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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Jack's A/C & Heating <br />ADDRESS 12601 Abbey Drive, Dade City, FL 33525 <br /> <br />PHONE (904)521-0420 <br /> <br />OWNER <br /> <br />Diane Bryant, Mr. & Mrs. Bryant <br /> <br />JOB LOCATION 6330 12th Street. Zephyrhills LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />02-26-21-0000-03400-0010 <br /> <br />WORK PROPOSED:____New construction ----Addition ____Alteration ____RE!pair ____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 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 />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.U <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELECTRICAL <br />--1LMECHANICAL <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 _Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />() <br />nay;;; <br /> <br />f l <br />" v- <br />i)'}" '. <br />i ( <br />v> <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />:::::::AN~ Company Rogers Electric <br />..' s~ate ?ert. or R~gist. . ~~ ER0012229 <br />:---- C1.ty L1.cense Regl.strat1.on #' 231 <br />- ****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br />. , <br /> <br />,. <br /> <br />. <br /> <br />Signature <br /> <br /> <br />Company J a c k 's A I C & He a tin g <br />State Cert, or Regist. ~~ ,CAe041220 <br />City License Registration # 69 <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registfation # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />