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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRllILLS <br />BUILDING DEPARTMENT <br /> <br />7~ff;~' '!Y-3-IVifp <br />(#/ <br /> <br />OWNER'S NAME <br /> <br />Starlena Loss <br /> <br />PHONE <br /> <br />567-5281 <br /> <br />OWNER'S ADDRESS P.O. Box 378. Dade City. FL 33526 <br />JOB ADDRESS ~~~ttt .~~/fL"i-'~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK 3 SUBDIVISION YINGLINGS ADDITION <br /> <br />PARCEL 1. D. # <br /> <br />12-26-21-0020-CC300-0040 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-LNew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: -LSingle Family <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: r.on"trur.tion of Npw r.onr.rptp Rlnr.k Hnmp <br /> <br />BUILDING SIZE: 29'4" X 44'4':-6)SQuare Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />$ 33.AOO 00 <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 />_MECHANICAL <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: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER Kevin T. Roberts COMPANY r,pnpr~l Home Development Corp. <br />~ /. State Cert. or Regist. # CGC005695 <br />Signature ~ ~ City License Registration # 267 <br />\ ' ****************************************** <br /> <br />/ <br /> <br />ELECTRICIAN Carlyle R. Huffman COMPANY~_d.Y-le Electric <br />) ~ State Cert. or Regist. #-ER~11QJ9 <br />SiRnature (' <?+./f,;f/ W/U'. City License Registration #Hi2 <br />**************************************** <br /> <br />./ <br /> <br />PLUMBER Rus <br /> <br /> <br />COMPANY RUity'i Plu~bi~~ <br />State Cert. or Regist. CFC056789 <br />City License Registration #1546 <br />* ****************************** <br /> <br />Signature <br /> <br />~ <br /> <br />MECHANICAL ~Odne~ Carter ~ COMPANY Snllthprn r.nmfnrt Entprpri SF'S <br />~~l ~ State Cert. or Regist. #RM00150?? <br />Signature . ~~ City License Registration * ~~ <br />****************************************** <br /> <br />/ <br /> <br />COMP ANY-.G.aYj.D-B.Q.Qj'~ <br />State Cert. or Regist. ~ RC0046?41 <br />City License Registratiou ~ / / b <br />* **** **** ** * * * * * ** *** * ** ********* * * **** *........ <br /> <br />#p/J <br /> <br />J <br /> <br />!lIIIER Ri c k Ga V ~ <)Po d...:..- <br />S1gnature ~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />