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<br />APPLICATION FOR PERMIT <br />CITlr OF ZEPJlYRHILLS <br />BU~LDING DEPAR~~NT <br /> <br />DATE RJl:CEJ:VJ:D } /'2 B I <J:o <br />PLANS IUlWIIlW I'D <br /> <br />OW~EH' S NAME C.ar LFa...lr t e.y <br />JOB ADDRESS CDO 40 qi-k ST, <br /> <br />PHONE <br /> <br />PASCO PERMIT SERVICE <br />812 18i i114 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID II O;).-;).c.-;l./- 0/&0- (JO/OO-()OS-I <br /> <br />WORK PHOPSED: ONEW CONSTHUCTION <br /> <br />[J(ADD 1 '1' 1 ON <br /> <br />IOBTAIN FROM PROPERTY TAX NOTTCF.) <br /> <br />o ALTEIU\'l'1 ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: OSGL F'AMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISII <br /> <br />OMULTI-FAMILY <br />o INDUSTHIAL <br /> <br />0## OF UNI'l'S <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF' <br /> <br />o RESTAURANT & HEALTH DEPAHTMEN'l' APPROVAL <br /> <br />WOHK .sc.t"'e~n rDDrY')} ~tro rover) (lYld. rO'f1("re.-t~ <br />~e- pla.\L 5>> <br />\ SQUARE F'OOTAGE HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: A'l"1'ACU (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ."" <br />PROPERTY SURVEY REQUIRED FUR ALL NEW CONSTRUCTION. <br /> <br />0( BU I LDING <br /> <br />PERMITS REQUESTED <br /> <br />$ 3';<00.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o E'LORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUA'l'ION OF MECIIANCIAL INSTALLATION <br /> <br />!' <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTIIER <br /> <br />TYPE OF CONSTRUC'l'lON: 0 Bl,UCK <br /> <br />o F'RAME <br /> <br />o S'l'EEL' <br /> <br />D OTHER <br /> <br />FINISHED F'LOOR ELEVA'flONS <br /> <br />,; <br /> <br />IS PHOJEC'l' IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILD&I\ <br /> <br />SIGNATURE <br /> <br />COMPANY 8a..hr'~ AhU''''ln~ .... Hao::iwa..('e..r~. <br /> <br />J/M~, - . . [IN'MJlfJ..v\ STATE CERT OR REGIST II <br />( -4 Al1JJ!~ CI'l'Y PROCESSING fI 19. <br /> <br />'..~... ................................*************************** <br /> <br />ELECTRICIAN <br /> <br />S I GNA'l'U RE <br /> <br />COMPANY <br />S'l'ATE CERT OR REGIS'!' fI <br />CI'l'Y PROCESSING II <br /> <br />" <br /> <br />.*********....*....*.........***......*..************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CER1' OR REGIST II <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*.********~****************************........................... <br />COMPANY <br />S1'ATE CERT OR REGIST It <br />CITY PROCESSING " <br /> <br />MECllANlCAL <br /> <br />********.....*....................**.*.***********...*..*...***** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CI'fY PROCESSING II <br /> <br />.***.**.*....***.**.A....A.....A~.......*.*.......*.............. <br /> <br />" <br />" <br />