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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME Tim & Denise Ipuli tto <br /> <br />PHONE 788-63 <br /> <br />OWNER'S ADDRESS 38332 A Ave. Zephyrhills, FL <br /> <br />33541 <br /> <br />JOB ADDRESS 6844 N. Lake Dr. Zephyrhills, FL 33541 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.,03-26-21-0180-00000-0630 <br /> <br />63 <br /> <br />BLOCK <br /> <br />SUBDIVISION Stephen's Glen at Silver Oaks <br />Phase Three <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair ____Install <br /> <br />_Sign <br /> <br />____Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____H/F <br /> <br />_, of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: Single Family Residence <br /> <br />BUILDING SIZE: 70' X 57' , 3063 <br /> <br />Square Feet, 20' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <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 />-LBUILDING <br /> <br />$ 110,000.00 <br />200 <br /> <br />Valuation of Total Construction <br /> <br />-LELEC'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />-LKECIIANlCAL <br /> <br />$ 3,273.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUKBING <br /> <br />GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Bloclt _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: 1.33 FT. IS PROJECT IN FLOOD ZONE AREA? X <br />4ho,,4 G-,,..}e. YES NO <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br />Signature ~ .-:;2-. <br />,- - <br /> <br />COMPANY Rairigh Stucco Inc. <br />~ State Cert. or Regist. '(S <br />, City License Registration , <br />****. ************************************ <br /> <br />~6~~ 1'1~ <br />h~ <br /> <br />V' <br /> <br />:...~ ..... ~ COMPANY She rd Electric & A.C. <br />~ - State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br /> <br />~ <br /> <br />MECHANICAL <br />Signature~ <br /> <br />PLUKBER COMPANY Hannan Thacker <br />.~~ State Cert. or Regist. , <br />Signatured1) 1/2/' CUy License Registration' <br />* **************************************** <br /> <br />COMPANY Sheppard Electric & A.C. <br />State Cert. or Regist. , eN C () <br />City License Registration , <br />****************************************** <br /> <br /> <br />~ <br /> <br /> <br /> <br />ft <br /> <br />OTRF.R Roofing COMPANY Stay Dry Roofing <br /> <br />r.. -? -:7 State Cert. or Regist. , f2c... CX4O(iJO<:; <br />Signature ,::;:;:~ ~~-? City License Registration' / h Rb <br />- ****************************************** <br /> <br />~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />