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<br />'-4lil. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />CHARLES NELSON <br /> <br />PHONE <br /> <br />788-6042 <br /> <br />OWNER'S ADDRESS 38541 1st Ave.(cor 7th st.) Zephyrhills, FL 33540 <br /> <br />JOB ADDRESS Same <br /> <br />LEGAL DESCRIPTION: LOT(S) 13 & 14 <br /> <br />BLOCK 207 SUBDIVISION City of Zephyrhills <br /> <br />PARCEL I.D.' 11-76-21-0010-20700-0130 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Install Central Heatina & Air ConditioninQ <br /> <br />BUILDING 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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTIUCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~MECHAlfiCAL <br /> <br />$ 2800.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regis t. . <br />City License Registration , <br />****************************************** <br /> <br />ELECTRICIAN COMPANYt(1c I{ .(/2;<7 CU/f.A>l4~ L_ ~LEc 7/01 / C. <br /> <br />---:--:---~ ~ State Cert. or Regist. , <br />SiR at: e~c:>d"'-el' G ~/ City License Registration t ?;;L <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />SigoatureA" <br /> <br /># <br />,.'-"~/- . <br />.' . ! <br />1~'1"':, '/,,-, <br /> <br />c:;....//~ <br /> <br />COMPANY Craddock's Air Conditioning <br />State Cert. or Regist. f RM0019937 <br />City License Registration' 71 <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />