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<br />APPLICATION FOR PERMIT <br />CI'l'lC OF ZEPJllCRlIILLS <br />BUI LIHNG OEPAR'l'MEN'l' <br /> <br />~;'1'E IU!:CEIVED '2 (16 (00 <br />PLANS IUl:Vl:J:W I'EIl <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />OWNEH's N1\ME -Eloyd <br />JOB 1\lJlJRESS .3 "B 0 Z 7 <br /> <br />She Hers <br /> <br />f' It <br />('~ Ave, <br /> <br />PHONE <br /> <br />., <br /> <br />Zeph'f"'~i\l5) Fl, 3354-1 <br />BLOCK SUBVIVISION W I ~te r l..s M, H. P~rk <br /> <br />LE:G1\L VESCRI PT ION: LOT (S) <br /> <br />P1\RCEL IV" lD-2lD-2.l-0010-l2.'800-011D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSEV: ONEW CONSTRUCTION <br /> <br />~IHJlTION <br /> <br />01\LTER1\'1'ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os 1 GN <br />PROPOSElJ USE:: ~L F'1\MILY lJWEI,LING <br />OCOMMERCI1\L <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-F1\MILY <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />o 1 NVUS'I'IU1\L <br /> <br />o REST1\UR1\NT & 1II':1\LTH VEP1\RTMENT APPROVAL <br /> <br />VESCRI P'l'lON OF' WOHK A \ 1.L.VY\ 1 t'l1A.VV\ <br />Ll' ~ "51 <br />BUILVING SIZE ~ '3 '"t <br /> <br />A-Wt'\I'V1j <br />SQU1\RE F'OO'I'1\GE <br /> <br />( 1>0 rp <br /> <br />HEIGHT <br /> <br />see... pi4l'\S', <br /> <br />RESIVENTI1\L: A'l"l'ACH (2) PLOT PL1\NS & (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 F'OR 1\LL NEW CONSTRUCTION, <br /> <br />~UIL[)ING <br /> <br />PERMITS REQUESTED <br /> <br />$ 1~30. 00 <br /> <br />VALU1\'l'ION OF TOTAL CONSTRUC1'ION <br /> <br />o ELECTRICAL <br /> <br />1\MP SERVICE <br /> <br />o E'LORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />V1\LU1\'l'ION OF MECII1\NCIAL INSTALLATION <br /> <br />I. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECI1\L'l'Y <br /> <br />o OTIIER <br /> <br />'l'YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o E'IV\ME <br /> <br />o STEEL' <br /> <br />o O'l'HER <br /> <br />FINISHEV FLOOR ELEVA'UONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGN1\TURE <br /> <br />COMP1\NY .Je('e""''l'~ Q t.A.Al~~ A I LlIM iV1 lot. IN- <br />/ .r7~ _ .L S'l'1\TE CERT OR REGIST "R fs,~ 790 <br />_ft/AYL ~ CI'l'Y I?HOCESSING" gq <br /> <br />&1....... ...........................................*************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SIGN1\TURE <br /> <br />COMP1\NY <br />ST1\TE CERT OR REGIS'I' jf <br />CITY PROCESSING " <br /> <br />....*.....***********.*....*.****.***...****....****************** <br /> <br />PLUMBER <br /> <br />COMP1\NY <br />ST1\TE CERT OR REGIST II <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIS'I' It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />**********.****.****.*****.******************.................... <br /> <br />OTHER <br /> <br />SIGN1\'I'UHE <br /> <br />COMP1\NY <br />S'l'1\'l'E CER'r OR REGIST " <br />CITY PROCESSING " <br /> <br />********************...*.**....AAA...**********.................. <br /> <br />'" <br />- <br />