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<br />APPLICATION FOR PER1'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Jack's A/C & Heating <br /> <br />OWNER <br /> <br />12601 Abbev Drive. Dade City. FL <br />Florida Medical Center <br /> <br />335 2 ') PHONE (q 0 4 ) ') ? 1 - 0 4 ? 0 <br /> <br />ADDRESS <br /> <br />'. <br /> <br />JOB LOCATION 38135 Market Square, ZephyrhillE'oT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.i~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____i~ of Uni ts <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 />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />, . <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 FORNS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pF.RMTTS 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 />-X-MECHANICAL <br /> <br />$ 6996.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.r <br />. , . <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 a <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration a <br />****************************************** <br /> <br />F.T .E(;TR1 (;1 AN <br /> <br />Signature <br /> <br />Conr'any <br />State Cert. or Regist. a <br />City License Registration a <br />****************************************** <br /> <br />PLUMBER <br /> <br />MF.CHANICAT. Company Jack's A/C & Heating <br />~. ~. ~ State Cert. or Regist. ii CAC041 ??O <br />Signature ~ City License Registration iF 6q <br />. **** ******************** ******1, * ,',* * ** ** * 1, 1, <br /> <br />Si~nature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration a <br /> <br />PTHF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />*27-"'** * *** ****** * ** **1* * * * * * * *" * .*1' 1:1, * * * 1, * * * *. * <br />_ tf'4< /'''0, /l7 ~JL.- . PERMIT OFFICER. <br />. <t ' <br /> <br />fj,oJl.........,...' .~~,~.. -. <br />. '." . <br /> <br />j I , ~- <br /> <br />L -:.:.! <br />, .. '':k "'.'_' '. .' '~'" .,."".,.,;"....... ,.~....~.........;:~, <br /> <br />h.,outl':"'..,: <br /> <br />f <br />...;...~"'"I"..~.. <br />