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<br /># <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BrrILDING DEPARTMENT <br /> <br />" <br /> <br />OWNER'S NAKE Wedgewood Manor Homeowners <br /> <br />'ii, 2tJ/~ft?)Je WI? AA;() 7r3 -:6,I~ <br />~~ <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />37420 Wedgewood Drive, Zephyrhills, Fl. 33541 <br /> <br />JOB ADDRESS <br /> <br />37u?n l^lor1gt=H&Tf"\Ad nViHQ, 19pR~TI?RillfJ, Fl. 335/11 <br /> <br />LEGAL DESCRIPTION: LOT(S) C:/i'i lltt~dlQg BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 10-26-21-0120-00000-00AO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-1L-New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />1L-<=<-ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Construct (4) Shuffleboard Courts <br /> <br />BUILDING SIZE: 14 <br /> <br />X 61. <br /> <br />2124 <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 />-X....-BUILDING <br /> <br />$ <br /> <br />$RR?fi 00 <br /> <br />Valuation of Total Construction <br /> <br />I) _~1J~~ <br />JY'~6{) <br /> <br />PERMITS REOUESTED <br /> <br />_ELECTRICAL <br />_MECHAlfiCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />X SlRn <br /> <br />Other <br /> <br />FDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />...........**.**.**.****..*.************** <br /> <br />r <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COMPANY Tnp. Nidy ComVRny <br />State Cert. or Regist.' CBC-0~7Rs2 <br />City License Registration' 1[14 '1-CB C0'178s? <br />****************.**************** <br /> <br />F.T ,RCTRIClAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />********.********************************* <br /> <br />SilnlAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />*********.*~****************************** <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.*****.*********************************** <br /> <br />BY~JIt'f1lWl/l~ <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br />PERMIT OFFICER. <br />