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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />... <br /> <br />OWNER t S NAME {J)..e.:ffS if <br /> <br /> <br /> <br />PHONE <br /> <br /> <br />~{ <br />~' <br />~!' <br /> <br />OWNER t S ADDRESS <br /> <br />?7 <br /> <br />JOB ADDRESS <br /> <br />'535 <br /> <br />o <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL LD.' ,5" Jt.p -dJ-CO~-CCdC{)-W I 0 <br /> <br />SUBDIVISION <br /> <br />/~ <br />" <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:____New Construction ____Addition ----^Iteration ~epair ____Install <br /> <br />* <br />~~ <br />'i <br />) <br />i: <br /> <br />_Sign <br /> <br />--..Move <br /> <br />_Demolish <br /> <br />~ <br />7~ <br /> <br />" <br />it <br />'.; <br /> <br />PROPOSED USE: _Single Family <br /> <br />--..MI F <br /> <br />_, of Units ---.JI/H <br /> <br />____Commercial <br /> <br />_lndust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~- 7o~ <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 />~BUILDING <br /> <br />$ {/J,000 <br /> <br />PERMITS REOUESTEQ <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <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 /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTIO~ <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY RYMAN (':ONSTRIJCTJON. JNC. <br />State Cert. or Regist. I CBC 035134 <br />City License Registration' 274 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert, or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />Sis:mature <br /> <br />PLUMBER, <br /> <br />COMPANY <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHAlUCA~ <br /> <br />Signature <br /> <br />COMPANY_~ <br />State Cert, or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />2DUm COMPANY RYMAN, CONSTRUCTJON, JNC. <br /> <br />. , P" ~ A' State Cert. or Regist. fRC- 0061648 <br />Signature:.7~f: ,'~ City License Registration # 58 <br />***************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />