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<br />APPLICATION FOR PEBMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />/-/1-00 <br />, <br /> <br />OWNER'S NAME ~ e~s ~ Ro..r6a..rC:::L 'BrI'n k PHONE <br />JOB ADDRESS (Oq 17 Oo..kc.rest" W~) Z. eph y f" hi Ils) fl, .~35LfD <br /> <br />PASCO PERMIT SERVIC <br />813-788-5314 <br /> <br /> <br />SUBDIVISION Oa..k c.rc:::'7 t- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # O~-(;U.R-,;U- O~30-00000-0J30 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D SIGN <br /> <br />.R[ADDITION <br />DMOVE <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Ol. 0' )t... 1'-1 / (];, / ass R OOYYl <br /> <br />BUILDING SIZE <br /> <br />.;;. {) f x:: I t.( / <br /> <br />SQUARE FOOTAGE <br /> <br />c9 80 1j:t <br /> <br />HEIGHT 6ee-.f/~ <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 REQUESTED <br />~ BUILDING $ g '1 EJO. 0-0 VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. <br />D PLUMBING <br />D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />t1ii OTH ER A J t.(..l'K.j 11 L(. ""'-' <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br /> <br />:::R~Ndg~ <br /> <br />COMPANY 'i3cth (' '-s AI u.vv\ I ~ UYYV ~ lkd. u.xt-re~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / g <br /> <br />SIGNATURE <br /> <br /> <br />*************************************************~* A <br /> <br /> <br />COMPANY t.-l.4r-(2...L.-:7 ~,.. <br />STATE CERT OR REGIST # C)tJ 1/ S:/,7 <br />CITY PROCESSING #;I~~ <br /> <br />ELECTlUCI <br /> <br />***************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * ** * * * * *.* ** * * * ** * * * * * * ** * * * ** * ** * * * * * ** * * * * *** ***** * ***** *** * ** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />eITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />/' <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />