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<br />APPLICATION FOR PERMIT <br />CITY OP ZEPHYRHILLS <br />BUILDING DEPAR'fHENf <br /> <br />OWNER'S NAKE TOM VENGARD <br /> <br />PHONE <br /> <br />782-0419 <br /> <br />OWNER'S ADDRESS <br /> <br />38636 B AVENUE <br /> <br />Zephyrhills, FL 33540 <br /> <br />JOB ADDRESS <br /> <br />SAME AS ABOVE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 14-26-21-0010-03000-0010 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition --...Alteration ~epair _Install <br /> <br />_Sign <br /> <br />----'love <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----'I/p _' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />----Restaurant &: Health Departlllent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />RE ROOF <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 />-x-BUILDING <br /> <br />$ <br /> <br />2,880.00 <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 />_MECllAHICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />l'YPE OF CONSTRUcnON: _.Block _FrSlle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnOBS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAcrOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />*******************~********************** <br /> <br />SiQJIature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <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 />2I11ER~~ COIIPANY RYMAN rDN~'I'RTlr'l:H1N. TN~ (~oof i n~ <br />. State Cert. or Regist. f R(, nnhl h4R <br />Signa . c- City License Registration f ? 7 r:., <br />. **************************************** <br /> <br />Division) <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFPICER. <br />