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<br />APPLICATION FOR PKRMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ALBERT & DORIS MITTENDORF PHONE 813-788-9124 <br /> <br />OWNER'S ADDRESS 37931 8th AVENUE ZEPHYRHILLS, FL 33541 <br /> <br />JOB ADDRESS SAME AS ABOVE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.# 10-26-21-0010-09600-0020 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />N/A <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Al.teration ...!.-.Repair _Install <br /> <br />_Sign <br /> <br />-Jove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: -1L.Single Faaily <br /> <br />\. <br />-JIF <br /> <br />--L.# of Units -1L.M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Hea1th Departaent Approval <br /> <br />DESCRIPTION OF WORK: REROOF MOBILE HOME WITH SINGLE PLY RUBBER MEMBRANE <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />903 <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 />_BUILDING <br /> <br />$ <br /> <br />3219.78 <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 />_MECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />REROOF <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />.......................................... <br /> <br />RT.RCTRICIAN COMPANY <br />State Cert. or Regist. , <br />SignAture City License Registration # <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />.......................................... <br /> <br />OTRRR COMPANY "'01\l'lTJMiR iNiRC'Y lit ^ ui~~ INr <br />State Cert. or Regist. ,CCC057196 <br />Signature City License Registration # 885-CC <br />.......................................... <br /> <br /> <br />APPLICATION APPROVED BY PKRMIT OFFICER. <br />