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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. <br />. .. <br /> <br />OWNER'S NAKE <br /> <br />Robert Chadwell <br /> <br />PHONE 782-2522 <br /> <br />OWNER'S ADDRESS 5324 16th St. <br /> <br />Zephyrhills, FL 33540 <br /> <br />JOB ADDRESS 5336 16th st., Zephyrhills, Fl 33540 <br />11-26-21-0010-17200-0190 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I.D.' 11-26-21-0010-17200-0190 (OBTAIN FROM PROPERTY TAX NQTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~A1teration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: 2-.s Ingle F8.IIily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_swta. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: TnstRll r.p.ntrRl HP.Rt ~ Air <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 />-LELEC'lRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~HEGHANIGAL <br /> <br />$ 2450.00 <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 />BIJTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELE::=C::~ COMPANY k!<:-h Me 17 C PA'.;vcULL I.?LLGT/t?-/c'".,L C'(,A./7'R4<oMt<{? <br />: '/"'..... _ State Cert. or Regist. , <br />Si ~.( ~ City License Registration . d 7.:1. <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />HEGBANlCAL ~. ~.. COMPANY Craddock's Air Condi tioninq <br />~ State Cert. or Regist. . <br />Sigoaturet~ . c::::;:., ~ City License Registration' 71 <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />