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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />f g <br />o~t~ V;/1 <br />\ ,;z'7 J <br />.7vl/ <br /> <br />/ <br /> <br />H11-7l:\Q_H4l:\1 <br /> <br />OWNER'S NAKE <br /> <br />Dehrn c:; .Tohn!':on <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS 19014 Kirklnna Dr , 7,pphyrhill!':, Fl 11S40 <br />g 8'30 CJ I( .s- <br />JOB ADDRESS ~ 9th Avp., Zephyrhi ll!':, Florian 11S40 <br /> <br />LEGAL DESCRIPTION: LOT(S) 0110 <br /> <br />BLOCK 86 SUBDIVISION City of Zephyrhills <br /> <br />PARCEL I. D. . <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICK) <br /> <br />WORK PROPOSED:-1L-New Construction ____Addition ----Alteration ~epair ____Install <br /> <br />____Sign <br /> <br />~ove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: -1L-Single F8IIIily <br /> <br />____K/F <br /> <br />____' of Units ____K/H <br /> <br />____eo..ercial <br /> <br />____Indus t. <br /> <br />____Swu.. Pool ___Other <br /> <br />____Restaurant & Health Depart.ent Approval <br /> <br />DESCRIPTION OP WORK: <br /> <br />Sinqle Family Dwellinq <br /> <br />BUILDING SIZE: 41.4 X 32 , 1178 <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OP BUILDING PLANS & (I) SET ENERGY FORKS. <br />COKKERCIAL: ATTACH (3) SETS OP BUILDING PLANS & (I) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />38,400.00 <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />200 <br /> <br />AMP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____KEC8ANlCAL <br /> <br />$ <br /> <br />3.000.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ..K.-Block ____Fr-e ____Steel <br /> <br />Other <br /> <br />FI.RIS8ED FLOOR 'ELEVATIONS: 101-{) tf?tErl Ele. iQOPROJECT IN FLOOD ZONE AREA? -.lL <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER <br /> <br />COMPANY Bob Toney Contractor. Inc. <br />--;), .../ ---;;;/)A" ~ State Cert. or Regist.' CGCO 57666" <br />,// /-?"/v / #/~- / City License Registration' 2278-CGCP57666 <br />.......................................... <br /> <br />Signature <br /> <br />EI.ECTRICIAH <br /> <br />~W'-7 ~-.I <br />/. // <br /> <br />g.;/,. (I " //'// <br /> <br />-'..'.~ .' . .. <br />.'~' .-.-...... . <br /> <br />F- <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br /> <br /> <br />SiQllAture <br /> <br />PLmmER~ ~ COMPANY Dave Looue Plum~~io <br />_ ' '" State Cert. or Regist. , PLBG CON'l'R <br />Signature ~ ~ City License Registration' RF 0064250 <br />.....~~............................. <br /> <br />MECHANICAL ~ :A-L COMPANY Air Excellence <br />~ / /~/ State Cert. or Regist. t CACO 1 3470 <br />Signatur ~~. City License Registration' 2280-CERT <br />- . ........................................ <br /> <br />OTHER COKPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />2287 <br /> <br />/' <br /> <br />/ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />