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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRllILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ;:: R A iU J< ;::- 1;rJ I- E Y <br />OWNER'S ADDRESS / ~.#- 7""P::s y <br />JOB ADDRESS /.t'.# 7' 9 3 </ <br /> <br />PHONE <br /> <br />1/ f~o - 71 d- ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. , <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --^ddition ____Alteration _Repair _Install <br /> <br />_Sign _Hove ____Demolish JJ <br /> <br />.. <br />PROPOSED USE: --.k::::Single Family _H/F _' of Units _H/H <br /> <br />____C~ercial _lndust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_ELECTRICAL <br /> <br />lOt) <br />. <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~Florida Power Corp. <br /> <br />Valuation of Hechanical Installation <br /> <br />W.R.E.C. <br /> <br />~UILDING <br /> <br />$ <br /> <br />-"ECHANICAL <br /> <br />$ <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />nPE OF CONSTRUCTION: ____Block _FrUle _Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration' <br />*...**.....***..*......................*.. <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. f <br />SianAture City License Registration . <br />...*********.....*..***.***.**..******.*.* <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />**.************.************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />..**.**............*.*..*.*.*..*.*.*....** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />****************.************************* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />