030 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-1LHew Construction ---"ddition --Alteration _Repair _Install <br /> <br />_Sign <br /> <br />----1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: .....!...S iogle F_ily <br /> <br />--.lt/F _' of Units --"/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />____estaurant Ii: Health Departaent Approval <br />DESCRIPTIOII OF WORK: Construction of new masonry single family residence <br /> <br />, .1 <br />BUILDIIIG SIZE: 36 X 76 . 2584 <br /> <br />Square Feet. 1 6 ' <br /> <br />Height <br /> <br />RESIDEIITIAL: ATTACH (2) PI..OT PLAIIS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET EIIERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDIIIG PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDIIIG <br />x <br />_ELECTRICAL <br /> <br />$ 80,000.00 <br /> <br />Valuation of Total Construction <br /> <br />150 AIIP Se . <br />rv1ce <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CHAIIICAL <br /> <br />$ 3,450.00 <br />N/A GAS <br /> <br />Valuation of Kecbanical Installation <br /> <br />~PLUKBIIIG <br /> <br />ROOFING <br /> <br />N/A <br /> <br />SPECIALTY <br /> <br />TYPE OF COIlSTRUcnOIl: ~Block _Fralle _Steel <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIOIIS: <br /> <br />Fr. <br /> <br />IS PROJEct IN FLOOD ZOIlE AREA'l ...K- <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />:::e,/1 ) .Ot? . _ , Ii. 4. 7~-,- =~r:~:~ =~~".c~~~~41 ~~~ . <br />,-l~.-~ 6..~L City License Registration' 251 <br />.......................................... <br /> <br />,.', <br /> <br />RT.RCTRICIAII COMPANY Fee Electric <br />4./) /(// '\ ;;?/~7 State Cert. or Regist.' ER0004640 <br />SianAture "'#/t/~if) //V L/-.A'_,~ City License Registration' 50 <br />.......................................... <br /> <br />PLUKBER ~ COMPANY Chris Bahr Plumbin <br />/1 ... -;j./J () III ~ State Cert. or Regist. . <br />Signature ( ~ ~ ;',V2f~ City License Registration' <br />~~...........................,.............. '-y <br />__, /If ~"~J',X'J2.{ 011 C\\Jt-l IN.. ~ tvC-. <br />IlECllAHICAL ,~. COMPANY Bahr I s Gas & A/C <br />i/j /' / State Cert. or Regist. r'a~dR <br />Signature /~ D.A City License Registration, ~ 1,/3 <br />~ .......................................... <br /> <br /> <br />O~ R012fi g COMPANY Back Construction, Inc. <br />. '.' 'IIJ/!. /1 /1 JJ J State Cert. or Regist. . c\.jc04HH 1 <br />Signature ~~ J6d- 1.5~1e.-/ City License Registration f 251 <br />.......................................... <br /> <br />APPL1CAnOR APP1IlIVEO BY '11 a&l.I'1; !J7 ~()-- Pl!RllIT OFFICER. <br />