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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />r'i7 <br /> <br />fR f ~o.; :9), <br />/I <br />PHONE /?a 3 - '3 72:9 <br /> <br />OWNER'S NAKE . GTE Mobilnet <br /> <br />OWNER'S ADDRESS 600 N. Westshore Blvd. Suite 204 Tampa, Fl. 33009 <br />704 Avenue "A" 3 rr-:~'--t:;; g--- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) 6,7 & 8 <br />PARCEL 1.0..14-26-21-0010-01700-0010 <br /> <br />BLOCK 17 SUBDIVISION Moore's First <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ~ddition ____Alteration ____Repair _Install <br /> <br />____Sign <br /> <br />----"ove <br /> <br />_Deaolish <br /> <br />Interior Renovation <br />PROPOSED USE: _Single Faaily <br /> <br />~C~ercia1 <br /> <br />----"I F <br /> <br />____, of Units ----"/H <br /> <br />____Indus t. <br /> <br />_Swim. Pool ___Other <br /> <br />____Restaurant & Health DeparbDent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 31.0 x41.0 ~ 1,271 <br /> <br />Interior Renovation <br /> <br />Square Feet, 16 ,~ 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 />$ 62,698.00 <br />200 <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL . $ 1,871.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />D~Pi.UMBING <br /> <br />DNA <br /> <br />GAS <br /> <br />$7,400. 00 ROOFING <br /> <br />DNA <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -K-Bloclt ____Pralle -LStee! <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: 84.53FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? Flood Zone "X" <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJIIJ)ER <br /> <br />COMPANY E.M. Scott General Contractor. Inc. <br />(2; -z::- / r-A--- State Cert. or Regist. t CGC-008~2 <br />( --"" ~C _ ...",.r/1--*'C><J City License Registration' 19 r <br />****************************************** <br /> <br />v <br /> <br />Signature <br /> <br />:::~~ COMPANY 5D",,-rlluJ E~Ee.1'il'~ o,c: ~/A <br />- ~ State Cert. or Regist. 41 ~OOO 1,/" S <br />u e ~ City License Registration t I 94-1 <br />.. ... .-- . ......................................... <br /> <br />/.v-.. <br />~ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />/) /f/ 4 <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br /> <br />~ <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br />PERMIT OFFICER. <br />