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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHILill..J t-CJY"-.. lP""t- R u ~ ~ V\ e R ("'fA f M <br />OWNER'S ADDRESS .3 t\ l1<: J1A <::l \..a. chd- '€' P V' . <br />JOB ADDRESS 3L\ \~ AI\. a.. \. a. c.J\ \ ~ 'P 'Pr. <br /> <br />PHONE t go - <-\ ~ 1, <br />{; Vh~Y'dll& (iJol'Vl,~_ #---;l7 <br />= <br />rl r-a I'(Y\ -.Q.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent 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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUlLDING <br /> <br />$ <br /> <br />QSo. <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-.JIECHAIfICAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSBED 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 />RUTI.DRR <br /> <br />Signature <br /> <br />COMPANY <br />~ Lt![1 6 State Cert. or Regist. . <br />J MIY\R rru.J'>1 . City License Registration' <br />****************************************** <br /> <br />F.T.RCTRICIAR COMPANY <br />State Cert. or Regist. . <br />SiQDAture City License Registration f <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. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />