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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />//;;~--_.~, <br />t?~. r ~ ~.,~ /J /1tJ). <br />~5D ,'),:/ <br />~ <br /> <br />OWNER'S NAME Nina Bird <br /> <br />PHONE(813)788-9701 Owner <br />(352)567-6581 GHD <br /> <br />OWNER'S ADDRESS 38521 Henrv Drive ZeDhvrhills, FL' 33540 <br />JOB ADDRESS~70~Pistachio Street Ze~hvrhills, FL (Driftwood Subdivision) <br /> <br />LEGAL DESCRIPTION: LOT(S)5 <br /> <br />BLOCK <br /> <br />SUBDIVISION Driftwood Phase IV <br /> <br />PARCEL LD.' 02-26-21-0240-00000-0040 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition ----^Iteration ____Repair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: -X..-Single Family <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: Construct new concrete block home <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, 1 n? l') 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 />Valuation of Total Construction <br /> <br />-x-ELECTRlCAL <br />-LMECHANICAL <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 />....lLPLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ...!-Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER Kevin T. Roberts COMPANY r,pner~l Home Development Corp. <br />9 State Cert. or Regist. # CGCOOS~95 <br />Signature ~ K.~~..oJJ City License Registration # 267 <br />**********************************~******: <br /> <br />PLUMBER Rus <br /> <br /> <br />COMPANY MaJtin Electric <br />State Cert. or Regist. # EROO 13449 <br />City License Registration # 97 <br />~************************************** <br /> <br />Signature <br /> <br />COMPANY RUity'~ Plu~bin~ <br />State Cert. or Regist. CFC056789 <br />City License Registration #1546 <br />* ******************************* <br /> <br />MECHANICAL <br /> <br /> <br />COMPANY SOlJthprn Comfort Enterprises <br />State Cert. or Regist. URM00150?? <br />City License Registration # 5~ <br />**************************** <br /> <br />Signature <br /> <br />~ Kevin T. Roberto COMPANY ~pnpr~1 Bomp Development CorD~ <br />C'LrL-~ . ...cl. " . State Cert. or Regist. U CGC005695 <br />Signature ~:"t::JS. C)JU'tf~ City License Registration U 267 <br />****************************************.~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />