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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER' 5 NAKB <br /> <br />BRANTLEY SMITH <br /> <br />PHONE 7i82-4850 <br /> <br />OWNER'S ADDRESS 6545 BRENTWOOD DR. ZEPHYRHILLS FL 33541 <br /> <br />SILVER OAKS <br /> <br />JOB ADDRESS <br /> <br />SAME AS ABOVE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />04-26-21-0020-00000-00 A3 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration _Repair 1L-Install <br /> <br />_Sign <br /> <br />____Move <br /> <br />____DeJlolish <br /> <br />PROPOSED USE: L-,Single Fallily <br /> <br />____H/F <br /> <br />_' of Units ____M/H <br /> <br />____eo..ercial <br /> <br />____Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant & Health Departlllent Approval <br /> <br />DESCRIPTION OF WORK: REMOVE SCREENS AND INSTALL WINDOWS <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 />......A-BUILDING <br /> <br />$ $955.00 <br /> <br />Valuation of Total Construction <br /> <br />-2L-ELEC'1'RlCAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: If.-Block _Fralle _Steel <br /> <br />Other <br /> <br />FlBISHED 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 />BUTT.DER ~' COMPANY G-L-_ ST8I~ c..oPST_ <br />J ~- State Cert. or Regist.' ~ l2.o;;r~J3 '1 <br />Signature ~ / .... City License Registration' :kJ$ <br />/ ~ . ......................~....)~ ~ <br /> <br />~ ,- COMPANY 22-t'?t~--E L~ ~.2'n~ <br /> <br />State Cert. or Regist.' c)c;02 l Co s;.-- <br />u City License Registration t ~ .:la..J..... <br />................................... <br /> <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <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 />